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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50940/psn-pdf
    February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. February 26, 2020 Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing students' performance in prevent…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838916/psn-pdf
    October 26, 2022 - Falling through the cracks: the invisible hospital cleaning workforce. October 26, 2022 Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. https://psnet.ahrq.gov/issue/falling-throu…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37671/psn-pdf
    July 25, 2008 - Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. July 25, 2008 Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for de…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44830/psn-pdf
    January 01, 2019 - Tune-in and time-out: toward surgeon-led prevention of "never" events. February 17, 2016 Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. https://psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43733/psn-pdf
    March 14, 2016 - The effect of an electronic checklist on critical care provider workload, errors, and performance. March 14, 2016 Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance. J Intensive Care Med. 2016;31(3):205-12. doi:10.1177/08…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46837/psn-pdf
    March 21, 2018 - Drug shortages: effect on parenteral nutrition therapy. March 21, 2018 Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052. https://psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy Shortages of me…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45514/psn-pdf
    November 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46789/psn-pdf
    March 20, 2018 - Healthcare professionals' views of smart glasses in intensive care: a qualitative study. March 20, 2018 Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.2017.11.006. https://psnet.ahrq.gov/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41017/psn-pdf
    February 01, 2013 - Safe surgery: how accurate are we at predicting intra- operative blood loss? February 1, 2013 Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x. https://psnet.ahrq.gov/issue/safe-surge…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74128/psn-pdf
    December 01, 2021 - Call to action: addressing pediatric fall safety in ambulatory environments. December 1, 2021 Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. https://psnet.ahrq.gov/issue/call-action-ad…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41577/psn-pdf
    September 27, 2016 - Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. September 27, 2016 Rochais E, Atkinson S, Bussières J-F. Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. J Pharm Pract. 201…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39789/psn-pdf
    August 25, 2010 - Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. August 25, 2010 Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Crit Care Med. 201…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838196/psn-pdf
    July 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72535/psn-pdf
    December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47645/psn-pdf
    April 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45923/psn-pdf
    April 19, 2017 - Huddles and debriefings: improving communication on labor and delivery. April 19, 2017 McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006. https://psnet.ahrq.gov/issue/huddles-and-debriefings…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34808/psn-pdf
    February 18, 2011 - The high cost of low-frequency events: the anatomy and economics of surgical mishaps. February 18, 2011 Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;304(11):634-7. https://psnet.ahrq.gov/issue/high-cost-low-frequency…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45682/psn-pdf
    November 01, 2017 - Changing smart pump vendors: lessons learned. November 1, 2017 Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned Changes in processes, devices, and technologies can increase ri…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50666/psn-pdf
    November 13, 2019 - Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019. https://psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use- non-profile…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44410/psn-pdf
    August 12, 2015 - Workarounds in the workplace: a second look. August 12, 2015 Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. https://psnet.ahrq.gov/issue/workarounds-workplace-second-look Workarounds are prevalent in health care and create opport…