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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46037/psn-pdf
    April 16, 2018 - 'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective. April 16, 2018 Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing behaviours through feedback; A Perceptual Control Th…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45283/psn-pdf
    June 29, 2016 - Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology; 2016. https://psn…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837514/psn-pdf
    June 22, 2022 - Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022 Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47793/psn-pdf
    June 12, 2019 - Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. June 12, 2019 Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. Transl Behav Med. 2019;9(2):187-201. doi:10.1093/t…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855091/psn-pdf
    November 08, 2023 - Handoff tool improves transitions from the operating room to the neonatal intensive care unit. November 8, 2023 Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695. doi:10.1097/pq9.000000000000069…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853237/psn-pdf
    September 06, 2023 - Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. September 6, 2023 Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. Jt Comm J Qual Patient Saf. 2…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45753/psn-pdf
    January 18, 2017 - A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. January 18, 2017 Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;26(1):e1. doi:10.1136/bmjqs-2016…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72644/psn-pdf
    February 01, 2021 - Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 7, 2020.  https://psnet.ahrq.gov/issue/best-practices-developing-p…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45218/psn-pdf
    June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43702/psn-pdf
    May 07, 2018 - Strengthen your resolve: no unlabeled containers anywhere, ever! May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4. https://psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever Despite the designation of proper labeling as a National Patient Safety …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867132/psn-pdf
    November 13, 2024 - Large language model influence on diagnostic reasoning: a randomized clinical trial. November 13, 2024 Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.2024.40969. https://psnet.ahrq.g…
  12. psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
    November 16, 2022 - Are We Pushing Graduate Nurses Too Fast? Citation Text: Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852699/psn-pdf
    August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 Van CM, Mossburg S, McGaffigan P. Beyond the Pandemic: Creating Total Systems Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety The COVID-19 pandemic necessitated a shift in operations …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49638/psn-pdf
    January 01, 2012 - Communication Failure—Who's in Charge? October 1, 2011 Fackler J, Schwartz JM. Communication Failure—Who's in Charge? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/communication-failure-whos-charge The Case A 20-month-old boy was admitted to the intensive care unit (ICU) following a Fontan surgical procedu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49794/psn-pdf
    May 01, 2017 - Communication Error in a Closed ICU May 1, 2017 Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/communication-error-closed-icu The Case A 70-year-old man with a complex medical history including end-stage renal disease (status post kidney transplant), co…
  16. psnet.ahrq.gov/perspective/context-intervention
    August 05, 2020 - The Context Is the Intervention Dr. John Øvretveit | October 1, 2011  View more articles from the same authors. Citation Text: Øvretveit J. The Context Is the Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73229/psn-pdf
    May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities May 26, 2021 Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…
  18. psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
    December 18, 2019 - I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences Citation Text: Steinberg K. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49620/psn-pdf
    February 01, 2011 - Silent Pain in the Neck February 1, 2011 Bittner EA. Silent Pain in the Neck. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/silent-pain-neck The Case A 60-year-old man with no significant past medical history underwent an elective anterior cervical discectomy for persistent right arm weakness due to cervi…
  20. psnet.ahrq.gov/web-mm/one-dose-fifty-pills
    January 13, 2021 - One Dose, Fifty Pills Citation Text: Smith L. One Dose, Fifty Pills . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

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