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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60888/psn-pdf
    January 01, 2021 - Chronic hospital nurse understaffing meets COVID-19: an observational study. September 9, 2020 Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an observational study. BMJ Qual Saf. 2021;8(8):639-647. doi:10.1136/bmjqs-2020-011512. https://psnet.ahrq.gov/issue/chronic-ho…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837152/psn-pdf
    May 18, 2022 - AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. May 18, 2022 Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and Quality; 2022. AHRQ Publication No. 17(22)-0019. https://psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-…

  3. Heuristic Evaluation | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/heuristic-evaluation
    January 01, 2023 - Heuristic Evaluation Also Known As Heuristic Analysis Description Heuristic evaluations are a form of usability evaluation in which various accepted principles of design are applied to the system being assessed. Uses Prior to system procurement. In the early stages (especial…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845350/psn-pdf
    March 01, 2023 - Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. March 1, 2023 Kelly FE, Frerk C, Bailey CR, et al. Implementing human factors in anaesthesia: guidance for clinicians, departments and h…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47564/psn-pdf
    December 05, 2018 - Challenges and opportunities for improving patient safety through human factors and systems engineering. December 5, 2018 Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety Through Human Factors And Systems Engineering. Health Aff (Millwood). 2018;37(11):1862-1869. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45274/psn-pdf
    July 20, 2016 - Medication safety in neonatal care: a review of medication errors among neonates. July 20, 2016 Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. https://psnet.ahrq.gov/issue/medication-safe…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74273/psn-pdf
    January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. January 19, 2022 Washington, DC: United States Government Accountability Office; November 30, 2021. Publication GAO- 22-105142. https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-ad…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73416/psn-pdf
    June 23, 2021 - An observational study of postoperative handoff standardization failures. June 23, 2021 Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. https://psnet.ahrq.gov/issue/observational-study…

  9. Table 16. Adult non-obstetric inpatient admissions at Indian Health Service and Tribal hospitals by health status and project site. Fiscal year 2010 | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab16.html
    December 01, 2017 - Table 16. Adult non-obstetric inpatient admissions at Indian Health Service and Tribal hospitals by health status and project site. Fiscal year 2010 ARRA Grants Initiative Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recomme…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47619/psn-pdf
    April 08, 2019 - A decade of health information technology usability challenges and the path forward. April 8, 2019 Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):743-744. doi:10.1001/jama.2019.0161. https://psnet.ahrq.gov/issue/decade-health-in…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46096/psn-pdf
    May 31, 2017 - Guideline for opioid therapy and chronic noncancer pain. May 31, 2017 Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017;189(18):E659-E666. doi:10.1503/cmaj.170363. https://psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain Opioid pain…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46907/psn-pdf
    April 11, 2018 - To combat physician burnout and improve care, fix the electronic health record. April 11, 2018 Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018. https://psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record Increased workload associated with electronic health record (EHR) …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45939/psn-pdf
    March 01, 2017 - Examining the Copy and Paste Function in the Use of Electronic Health Records. March 1, 2017 Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce; January 19, 2017. NIST Interagency/Internal Report (NISTIR)-8166. https://p…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837003/psn-pdf
    April 27, 2022 - Woman works to end Black maternal health crisis after daughter dies after giving birth. April 27, 2022 Kindelan K. ABC News. April 14, 2022. https://psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after- giving-birth Maternal injury is a persistent challenge in the Black…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44957/psn-pdf
    March 09, 2016 - Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. March 9, 2016 ISMP Medication Safety Alert! Acute care edition. February 25, 2016;21(4):1-5. https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-the…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43860/psn-pdf
    March 25, 2015 - Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. March 25, 2015 Webb J. Drug Topics. March 10, 2015. https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic- vigilance Pharmacies can serve as gatekeepers to ensure patients receive the corre…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47698/psn-pdf
    April 03, 2019 - Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. April 3, 2019 Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation in 10 Steps. Jt Comm J Qual Patient Saf.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41756/psn-pdf
    October 10, 2012 - Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. October 10, 2012 Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety cultur…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47461/psn-pdf
    December 27, 2018 - IV push medications survey results—part 1 and part 2. December 27, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. https://psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2 Errors in the administration of intravenous medications can r…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39070/psn-pdf
    November 27, 2009 - Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. November 27, 2009 Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(12):1317-23. doi:10.1111/j…
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