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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45334/psn-pdf
    September 07, 2016 - Why 'Universal Precautions' are needed for medication lists. September 7, 2016 Shane R. Why 'Universal Precautions' are needed for medication lists. BMJ Qual Saf. 2016;25(9):731-2. doi:10.1136/bmjqs-2015-005116. https://psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists Despite the support…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44602/psn-pdf
    November 25, 2015 - Interorganizational complexity and organizational accident risk: a literature review. November 25, 2015 Milch V, Laumann K. Interorganizational complexity and organizational accident risk: A literature review. Safety Sci. 2015;82:9-17. doi:10.1016/j.ssci.2015.08.010. https://psnet.ahrq.gov/issue/interorganizationa…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35387/psn-pdf
    September 10, 2009 - A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. September 10, 2009 Carayon P, Gurses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive Crit Care Nurs. 2005;21(5):284-301. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35628/psn-pdf
    June 23, 2010 - Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician. June 23, 2010 Abbott RL, Weber P, Kelley B. Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46593/psn-pdf
    November 08, 2017 - Unreadable barcodes and multiple barcodes on packages can lead to errors. November 8, 2017 ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors Barcodes can both enhance and degrade the medication …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839830/psn-pdf
    November 09, 2022 - Walgreens will stop judging its pharmacy staffers by how fast they work. November 9, 2022 Kaplan A. NBC News. October 27, 2022.  https://psnet.ahrq.gov/issue/walgreens-will-stop-judging-its-pharmacy-staffers-how-fast-they-work Suboptimal working conditions are a known contributor to errors in retail pharmacie…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43415/psn-pdf
    September 10, 2014 - Project BOOST implementation: lessons learned. September 10, 2014 Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. https://psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned This qualitative study o…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41510/psn-pdf
    July 11, 2012 - Dangerous connections: health care community tackles tubing risks, small-bore connector standards. July 11, 2012 Vockley M. Joint Commission: The Source. June 2012;10:15-17. https://psnet.ahrq.gov/issue/dangerous-connections-health-care-community-tackles-tubing-risks-small- bore-connector This newsletter article …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73101/psn-pdf
    April 07, 2021 - Do No Harm: Are We Preventing Medication Errors in Children with Medical Complexity? March 31, 2021 Children's Healthcare Canada. April 7, 2021. https://psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity Children are particularly vulnerable to medication errors. This se…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43562/psn-pdf
    September 24, 2014 - What's that sound? Managing alarm fatigue. September 24, 2014 George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f. https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue Alarm fatigue has been described as a cont…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43100/psn-pdf
    April 02, 2014 - Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. April 2, 2014 Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.  https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections This special issue explores a national initiativ…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73669/psn-pdf
    September 01, 2021 - Infection Prevention Compendium For Long-Term Care Facilities. September 1, 2021 Center for Healthy Aging--New York Academy of Medicine, Yale School of Nursing. https://psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities Healthcare-associated infections (HAIs) challenge safety in long-te…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37938/psn-pdf
    July 23, 2008 - An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections. July 23, 2008 Backman C, Zoutman DE, Marck PB. An integrative review of the current evidence on the relationship between hand hygiene interventions and the in…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837798/psn-pdf
    August 10, 2022 - An evolution of reporting: identifying the missing link. August 10, 2022 Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761. https://psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48179/psn-pdf
    August 21, 2019 - Is WHO's surgical safety checklist being hyped? August 21, 2019 Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. https://psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped Checklists are a popular yet controversial stra…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41946/psn-pdf
    January 09, 2013 - Thirty-day outcomes support implementation of a surgical safety checklist. January 9, 2013 Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012.07.015. https://psnet.ahrq.gov/is…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41156/psn-pdf
    March 02, 2012 - The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. March 2, 2012 Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Acta Anaesthesiol Scand. 2012;56(…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60903/psn-pdf
    March 15, 2023 - AMA Prior Authorization (PA) Physician Survey. March 15, 2023 Chicago, IL: American Medical Association; March 2023.  https://psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey Insurance policies can have consequences that reduce the safety of medical care. This latest version of the study …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44269/psn-pdf
    July 01, 2015 - Accidental overdoses involving fluorouracil infusions. July 1, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5. https://psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41625/psn-pdf
    December 02, 2014 - Effects of CPOE on provider cognitive workload: a randomized crossover trial. December 2, 2014 Avansino J, Leu MG. Effects of CPOE on provider cognitive workload: a randomized crossover trial. Pediatrics. 2012;130(3):e547-52. doi:10.1542/peds.2011-3408. https://psnet.ahrq.gov/issue/effects-cpoe-provider-cognitive-…

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