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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42160/psn-pdf
    April 03, 2013 - The perianesthesia nurse's role in the prevention of opioid-related sentinel events. April 3, 2013 Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40502/psn-pdf
    January 01, 2020 - New 2012 National Patient Safety Goal - catheter- associated urinary tract infection (CAUTI). June 1, 2011 Joint Commission. https://psnet.ahrq.gov/issue/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract- infection-cauti This announcement reveals the new National Patient Safety Goal for 2012…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46408/psn-pdf
    November 29, 2017 - Eliminating vincristine administration events. November 29, 2017 Quick Safety. October 16, 2017;(37):1-3. https://psnet.ahrq.gov/issue/eliminating-vincristine-administration-events Vincristine administration errors can have serious consequences. This newsletter article outlines steps to reduce risks associated wit…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73872/psn-pdf
    September 22, 2021 - Parenteral nutrition safety. September 22, 2021 Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20. https://psnet.ahrq.gov/issue/parenteral-nutrition-safety Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses …
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37359/psn-pdf
    January 02, 2017 - Case study: preventing surgical complications at Baystate Medical Center. January 2, 2017 Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:10.1016/s1553- 7250(07)33076-6. http…
  7. 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-…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47621/psn-pdf
    May 11, 2019 - 2018 update on pediatric medical overuse: a review. May 11, 2019 Coon ER, Quinonez RA, Morgan DJ, et al. 2018 Update on Pediatric Medical Overuse: A Review. JAMA Pediatr. 2019;173(4):379-384. doi:10.1001/jamapediatrics.2018.5550. https://psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review Overuse of …
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836788/psn-pdf
    March 23, 2022 - A widow’s mission to change NC dental sedation rules. March 23, 2022 Blythe A. NC Health News. March 10, 2022 https://psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules Patient harm in dentistry is receiving increased attention and scrutiny. This story covers a medication incident and the lack of …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41053/psn-pdf
    December 30, 2014 - Time to accelerate integration of human factors and ergonomics in patient safety. December 30, 2014 Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. https://psnet.ahrq.gov/issue/time-acc…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39807/psn-pdf
    December 29, 2014 - Perspectives in quality: designing the WHO Surgical Safety Checklist. December 29, 2014 Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039. https://psnet.ahrq.gov/issue/perspectives-qual…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45237/psn-pdf
    June 15, 2016 - Medication reconciliation in oncological patients: a randomized clinical trial. June 15, 2016 Vega TG-C, Sierra-Sánchez JF, Martínez-Bautista MJ, et al. Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016;22(6):734-40. doi:10.18553/jmcp.2016.15248. https:/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46494/psn-pdf
    January 24, 2018 - Complications. January 24, 2018 Anaesthesia. 2018;73(suppl 1):3-101. https://psnet.ahrq.gov/issue/complications Study of complications can provide insights into presurgical patient counseling, risk assessment, and medical harm prevention. Articles in this special issue explore complications in anesthesia, includin…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36387/psn-pdf
    July 14, 2010 - Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. July 14, 2010 Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853629/psn-pdf
    September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety. September 20, 2023 World Health Organization. https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety The sharing of best practices is a key component of enabling successful strategy implementation in support of patient safety plans and go…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50878/psn-pdf
    February 05, 2020 - The role of racism as a core patient safety issue. February 5, 2020 Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58- 61. https://psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue A variety of biases can reduce the effectiveness and safety of care.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39626/psn-pdf
    June 23, 2010 - The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. June 23, 2010 Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181cb43b4. https://psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-p…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46596/psn-pdf
    November 01, 2017 - Infection prevention and control in pediatric ambulatory settings. November 1, 2017 Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857. https://psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings Patient safety in the ambulatory environme…