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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40575/psn-pdf
    July 06, 2011 - Student-observed surgical safety practices across an urban regional health authority. July 6, 2011 Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.044826. https://psnet.ahrq.gov/issue/st…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47013/psn-pdf
    April 07, 2019 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. April 7, 2019 Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co- prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448. doi:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837068/psn-pdf
    May 11, 2022 - Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey. May 11, 2022 Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44422/psn-pdf
    November 17, 2017 - Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. November 17, 2017 Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22. doi:10.4…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35977/psn-pdf
    February 17, 2011 - Making patient safety the centerpiece of medical liability reform. February 17, 2011 Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100. https://psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866855/psn-pdf
    October 02, 2024 - Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. October 2, 2024 Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Contemp Nurse. 2…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837694/psn-pdf
    July 20, 2022 - Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. July 20, 2022 Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient har…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37309/psn-pdf
    January 05, 2012 - Adverse drug events in hospitalized cardiac patients. January 5, 2012 Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients This study noted two adverse drug event…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837139/psn-pdf
    May 18, 2022 - Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support. May 18, 2022 Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support…
  10. psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
    September 23, 2020 - Review Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. Citation Text: Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12. Copy Citation Format: Google Sc…
  11. psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
    June 27, 2018 - Commentary A medication safety education program to reduce the risk of harm caused by medication errors. Citation Text: Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84. Copy Citation Fo…
  12. psnet.ahrq.gov/issue/why-worry-worry-risk-perceptions-and-willingness-act-reduce-medical-errors
    September 10, 2009 - Study Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Citation Text: Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.…
  13. psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
    August 02, 2015 - Study BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Citation Text: Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.…
  14. psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
    April 24, 2018 - Commentary Making residents part of the safety culture: improving error reporting and reducing harms. Citation Text: Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…
  15. psnet.ahrq.gov/issue/reducing-diagnostic-errors-through-effective-communication-harnessing-power-information
    March 10, 2011 - Commentary Reducing diagnostic errors through effective communication: harnessing the power of information technology. Citation Text: Singh H, Naik AD, Rao R, et al. Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology. J Gen Intern…
  16. psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
    October 28, 2020 - Grant Announcement FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Citation Text: FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019. Copy Citati…
  17. psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
    March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Citation Text: Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…
  18. psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
    February 18, 2019 - Commentary Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. Citation Text: Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000…
  19. psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
    September 01, 2018 - Study Connected care: reducing errors through automated vital signs data upload. Citation Text: Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65. Cop…
  20. psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

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