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9561. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47074/psn-pdf
      August 22, 2018 - Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. August 22, 2018 Litchfield I, Gill P, Avery T, et al. Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. BMC Fam Pract. 20…

9562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37794/psn-pdf
      February 15, 2011 - Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. February 15, 2011 Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…

9563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844793/psn-pdf
      September 11, 2019 - PC standards for maternal safety. September 11, 2019 The Joint Commission. R3 Report. August 21, 2019;24:1-6. https://psnet.ahrq.gov/issue/pc-standards-maternal-safety Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This report reviews the new Joint Commission Pro…

9564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45164/psn-pdf
      May 25, 2016 - Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. May 25, 2016 Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016. https://psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm Checklists are a recommended method to reduce omissions in …

9565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47804/psn-pdf
      June 12, 2019 - Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. June 12, 2019 Grubenhoff JA, Ziniel SI, Bajaj L, et al. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educationa…

9566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43726/psn-pdf
      September 01, 2016 - Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. September 1, 2016 Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co- prescriptions by Admitting Department. Healthc Inform Res. 2014;20(4):280-7. doi:10.4258/hir.2…

9567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60797/psn-pdf
      August 12, 2020 - Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. August 12, 2020 Borshoff DC, Sadleir P. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Curr Opin Anaesthesiol. 2020;33(4):55…

9568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44404/psn-pdf
      August 26, 2015 - Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses. August 26, 2015 Hayes C, Power T, Davidson PM, et al. Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses. Nurse Educ Today. 2015;35(9):981-6. doi:10.…

9569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61126/psn-pdf
      November 11, 2020 - Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. November 11, 2020 US Food and Drug Administration: November 3, 2020. https://psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-…

9570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48006/psn-pdf
      May 15, 2019 - Limits on opioid prescribing leave patients with chronic pain vulnerable. May 15, 2019 Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188. https://psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vuln…

9571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44265/psn-pdf
      January 22, 2016 - How surgical trainees handle catastrophic errors: a qualitative study. January 22, 2016 Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003. https://psnet.ahrq.gov/issue/how-surgical-trainees-ha…

9572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41169/psn-pdf
      May 19, 2014 - Risk factors for patient-reported medical errors in eleven countries. May 19, 2014 Schwappach DLB. Risk factors for patient-reported medical errors in eleven countries. Health Expect. 2014;17(3):321-31. doi:10.1111/j.1369-7625.2011.00755.x. https://psnet.ahrq.gov/issue/risk-factors-patient-reported-medical-errors-…

9573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44170/psn-pdf
      May 29, 2023 - Ambulatory Surgery Center Survey on Patient Safety Culture. May 29, 2023 Rockville, MD: Agency for Healthcare Research and Quality; October 2020. https://psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture Ambulatory surgery centers (ASCs) are increasingly being used to provide surgical ca…

9574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43840/psn-pdf
      January 28, 2015 - A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. January 28, 2015 O'Hara R, Johnson M, Siriwardena N, et al. A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. J Health Serv Res Policy. 2015;20(1 …

9575. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34749/psn-pdf
      January 09, 2017 - Patient Safety and the "Just Culture": A Primer for Health Care Executives. January 9, 2017 Marx DA. Patient Safety And The "Just Culture": A Primer For Health Care Executives. New York, NY: Trustees of Columbia University; 2001. https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-execu…

9576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34873/psn-pdf
      February 18, 2011 - Nurse-staffing levels and the quality of care in hospitals. February 18, 2011 Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22. https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals The relationship betw…

9577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42806/psn-pdf
      January 19, 2014 - Case studies of patient safety research classics to build research capacity in low- and middle-income countries. January 19, 2014 Andermann A, Wu AW, Lashoher A, et al. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. Jt Comm J Qual Patient Saf. 2013;3…

9578. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40697/psn-pdf
      October 31, 2011 - Real-time automated paging and decision support for critical laboratory abnormalities. October 31, 2011 Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs.2010.051110. https://psnet.ahrq.…

9579. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50593/psn-pdf
      October 30, 2019 - Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. October 30, 2019 Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semperi.2019.08.008. https://psnet.a…

9580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46352/psn-pdf
      October 15, 2018 - Optimal Resources for Surgical Quality and Safety. October 15, 2018 Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety Surgery is complex and involves a wide range of possibilities for error that can r…