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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764406/psn-pdf
    March 02, 2022 - Patient safety assurance in the age of defensive medicine: a review. March 2, 2022 Shenoy A, Shenoy GN, Shenoy GG. Patient safety assurance in the age of defensive medicine: a review. Patient Saf Surg. 2022;16(1):10. doi:10.1186/s13037-022-00319-8. https://psnet.ahrq.gov/issue/patient-safety-assurance-age-defensiv…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34797/psn-pdf
    October 06, 2015 - Adapting to new technologies in the operating room. October 6, 2015 Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593- 613. doi:10.1518/001872096778827224. https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room New technology continues to offer great ad…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46950/psn-pdf
    May 16, 2018 - Registered nurses' perceptions of safe care in overcrowded emergency departments. May 16, 2018 Eriksson J, Gellerstedt L, Hillerås P, et al. Registered nurses' perceptions of safe care in overcrowded emergency departments. J Clin Nurs. 2018;27(5-6):e1061-e1067. doi:10.1111/jocn.14143. https://psnet.ahrq.gov/issue/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36769/psn-pdf
    June 15, 2011 - Using incident reporting to improve patient safety: a conceptual model. June 15, 2011 Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73093/psn-pdf
    March 31, 2021 - Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021 Whelehan DF, Algeo N, Brown DA. Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. BMJ Leader. 2021;5:108-112. doi:10.1136/leader-2020-000419. https://psnet.ahrq.gov/issue/lea…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45146/psn-pdf
    July 18, 2016 - Driving surgical quality using operative video. July 18, 2016 O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616. https://psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video Although using video documen…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44557/psn-pdf
    November 20, 2015 - Reforming the Veterans Health Administration—beyond palliation of symptoms. November 20, 2015 Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38060/psn-pdf
    April 11, 2011 - Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. April 11, 2011 Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Pediatrics. 2008;122(3):55…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865719/psn-pdf
    May 01, 2024 - High reliability pediatric heart centers: always working toward getting better. May 1, 2024 Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. https://psnet.ahrq.gov/issue/high-reliability-ped…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44702/psn-pdf
    December 16, 2015 - Alarm fatigue: impacts on patient safety. December 16, 2015 Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260. https://psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety Alarm fatigue is a recognized safety conce…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43640/psn-pdf
    November 12, 2014 - Infection prevention in the emergency department. November 12, 2014 Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024. https://psnet.ahrq.gov/issue/infection-prevention-emergency-department Emergency c…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44858/psn-pdf
    February 10, 2016 - Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. February 10, 2016 Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. BMC Anesthesiol. 2016;16:4. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45409/psn-pdf
    May 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. May 17, 2021 Horsham, PA: Institute of Safe Medication Practices; 2021 https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings Long-term care patients often have concurrent conditions that increase their risk of…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862153/psn-pdf
    February 07, 2024 - Anticipating patient safety events in psychiatric care. February 7, 2024 Yerstein MC, SUNDARARAJ DEEPIKA, McClean M, et al. Anticipating patient safety events in psychiatric care. J Psychiatr Pract. 2024;30(1):68-72. doi:10.1097/pra.0000000000000760. https://psnet.ahrq.gov/issue/anticipating-patient-safety-events-p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74204/psn-pdf
    January 01, 2022 - Perceptions of nurses who are second victims in a hospital setting. December 22, 2021 Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603. https://psnet.ahrq.gov/issue/perceptions-nurses-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35237/psn-pdf
    November 29, 2009 - Improving nurse-to-patient staffing ratios as a cost- effective safety intervention. November 29, 2009 Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785-91. https://psnet.ahrq.gov/issue/improving-nurse-patient-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37741/psn-pdf
    January 10, 2017 - Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. January 10, 2017 Simmons D, Phillips MS, Grissinger M, et al. Error-avoidance recommendations for tubing misconnections when using Luer-tip connectors: a statement…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47241/psn-pdf
    October 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. October 10, 2018 McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291. https://psnet.ahrq.gov/issu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35374/psn-pdf
    January 02, 2017 - Intimidation: practitioners speak up about this unresolved problem. January 2, 2017 Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4. https://psnet.ahrq.gov/issue/intimidation-practitioners-s…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41239/psn-pdf
    March 21, 2012 - Emotional impact of patient safety incidents on family physicians and their office staff. March 21, 2012 O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family physicians and their office staff. J Am Board Fam Med. 2012;25(2):177-83. doi:10.3122/jabfm.2012.02.…

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