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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40207/psn-pdf
    February 09, 2011 - Building nursing intellectual capital for safe use of information technology: a systematic review. February 9, 2011 Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e3181e15c88. https://psnet.ahrq.gov/…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72861/psn-pdf
    March 17, 2021 - Keeping patients on track with preventative care during pandemic. March 17, 2021 Quick Safety. March 2021;58:1-2. https://psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic The potential exposure to COVID-19 continues to negatively influence patient care seeking activity. This article r…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42939/psn-pdf
    March 02, 2014 - Healthcare personnel attire in non–operating-room settings. March 2, 2014 Bearman G, Bryant K, Leekha S, et al. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol. 2014;35(2):107-21. doi:10.1086/675066. https://psnet.ahrq.gov/issue/healthcare-personnel-attire-non-operating-ro…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837907/psn-pdf
    August 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings Medication errors associated with surgery and…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43270/psn-pdf
    June 18, 2014 - Group urges going metric to head off dosing mistakes. June 18, 2014 Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the- Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362. https://psnet.ahrq.gov/issue/group-urges-going-metric-head-dos…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44488/psn-pdf
    September 16, 2015 - Environmental Cleaning for the Prevention of Healthcare- Associated Infections (HAIs). September 16, 2015 Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD: Agency for Healthcare Research and Quality; August 2015. Technical Brief No. 22. AHRQ Publication No. 15- EHC020-EF. https://p…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45289/psn-pdf
    May 03, 2017 - Measuring harm in health care: optimizing adverse event review. May 3, 2017 Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679. https://psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-…

  8. 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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41489/psn-pdf
    October 12, 2012 - Defining patient safety in hospice: principles to guide measurement and public reporting. October 12, 2012 Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10.1089/jpm.2011.0530. https://psnet.ahr…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34900/psn-pdf
    December 17, 2009 - The State of the Science on Safe Medication Administration. December 17, 2009 Am J Nurs. 2005;105;(supp 5):2-55. https://psnet.ahrq.gov/issue/state-science-safe-medication-administration The University of Pennsylvania School of Nursing, the Hospital of the University of Pennsylvania, the Infusion Nurses Society, …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40199/psn-pdf
    March 03, 2011 - Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. March 3, 2011 Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Acad Med. 2011;86(3):365-8.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40818/psn-pdf
    October 05, 2011 - Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. October 5, 2011 Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. J Trauma. 2011;71(3):64…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865680/psn-pdf
    September 06, 2024 - Workforce and Patient Safety. September 6, 2024 Dorset, UK: Health Services Safety Investigations Body; 2024. https://psnet.ahrq.gov/issue/workforce-and-patient-safety The complex health care work environment creates conditions that detract from staff ability to provide safe care. This collection of reports to be …

  14. 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…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837346/psn-pdf
    June 08, 2022 - Decontamination of Surgical Instruments. June 8, 2022 Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022. https://psnet.ahrq.gov/issue/decontamination-surgical-instruments Surgical equipment sterilization can be hampered by equipment design, production pressures, process complexity and policy mi…

  16. 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 …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46636/psn-pdf
    January 24, 2018 - Drug shortages continue to compromise patient care. January 24, 2018 ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. https://psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care Drug shortages are known to disrupt the safety of care. This newsletter article reports the res…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46746/psn-pdf
    March 07, 2018 - Safety with nebulized medications requires an interdisciplinary team approach. March 7, 2018 ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach Myriad system and clinician failures can con…

  19. 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…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44298/psn-pdf
    July 08, 2015 - Preparing challenging medications for barcode scanning. July 8, 2015 Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. https://psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning Barcode scanning can reduce me…
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