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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37556/psn-pdf
    November 21, 2016 - Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. November 21, 2016 Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. doi:10.1001/archsurg.2007.27. https:/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35158/psn-pdf
    January 02, 2017 - Using simulation-based training to improve patient safety: what does it take? January 2, 2017 Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. https://psnet.ahrq.gov/issue/using-simulation-based-training-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39698/psn-pdf
    July 21, 2010 - Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. July 21, 2010 Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. Clin Infect Dis. 2010;51…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47978/psn-pdf
    May 01, 2019 - Patient Safety. May 1, 2019 GMS J Med Educ. 2019;36:Doc11-Doc22. https://psnet.ahrq.gov/issue/patient-safety-16 Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education sy…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866567/psn-pdf
    August 21, 2024 - A daily dose of communication to improve quality and safety outcomes. August 21, 2024 Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36225/psn-pdf
    July 10, 2008 - Transfers of patient care between house staff on internal medicine wards: a national survey. July 10, 2008 Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. https://psnet.ahrq.gov/issue/transfe…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37861/psn-pdf
    June 25, 2008 - Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. June 25, 2008 Stainsby D, Jones H, Wells AW, et al. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. Br …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39265/psn-pdf
    February 03, 2010 - Intensive care unit alarms—how many do we need? February 3, 2010 Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. https://psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need This study found that …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838085/psn-pdf
    September 14, 2022 - Administering High-Strength Insulin from a Pen Device in Hospital. September 14, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; July 7, 2022. https://psnet.ahrq.gov/issue/administering-high-strength-insulin-pen-device-hospital Misuse of insulin pens contributes to never events associated with diabet…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46198/psn-pdf
    August 16, 2017 - Challenging authority during an emergency—the effect of a teaching intervention. August 16, 2017 Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.0000000000002450. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41072/psn-pdf
    January 18, 2012 - Improving medication management through the redesign of the hospital code cart medication drawer. January 18, 2012 Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Factors and Ergonomics Society. 2011;5…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865597/psn-pdf
    April 17, 2024 - Discharge from Mental Health Care: Making it Safe and Patient-centred. April 17, 2024 Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024. https://psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred The provision of safe mental health care is receiving increased …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838636/psn-pdf
    October 19, 2022 - A qualitative survey of factors shaping the role of a safety professional. October 19, 2022 Van Wassenhove W, Foussard C, Dekker SWA, et al. A qualitative survey of factors shaping the role of a safety professional. Safety Sci. 2022;154:105835. doi:10.1016/j.ssci.2022.105835. https://psnet.ahrq.gov/issue/qualitati…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38385/psn-pdf
    February 04, 2009 - Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. February 4, 2009 Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. Int J Med Inform. 2008…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43084/psn-pdf
    May 19, 2014 - How can the criminal law support the provision of quality in healthcare? May 19, 2014 Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688. https://psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quali…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41436/psn-pdf
    October 19, 2012 - Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? October 19, 2012 Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10):1449-52. https://psnet.ahrq.go…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44649/psn-pdf
    November 11, 2015 - Seven (potentially) deadly prescribing errors. November 11, 2015 Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015. https://psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors Errors in the prescribing process can lead to adverse drug events. This slide set provides information about commo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46838/psn-pdf
    March 07, 2018 - Behavioral & Mental Health Toolbox. March 7, 2018 Center for Health Design. Concord, CA: Center for Health Design; 2018. https://psnet.ahrq.gov/issue/behavioral-mental-health-toolbox Behavioral and mental health patients have unique concerns that affect their safety. This toolkit provides strategies, insights, and…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37117/psn-pdf
    October 04, 2011 - Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. October 4, 2011 Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Pediatrics. 2007;120(2):e225-35. https://psnet.a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60951/psn-pdf
    September 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im…

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