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6481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46837/psn-pdf
      March 21, 2018 - Drug shortages: effect on parenteral nutrition therapy. March 21, 2018 Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052. https://psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy Shortages of me…

6482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45514/psn-pdf
      November 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m…

6483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46789/psn-pdf
      March 20, 2018 - Healthcare professionals' views of smart glasses in intensive care: a qualitative study. March 20, 2018 Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.2017.11.006. https://psnet.ahrq.gov/…

6484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41017/psn-pdf
      February 01, 2013 - Safe surgery: how accurate are we at predicting intra- operative blood loss? February 1, 2013 Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x. https://psnet.ahrq.gov/issue/safe-surge…

6485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74128/psn-pdf
      December 01, 2021 - Call to action: addressing pediatric fall safety in ambulatory environments. December 1, 2021 Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. https://psnet.ahrq.gov/issue/call-action-ad…

6486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41577/psn-pdf
      September 27, 2016 - Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. September 27, 2016 Rochais E, Atkinson S, Bussières J-F. Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. J Pharm Pract. 201…

6487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39789/psn-pdf
      August 25, 2010 - Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. August 25, 2010 Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Crit Care Med. 201…

6488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838196/psn-pdf
      July 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…

6489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72535/psn-pdf
      December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…

6490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47645/psn-pdf
      April 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit…

6491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45923/psn-pdf
      April 19, 2017 - Huddles and debriefings: improving communication on labor and delivery. April 19, 2017 McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006. https://psnet.ahrq.gov/issue/huddles-and-debriefings…

6492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34808/psn-pdf
      February 18, 2011 - The high cost of low-frequency events: the anatomy and economics of surgical mishaps. February 18, 2011 Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;304(11):634-7. https://psnet.ahrq.gov/issue/high-cost-low-frequency…

6493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45682/psn-pdf
      November 01, 2017 - Changing smart pump vendors: lessons learned. November 1, 2017 Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned Changes in processes, devices, and technologies can increase ri…

6494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50666/psn-pdf
      November 13, 2019 - Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019. https://psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use- non-profile…

6495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44410/psn-pdf
      August 12, 2015 - Workarounds in the workplace: a second look. August 12, 2015 Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. https://psnet.ahrq.gov/issue/workarounds-workplace-second-look Workarounds are prevalent in health care and create opport…

6496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47462/psn-pdf
      October 31, 2018 - Emergency department checklist: an innovation to improve safety in emergency care. October 31, 2018 Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325. https://psnet.ahrq.gov/issue/e…

6497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867016/psn-pdf
      October 23, 2024 - An automated, dynamic radiation oncology prescription checking system. October 23, 2024 Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002. https://psnet.ahrq.gov/issue/automated-dynamic…

6498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41425/psn-pdf
      June 19, 2012 - Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? June 19, 2012 Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…

6499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74848/psn-pdf
      February 16, 2022 - Patients for Patient Safety US. February 16, 2022 404.510.8787; info@pfps.us https://psnet.ahrq.gov/issue/patients-patient-safety-us Patient safety improvement has made progress but more can be done. This organization supports community efforts in the United States to engage policymakers in work toward aligning ef…

6500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73396/psn-pdf
      June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…