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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48111/psn-pdf
    July 10, 2019 - Medication Safety in Key Action Areas. July 10, 2019 Geneva, Switzerland: World Health Organization; 2019. https://psnet.ahrq.gov/issue/medication-safety-key-action-areas Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores key areas of concern that require act…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73477/psn-pdf
    July 07, 2021 - Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. July 7, 2021 Saks M, Landsman S. New York, NY: Oxford University Press; 2021.  ISBN: 9780190667986. https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm A weave of systemic factors c…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863223/psn-pdf
    February 28, 2024 - Prioritizing Patient Safety Through Quality Measurement. February 28, 2024 Centers for Medicare & Medicaid Services, March 6 and 21, 2024.  https://psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement Quality measurement intersects with patient safety and care improvement efforts to…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44152/psn-pdf
    November 06, 2015 - Infection Prevention. November 6, 2015 Allen G, ed. AORN J. 2015;101:505-596. https://psnet.ahrq.gov/issue/infection-prevention A primary concern in the perioperative setting is the prevention of health care–associated infections, particularly surgical site infections. Articles in this special issue explore strate…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50809/psn-pdf
    January 15, 2020 - Electronic Health Record (EHR) Safety and Usability: See What We Mean. January 15, 2020 MedStar Health National Center for Human Factors in Healthcare. https://psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean Electronic health records (EHR) optimize information functions in c…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43234/psn-pdf
    June 04, 2014 - Independent double-checks for high-alert medications: essential practice. June 4, 2014 Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. https://psnet.ahrq.gov/issue/independent-double-checks-high…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38420/psn-pdf
    February 18, 2009 - Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect. February 18, 2009 Kahol K, Satava RM, Ferrara JJ, et al. Effect of Short-Term Pretrial Practice on Surgical Proficiency in Simulated Environments: A Randomized Trial of…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45386/psn-pdf
    November 23, 2016 - Balancing doctor egos and errors. November 23, 2016 Sweeney JF. Medical Economics. November 10, 2016. https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discus…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73225/psn-pdf
    May 05, 2021 - Black or 'other'? Doctors may be relying on race to make decisions about your health. May 5, 2021 Smith J, Spodak C. CNN. April 25, 2021. https://psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health Race-adjusted decision making tools perpetuate the potential for diagnos…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46081/psn-pdf
    April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47320/psn-pdf
    September 05, 2018 - Patient safety climate: a study of Southern California healthcare organizations. September 5, 2018 Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. https://psnet.ahrq.gov/issue/patient-safety…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848044/psn-pdf
    April 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43763/psn-pdf
    April 22, 2015 - The nurse's role in medication safety. April 22, 2015 Durham B. The nurse's role in medication safety. Nursing (Brux). 2015;45(4). doi:10.1097/01.NURSE.0000461850.24153.8b. https://psnet.ahrq.gov/issue/nurses-role-medication-safety-0 Nurses perform a critical role in preventing medication errors. This commentary e…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47112/psn-pdf
    May 09, 2018 - 34 ways to survive your next trip to the hospital. May 9, 2018 Crouch M. Reader's Digest. April 2018. https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading patient safety experts to assist p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43270/psn-pdf
    June 18, 2014 - Group urges going metric to head off dosing mistakes. June 18, 2014 Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the- Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362. https://psnet.ahrq.gov/issue/group-urges-going-metric-head-dos…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46341/psn-pdf
    August 16, 2017 - In treating sepsis, questions about timing and mandates. August 16, 2017 Abbasi J. In Treating Sepsis, Questions About Timing and Mandates. JAMA. 2017;318(6):506-508. doi:10.1001/jama.2017.7997. https://psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates Delayed treatment of sepsis can result …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45586/psn-pdf
    November 02, 2016 - Antimicrobial stewardship and patient safety. November 2, 2016 Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety Antimicrobial stewardship has been highlighted as a strate…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47386/psn-pdf
    September 19, 2018 - Active-shooter response at a health care facility. September 19, 2018 Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582. https://psnet.ahrq.gov/issue/active-shooter-response-health-care-facility Physical and verbal…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39265/psn-pdf
    February 03, 2010 - Intensive care unit alarms—how many do we need? February 3, 2010 Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. https://psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need This study found that …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44488/psn-pdf
    September 16, 2015 - Environmental Cleaning for the Prevention of Healthcare- Associated Infections (HAIs). September 16, 2015 Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD: Agency for Healthcare Research and Quality; August 2015. Technical Brief No. 22. AHRQ Publication No. 15- EHC020-EF. https://p…