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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43786/psn-pdf
    December 17, 2014 - Aviation tools to improve patient safety. December 17, 2014 Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. https://psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety The aviation industry offers insights and tools applicable to error…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74118/psn-pdf
    January 01, 2022 - From HRO to HERO: making health equity a core system capability. November 24, 2021 Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. https://psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-syst…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72591/psn-pdf
    December 23, 2020 - Bias and racism teaching rounds at an academic medical center. December 23, 2020 Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. https://psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-c…
  4. 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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35971/psn-pdf
    May 27, 2011 - Effectiveness of computerized provider order entry with dose range checking on prescribing errors. May 27, 2011 Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215339.03807.fd. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45987/psn-pdf
    April 26, 2017 - Using simulation to prepare nursing staff for the move to a new building. April 26, 2017 Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44843/psn-pdf
    September 06, 2016 - Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication. September 6, 2016 Geneva, Switzerland: World Health Organization; 2015. https://psnet.ahrq.gov/issue/addressing-global-shortages-medicines-and-safety-and-accessibility-childrens- medication Drug shortages have…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72687/psn-pdf
    January 27, 2021 - Learning from errors with the new COVID-19 vaccines. January 27, 2021 ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines Learning from error rests on transparency efforts buttressed by frontline reports. This a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39218/psn-pdf
    January 13, 2010 - Prolonged hospital stay and the resident duty hour rules of 2003. January 13, 2010 Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. https://psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-d…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33927/psn-pdf
    June 23, 2015 - Errors, incidents and accidents in anaesthetic practice. June 23, 2015 Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19. https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73489/psn-pdf
    July 15, 2021 - A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. July 15, 2021 Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054. https://psnet.ahrq.gov/issue…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73249/psn-pdf
    May 12, 2021 - I-PASS handover system: a decade of evidence demands action. May 12, 2021 Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action The I-PASS structu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72674/psn-pdf
    January 27, 2021 - The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021 Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j.jcjq.2020.11.007. https://psne…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46681/psn-pdf
    April 16, 2018 - Trainee autonomy and patient safety. April 16, 2018 George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety Reduced resident work hours and insufficient senior surgeon…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72761/psn-pdf
    February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic-- letter to health care providers. February 17, 2021 Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration; February 9. 2021. https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47028/psn-pdf
    May 02, 2018 - Medication errors 2018: the year in review. May 2, 2018 Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018. https://psnet.ahrq.gov/issue/medication-errors-2018-year-review Despite considerable effort, medication errors continue to occur and result in patient harm. Summari…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44333/psn-pdf
    July 15, 2015 - One hospital's initiatives to encourage safe opioid use. July 15, 2015 Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use This commentar…
  18. 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…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866956/psn-pdf
    October 16, 2024 - Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. October 16, 2024 Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461. doi:10.1016/j.ogc.2024.05.001. htt…

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