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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42182/psn-pdf
    April 10, 2013 - Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. April 10, 2013 Dave B. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Br Dent J. 2013;214(5):223-5. doi:10.1038/sj.bdj.2013.214. https://psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34816/psn-pdf
    February 28, 2018 - Blaming others for threatening events. February 28, 2018 Tennen H; Affleck G. https://psnet.ahrq.gov/issue/blaming-others-threatening-events This detailed review summarizes existing evidence on how people adapt to threatening events by blaming others. Discussion includes a synthesis of past work and explanations f…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36751/psn-pdf
    March 21, 2007 - Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. March 21, 2007 Hicks RW, Becker SC, Cousins DD. Rockville, MD: US Pharmacopeia Center for the Advancement of Patient Safety; 2006 https://psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39369/psn-pdf
    March 17, 2010 - Paediatric nurses' understanding of the process and procedure of double-checking medications. March 17, 2010 Dickinson A, McCall E, Twomey B, et al. Paediatric nurses' understanding of the process and procedure of double-checking medications. J Clin Nurs. 2010;19(5-6). doi:10.1111/j.1365-2702.2009.03130.x. https:/…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40043/psn-pdf
    March 03, 2011 - Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. March 3, 2011 McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469. doi:10.1136/bmj.c5469. https://psne…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40522/psn-pdf
    June 08, 2011 - Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. June 8, 2011 Shekelle PG, Pronovost PJ, Wachter RM, et al; PSP Technical Expert Panel. Rockville, MD: Agency for Healthcare Research and Quality; December 2010. AHRQ Publication No. 11-0006-EF. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38219/psn-pdf
    May 24, 2015 - The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. May 24, 2015 Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Swiss Med Wkly. 2009;139(1-2):…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43010/psn-pdf
    March 19, 2014 - Why pediatricians fail to diagnose hypertension: a multicenter survey. March 19, 2014 Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066. https://psnet.ahrq.gov/issue/why-pediatrician…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866934/psn-pdf
    October 09, 2024 - How America’s health care system fails women in pain. October 9, 2024 Neklason A. How America’s health care system fails women in pain. The Hill. September 23, 2024; https://psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain Appropriate treatment of pain is a complicated process vulnerable to rac…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44091/psn-pdf
    January 04, 2019 - Isolation precautions for visitors. January 4, 2019 Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67. https://psnet.ahrq.gov/issue/isolation-precautions-visitors This expert guidance provides recommendations …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60587/psn-pdf
    June 10, 2020 - Person-Centered Guidelines for Preserving Family Presence in Challenging Times. June 10, 2020 Derby, CT: Planetree; 2020. https://psnet.ahrq.gov/issue/person-centered-guidelines-preserving-family-presence-challenging-times Families have an important role in keeping patients safe. This book provides a set of patien…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74167/psn-pdf
    December 08, 2021 - National Patient Safety Board Advocacy Coalition. December 8, 2021 EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222. https://psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition Centralized reporting and analysis of adverse events in health care is a safety improvement model from the av…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45513/psn-pdf
    October 26, 2016 - A national physician survey of diagnostic error in paediatrics. October 26, 2016 Perrem LM, Fanshawe TR, Sharif F, et al. A national physician survey of diagnostic error in paediatrics. Eur J Pediatr. 2016;175(10):1387-92. doi:10.1007/s00431-016-2772-0. https://psnet.ahrq.gov/issue/national-physician-survey-diagno…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39532/psn-pdf
    June 27, 2011 - Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. June 27, 2011 Simons PAM, Houben RMA, Backes HH, et al. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):187-193. doi:10.1093/intqhc/mzq020. h…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41762/psn-pdf
    May 03, 2017 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. May 3, 2017 Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ Publication No. 12-0046-EF. https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867645/psn-pdf
    July 01, 2022 - A call to action for anticoagulation stewardship. July 1, 2022 Burnett AE, Barnes GD. A call to action for anticoagulation stewardship. Res Pract Thromb Haemost. 2022;6(5):e12757. doi:10.1002/rth2.12757. https://psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship Anticoagulants are high-risk medications d…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44269/psn-pdf
    July 01, 2015 - Accidental overdoses involving fluorouracil infusions. July 1, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5. https://psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43391/psn-pdf
    July 30, 2014 - Special Issue on Patient Safety. July 30, 2014 West J Nurs Res. 2014;36(7):851-946. https://psnet.ahrq.gov/issue/special-issue-patient-safety-0 Articles in this special issue discuss errors of omission in nursing, the importance of situational awareness during medication administration, how complexity of health ca…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44566/psn-pdf
    October 14, 2015 - FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. October 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5. https://psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa Describing incidents involving abbreviation confusion for ACTIVASE (alt…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43509/psn-pdf
    September 10, 2014 - Patient Safety in Private Hospitals: the Known and the Unknown Risk. September 10, 2014 Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014. https://psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk This report discusses issues with staffing, equipment, and…
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