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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43331/psn-pdf
    July 09, 2014 - Open wide: looking into the safety culture of dental school clinics. July 9, 2014 Ramoni R, Walji MF, Tavares A, et al. Open wide: looking into the safety culture of dental school clinics. J Dent Edu. 2014;78(5):745-756. https://psnet.ahrq.gov/issue/open-wide-looking-safety-culture-dental-school-clinics Researche…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73379/psn-pdf
    June 09, 2021 - How medical jargon can make COVID health disparities even worse. June 9, 2021 Kritz F. Health Shots. National Public Radio; May 24, 2021. https://psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse Health literacy efforts address challenges related to both language and effecti…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74756/psn-pdf
    February 09, 2022 - Medication errors in overweight and obese pediatric patients: a systematic review. February 9, 2022 Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j.jcjq.2021.12.005. https://psnet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37401/psn-pdf
    March 28, 2012 - Interventions for preventing falls in acute- and chronic- care hospitals: a systematic review and meta-analysis. March 28, 2012 Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38276/psn-pdf
    December 10, 2008 - Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. December 10, 2008 Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred from the hospital to the nursing h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842431/psn-pdf
    January 11, 2023 - Confronting racism in pediatric care. January 11, 2023 Danielson B. Confronting racism in pediatric care. Health Affairs. 2022;41(11):1681-1685. doi:10.1377/hlthaff.2022.01157. https://psnet.ahrq.gov/issue/confronting-racism-pediatric-care Racism is a patient safety issue that is gaining the increased attention ne…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41826/psn-pdf
    June 03, 2013 - Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. June 3, 2013 Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist. 2013;53(3):430-40. doi:10.1093/geront…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39185/psn-pdf
    January 06, 2010 - Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. January 6, 2010 Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;18(6):505-9. doi:10.1136/qshc.2007.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74276/psn-pdf
    January 19, 2022 - Guideline for Prevention of Unintentionally Retained Surgical Items. January 19, 2022 Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579. https://psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items Retained su…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42985/psn-pdf
    February 26, 2014 - Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. February 26, 2014 Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04. https://psnet.ahrq.gov/issue/confusion-specimen-mix…
  12. 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…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42128/psn-pdf
    August 15, 2013 - Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper- based order entry. August 15, 2013 Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. J Pha…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45801/psn-pdf
    August 03, 2017 - Overcoming diagnostic errors in medical practice. August 3, 2017 Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065. https://psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice This commentary describes a progra…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858323/psn-pdf
    December 13, 2023 - Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. December 13, 2023 O'Neill E. Health Shots. National Public Radio. December 2, 2023. https://psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses Inordinate focus on one element o…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42235/psn-pdf
    June 03, 2013 - Surgical safety checklist: implementation in an ambulatory surgical facility. June 3, 2013 Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8. https://psnet.ahrq.gov/issue/surgical-sa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44358/psn-pdf
    September 24, 2016 - Interruptions and medication administration in critical care. September 24, 2016 Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. https://psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44298/psn-pdf
    July 08, 2015 - Preparing challenging medications for barcode scanning. July 8, 2015 Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. https://psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning Barcode scanning can reduce me…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60288/psn-pdf
    April 29, 2020 - Do some surgical implants do more harm than good? April 29, 2020 Groopman J. New Yorker Online. April 13, 2020.  https://psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good Medical devices support quality of life but must be designed appropriately and managed carefully to ensure safety over time.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46943/psn-pdf
    November 16, 2018 - A piece of my mind. The art of constructive worrying. November 16, 2018 John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670. https://psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying Both organizational culture and individual accountability are key to admit…

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