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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43282/psn-pdf
    April 25, 2016 - Understanding the effect of resident duty hour reform: a qualitative study. April 25, 2016 Pattani R, Wu PE, Dhalla IA. Resident duty hours in Canada: past, present and future. Can Med Assoc J. 2014;186(10). doi:10.1503/cmaj.131053. https://psnet.ahrq.gov/issue/understanding-effect-resident-duty-hour-reform-qualit…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46026/psn-pdf
    May 03, 2017 - Key principles in quality and safety in radiology. May 3, 2017 Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. https://psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology This review s…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46937/psn-pdf
    March 14, 2018 - Resident shift handoff strategies in US internal medicine residency programs. March 14, 2018 Wray CM, Chaudhry S, Pincavage A, et al. Resident Shift Handoff Strategies in US Internal Medicine Residency Programs. JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786. https://psnet.ahrq.gov/issue/resident-shift-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42727/psn-pdf
    November 13, 2013 - Impact of electronic health record systems on information integrity: quality and safety implications. November 13, 2013 Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. https://psnet.ahrq.gov/issue/impact-electron…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43181/psn-pdf
    May 14, 2014 - Overextended: fighting the fatigue of long shifts. May 14, 2014 Douglass JA. Overextended: Fighting the fatigue of long shifts. Nursing (Brux). 2014;44(3):67-8. doi:10.1097/01.NURSE.0000441895.42899.0c. https://psnet.ahrq.gov/issue/overextended-fighting-fatigue-long-shifts Many studies have demonstrated the link b…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48142/psn-pdf
    August 21, 2019 - Six ways to lower errors—and unnecessary surgeries—in radiology exams. August 21, 2019 Panner M. Forbes. August 12, 2019. https://psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams Diagnostic errors can result in harm across the spectrum of practice. Discussing cognitive and syste…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44144/psn-pdf
    May 27, 2015 - Maintaining safety in the dialysis facility. May 27, 2015 Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914. https://psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility Failure to consider human factors and poor communication can contri…

  8. 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/…

  9. 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…

  10. 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…

  11. 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…

  12. 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…

  13. 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…

  14. 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-…

  15. 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…

  16. 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…

  17. 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, …

  18. 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.…

  19. 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…

  20. 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 …
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