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8381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47611/psn-pdf
      January 23, 2019 - Drug and opioid-involved overdose deaths- United States, 2013-2017. January 23, 2019 Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. https://psnet.ahrq.gov/issue/drug-and-opioi…

8382. 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 …

8383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60647/psn-pdf
      July 01, 2020 - Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. July 1, 2020 Public Health England. London, UK: Crown Copyright; 2020. https://psnet.ahrq.gov/issue/beyond-data-understanding-impact-covid-19-bame-groups The COVID-19 pandemic has revealed weaknesses in health care systems worldwide that have af…

8384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45234/psn-pdf
      November 18, 2016 - Recommended responsibilities for management of MR safety. November 18, 2016 Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…

8385. 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…

8386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44065/psn-pdf
      July 16, 2015 - Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. July 16, 2015 Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0193945915577430. https://psnet.ahrq…

8387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45705/psn-pdf
      January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy. January 23, 2017 Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…

8388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43979/psn-pdf
      April 29, 2015 - The Report of the Morecambe Bay Investigation. April 29, 2015 Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306. https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation Sharing information about large-scale investigations into failures can provide insights on factors that contribute to…

8389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46621/psn-pdf
      November 22, 2017 - Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. November 22, 2017 Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs Open. 2017;4(4):230-239. doi:10…

8390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46278/psn-pdf
      July 19, 2017 - The opioid epidemic: what can surgeons do about it? July 19, 2017 Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18. https://psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it Surgeons often prescribe opioids for patients after procedures, so they are in a key position to ass…

8391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47032/psn-pdf
      May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. May 23, 2018 Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037. https://psnet.ahrq.g…

8392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45398/psn-pdf
      August 15, 2016 - Incorporating indications into medication ordering—time to enter the age of reason. August 15, 2016 Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp1603964. https://psnet.ahrq.gov/issue/inco…

8393. 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.…

8394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46764/psn-pdf
      March 28, 2018 - The Report of the Short Life Working Group on Reducing Medication-related Harm. March 28, 2018 Department of Health and Social Care. London, England: Crown Publishing; February 2018. https://psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm Medication errors are a prominent chal…

8395. 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…

8396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37255/psn-pdf
      December 19, 2011 - Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. December 19, 2011 Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad Emerg Med. 2007;14(10):884-94. htt…

8397. 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…

8398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35510/psn-pdf
      February 19, 2010 - Simulation study of rested versus sleep-deprived anesthesiologists. February 19, 2010 Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-200306000-00008. https://psnet.ahrq.gov/issue/simulation-study-res…

8399. 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…

8400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43568/psn-pdf
      April 25, 2016 - Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. April 25, 2016 Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentration Consistencies in Children's …