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9621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866250/psn-pdf
      July 10, 2024 - Attention among health care professionals : a scoping review. July 10, 2024 Kissler MJ, Porter S, Knees M, et al. Attention among health care professionals : a scoping review. Ann Intern Med. 2024;177(7):941-952. doi:10.7326/m23-3229. https://psnet.ahrq.gov/issue/attention-among-health-care-professionals-scoping-r…

9622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45440/psn-pdf
      November 09, 2016 - Safety lessons from the NIH Clinical Center. November 9, 2016 Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center System failures can remain undetected over time in large organizations. This perspective describ…

9623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73298/psn-pdf
      May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. May 19, 2021 National Academies of Sciences, Engineering, and Medicine. Washington DC:  National Academies Press; 2021. ISBN: 9780309685061.  https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…

9624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45866/psn-pdf
      March 08, 2017 - Medication safety in the neonatal intensive care unit: big measures for our smallest patients. March 8, 2017 Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.0000000000000230. https://psnet.ahrq.gov/…

9625. 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.…

9626. 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…

9627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850356/psn-pdf
      June 14, 2023 - Prescribing errors in children: why they happen and how to prevent them. June 14, 2023 Conn R, Fox A, Carrington A, et al. Prescribing errors in children: why they happen and how to prevent them. Pharmaceutical Journal. 2023;310:7973. doi:10.1211/pj.2023.1.184013. https://psnet.ahrq.gov/issue/prescribing-errors-ch…

9628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43945/psn-pdf
      September 09, 2015 - Hospital and procedure incidence of pediatric retained surgical items. September 9, 2015 Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. https://psnet.ahrq.gov/issue/hospital-and-procedure-incid…

9629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43030/psn-pdf
      March 26, 2014 - Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. March 26, 2014 ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.   https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based- causes-vaccine-…

9630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44425/psn-pdf
      February 24, 2016 - Dangerous doses. February 24, 2016 Roe S, King K. Chicago Tribune. February 10–13, 2016. https://psnet.ahrq.gov/issue/dangerous-doses Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age and use of medications for chronic conditions. This series of news reports d…

9631. 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…

9632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865974/psn-pdf
      May 29, 2024 - Minimizing bias when using artificial intelligence in critical care medicine. May 29, 2024 Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796. https://psnet.ahrq.gov/issue/minimizing-bias-when-us…

9633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48005/psn-pdf
      May 08, 2019 - Why your doctor's white coat can be a threat to your health. May 8, 2019 Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373. https://psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health…

9634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47055/psn-pdf
      May 23, 2018 - Surgical checklists save lives—but once in a while, they don't. Why? May 23, 2018 Mukherjee S. New York Times Magazine. May 9, 2018. https://psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why Checklists can coordinate action and communication to augment safety, but human and system factor…

9635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73966/psn-pdf
      October 13, 2021 - Prescribing errors with low-molecular-weight heparins. October 13, 2021 Slikkerveer M, van de Plas A, Driessen JHM, et al. Prescribing errors with low-molecular-weight heparins. J Patient Saf. 2021;17(7):e587-e592. doi:10.1097/pts.0000000000000417. https://psnet.ahrq.gov/issue/prescribing-errors-low-molecular-weigh…

9636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866318/psn-pdf
      July 17, 2024 - Methods to increase reliability in quality improvement projects. July 17, 2024 Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340. https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-…

9637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45383/psn-pdf
      August 31, 2016 - Case report of a medication error: in the eye of the beholder. August 31, 2016 Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186. https://psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder Look-alike dr…

9638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74129/psn-pdf
      January 01, 2022 - Factors influencing providers' willingness to deprescribe medications. December 1, 2021 Davila H, Rosen AK, Stolzmann K, et al. Factors influencing providers' willingness to deprescribe medications. J Am Coll Clin Pharm. 2022;5:15-25. doi:10.1002/jac5.1537. https://psnet.ahrq.gov/issue/factors-influencing-provider…

9639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34730/psn-pdf
      October 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi…

9640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837630/psn-pdf
      July 06, 2022 - Mandating limits on workload, duty, and speed in radiology. July 6, 2022 Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. https://psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology To reduce m…