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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41911/psn-pdf
    December 12, 2012 - Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. December 12, 2012 Shorr RI, Chandler M, Mion LC, et al. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. Ann Intern …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50575/psn-pdf
    October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift handover communication. October 23, 2019 Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. https://psnet.ahrq.gov/issue/dynam…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46322/psn-pdf
    August 02, 2017 - Sophisticated digital aids could help determine what ails you. August 2, 2017 Maron DF. Scientific American. July 21, 2017. https://psnet.ahrq.gov/issue/sophisticated-digital-aids-could-help-determine-what-ails-you Clinical decision support systems are a key strategy to improve diagnostic accuracy. This magazine a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41633/psn-pdf
    January 01, 2013 - Determinants of success of quality improvement collaboratives: what does the literature show? December 31, 2012 Hulscher M, Schouten LMT, Grol R, et al. Determinants of success of quality improvement collaboratives: what does the literature show? BMJ Qual Saf. 2013;22(1):19-31. doi:10.1136/bmjqs-2011-000651. https…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40188/psn-pdf
    February 02, 2011 - Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. February 2, 2011 Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b013e3181e4e6dd. https://psnet.ahrq…
  6. 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…
  7. 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…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48001/psn-pdf
    May 22, 2019 - Medicines safety in anaesthetic practice. May 22, 2019 Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. https://psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice Human factors affect medication delivery in the operating …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44782/psn-pdf
    January 13, 2016 - The Swiss cheese model of adverse event occurrence—closing the holes. January 13, 2016 Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46516/psn-pdf
    December 16, 2017 - The business case for investing in physician well-being. December 16, 2017 Shanafelt TD, Goh J, Sinsky CA. The Business Case for Investing in Physician Well-being. JAMA Intern Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340. https://psnet.ahrq.gov/issue/business-case-investing-physician-well-being …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44830/psn-pdf
    January 01, 2019 - Tune-in and time-out: toward surgeon-led prevention of "never" events. February 17, 2016 Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. https://psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44224/psn-pdf
    June 10, 2015 - To be sued less, doctors should consider talking to patients more. June 10, 2015 Carroll AE. https://psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more Reporting on trends associated with medical malpractice, how the same physicians tend to get sued, and reasons patients file claims, …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45204/psn-pdf
    September 18, 2016 - Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. September 18, 2016 Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. J Adv Nurs. 2016;72(10):2536-46. doi:10.1111/jan.13006. https://p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47381/psn-pdf
    April 03, 2019 - The role of the patient in patient safety: what can we learn from healthcare's history? April 3, 2019 Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516043518791051. https://psnet.ahrq.gov/is…
  16. 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…
  17. 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/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38068/psn-pdf
    March 10, 2011 - The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. March 10, 2011 Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am Med Inform Assoc. 2008;15(5):585-600. …
  19. 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…
  20. 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…