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9561. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37638/psn-pdf
      May 24, 2015 - Work hours regulations for house staff in psychiatry: bad or good for residency training? May 24, 2015 Rasminsky S, Lomonaco A, Auchincloss E. Work Hours Regulations for House Staff in Psychiatry: Bad or Good for Residency Training? Academic Psychiatry. 2008;32(1). doi:10.1176/appi.ap.32.1.54. https://psnet.ahrq.g…

9562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851660/psn-pdf
      July 26, 2023 - From aviation to pediatric surgery. July 26, 2023 Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila). 2024;63(4):557-559. doi:10.1177/00099228231176631. https://psnet.ahrq.gov/issue/aviation-pediatric-surgery Human factors strategies are increasingly applied in health …

9563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47475/psn-pdf
      January 23, 2019 - Patient Safety and Quality Improvement. January 23, 2019 Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0 Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight sy…

9564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42370/psn-pdf
      June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…

9565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43238/psn-pdf
      June 04, 2014 - Administering just the diluent or one of two vaccine components leaves patients unprotected. June 4, 2014 ISMP Medication Safety Alert! Acute care edition. May 22, 2014;19:1-2. https://psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients- unprotected Errors occur frequentl…

9566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40865/psn-pdf
      September 12, 2016 - A review of current and emerging approaches to address failure-to-rescue. September 12, 2016 Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to- rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. https://psnet.ahrq.gov/issue/review-current-…

9567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46218/psn-pdf
      October 29, 2017 - Nurses' knowledge and teaching of possible postpartum complications. October 29, 2017 Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371. https://psnet.ahrq.gov/issue/nurses-knowledge…

9568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39257/psn-pdf
      January 27, 2010 - Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. January 27, 2010 Buxbaum J. Portland, ME: National Academy for State Health Policy; January 2010. https://psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordinati…

9569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41321/psn-pdf
      April 25, 2012 - Cognitive balanced model: a conceptual scheme of diagnostic decision making. April 25, 2012 Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. https://psnet.ahrq.gov/issue/cognitive-balanc…

9570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45638/psn-pdf
      January 01, 2019 - Measures to improve diagnostic safety in clinical practice. November 2, 2016 Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338. https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…

9571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33952/psn-pdf
      July 16, 2009 - Bar code label requirement for human drug products and biological products. July 16, 2009 Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171. https://psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products The US Food and Drug Administration (FDA) require…

9572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42197/psn-pdf
      September 24, 2016 - Interruptions during nurses' work: a state-of-the-science review. September 24, 2016 Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs Health. 2013;36(1):38-53. doi:10.1002/nur.21515. https://psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-rev…

9573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37595/psn-pdf
      March 05, 2008 - An evaluation of medication errors—the pediatric surgical service experience. March 5, 2008 Engum SA, Breckler FD. An evaluation of medication errors-the pediatric surgical service experience. J Pediatr Surg. 2008;43(2):348-52. doi:10.1016/j.jpedsurg.2007.10.042. https://psnet.ahrq.gov/issue/evaluation-medication-…

9574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867699/psn-pdf
      June 01, 2023 - Toolkit for Improving Surgical Care and Recovery. June 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023. https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery Improving patient experience fosters better communication, trust, and col…

9575. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45336/psn-pdf
      September 21, 2016 - Medical misdiagnoses put pressure on patients to stay engaged. September 21, 2016 Innes S. Arizona Daily Star. September 12, 2016. https://psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged Delayed diagnoses can have serious consequences. This news article reviews several examples of mis…

9576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36976/psn-pdf
      June 15, 2011 - Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. June 15, 2011 Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. https://psnet.ahrq.gov/issue/evaluation…

9577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40765/psn-pdf
      September 14, 2011 - Medication errors reported in a pediatric intensive care unit for oncologic patients. September 14, 2011 Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b013e3182064a6a. https://psnet.ah…

9578. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60042/psn-pdf
      March 11, 2020 - At Walgreens, complaints of medication errors go missing. March 11, 2020 Gabler E. New York Times. February 23, 2020. https://psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing Response to reported safety concerns is a primary indicator of an organizational commitment to reducing and lear…

9579. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837679/psn-pdf
      July 13, 2022 - Provider implicit bias: bringing awareness to clinical practice. July 13, 2022 Moss LD. Clinical Advisor. June 29, 2022. https://psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice Health disparities perpetuated by structural racism degrade patient safety. This article discusses the i…

9580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41334/psn-pdf
      April 25, 2012 - Understanding the role of non-technical skills in patient safety. April 25, 2012 White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8. https://psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety Examining a case study in which a patient die…