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6621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866406/psn-pdf
      July 31, 2024 - Impact of a daily huddle on safety in perioperative services. July 31, 2024 Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. https://psnet.ahrq.gov/issue/impact-daily-huddle-s…

6622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45082/psn-pdf
      April 27, 2016 - Surgeons must tell patients of double-booked surgeries, new guidelines say. April 27, 2016 Abelson J, Staltzman J. Boston Globe. April 13, 2016. https://psnet.ahrq.gov/issue/surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say Although scheduling overlapping surgeries may improve operating room e…

6623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46968/psn-pdf
      April 18, 2018 - Attitudes and practices related to clinical alarms: a follow- up survey. April 18, 2018 Ruppel H, Funk M, Clark T, et al. Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey. Am J Crit Care. 2018;27(2):114-123. doi:10.4037/ajcc2018185. https://psnet.ahrq.gov/issue/attitudes-and-practices-related…

6624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34643/psn-pdf
      December 23, 2008 - The health care cost of drug-related morbidity and mortality in nursing facilities. December 23, 2008 Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2089-96. https://psnet.ahrq.gov/issue/health-care-cost-drug-related…

6625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838137/psn-pdf
      September 21, 2022 - How insight contributes to diagnostic excellence. September 21, 2022 Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311- 315. doi:10.1515/dx-2022-0007. https://psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence Improving diagnostic reasoning skil…

6626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837154/psn-pdf
      May 18, 2022 - Survey shows room for improvement with three new best practices for hospitals. May 18, 2022 ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  https://psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals Practice changes take time to be fully incorporate…

6627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854382/psn-pdf
      October 11, 2023 - Battling alarm fatigue in the pediatric intensive care unit. October 11, 2023 Herrera H, Wood D. Battling alarm fatigue in the pediatric intensive care unit. Crit Care Nurs Clin North Am. 2023;35(3):347-355. doi:10.1016/j.cnc.2023.05.003. https://psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-…

6628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34978/psn-pdf
      June 30, 2011 - Personal digital assistant-based drug information sources: potential to improve medication safety. June 30, 2011 Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):229-36. https://psnet.ahrq.gov/issue/p…

6629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45373/psn-pdf
      November 18, 2016 - Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. November 18, 2016 Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073. ht…

6630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44386/psn-pdf
      August 12, 2015 - Using simulation to improve systems. August 12, 2015 Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885- 92. doi:10.1016/j.suc.2015.04.007. https://psnet.ahrq.gov/issue/using-simulation-improve-systems Safety approaches from aviation that can be applied to health c…

6631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74070/psn-pdf
      November 10, 2021 - ERs are swamped with seriously ill patients, although many don’t have Covid. November 10, 2021 Wells K. Health Shots. National Public Radio. October 29, 2021. https://psnet.ahrq.gov/issue/ers-are-swamped-seriously-ill-patients-although-many-dont-have-covid Emergency department (ED) crowding stemming from treatment…

6632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837760/psn-pdf
      January 01, 2024 - Criminal liability for nursing and medical harm. August 3, 2022 Maher V, Cwiek M. Criminal liability for nursing and medical harm. Hosp Top. 2024;102(2):117-124. doi:10.1080/00185868.2022.2101571. https://psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm Fear of criminal liability may inhibit clinic…

6633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73911/psn-pdf
      October 06, 2021 - Misdiagnosis of acute myocardial infarction: a systematic review of the literature. October 6, 2021 Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000000000256. https://psnet.ahrq.gov…

6634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44404/psn-pdf
      August 26, 2015 - Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses. August 26, 2015 Hayes C, Power T, Davidson PM, et al. Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses. Nurse Educ Today. 2015;35(9):981-6. doi:10.…

6635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44123/psn-pdf
      July 11, 2018 - The 2014 John M. Eisenberg Patient Safety and Quality Awards. July 11, 2018 Jt Comm J Qual Patient Saf. 2015;41(5):195-211. https://psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-awards Articles in this special issue highlight the achievements of the 2014 John M. Eisenberg Patient Safety and…

6636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844800/psn-pdf
      September 25, 2019 - Patient Options for Safe and Effective Disposal of Unused Opioids. September 25, 2019 Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19- 650. https://psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids One strategy to reduce the potentia…

6637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50925/psn-pdf
      February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…

6638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35048/psn-pdf
      June 22, 2009 - Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist- managed anticoagulation service. June 22, 2009 Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoa…

6639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45094/psn-pdf
      May 04, 2016 - Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. May 4, 2016 Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16- 328. https://psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care This analysis found that s…

6640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45764/psn-pdf
      April 11, 2018 - Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. April 11, 2018 Benzon HA, Hajduk J, De Oliveira GS, et al. Pediatric Anesthesiology Fellows' Perception of Quality of Attending Supervision and Medical Errors. Anesth Analg. 2018;126(2):639-643. doi:10.1213/ANE.000…