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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60263/psn-pdf
    April 22, 2020 - Rationing protective gear means checking on coronavirus patients less often. This can be deadly. April 22, 2020 Kaplan J, Presser L, Miller M. ProPublica. April 10, 2020. https://psnet.ahrq.gov/issue/rationing-protective-gear-means-checking-coronavirus-patients-less-often-can- be-deadly Increased complexity and p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35502/psn-pdf
    May 27, 2011 - Medication errors: a prospective cohort study of hand- written and computerised physician order entry in the intensive care unit. May 27, 2011 Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Cr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43321/psn-pdf
    August 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. August 2, 2015 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. https://psnet.ahrq.gov/issue/costs…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35019/psn-pdf
    June 22, 2009 - Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. June 22, 2009 Dodek P. Improving patient safety in critical care: big challenge, exciting opportunity. Can J Anaesth. 20…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44838/psn-pdf
    February 10, 2016 - ADVERSE drug events: incidence and risk reduction across the care continuum. February 10, 2016 Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. https://psnet.ahrq.gov/issue/adverse-drug-eve…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45986/psn-pdf
    March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34870/psn-pdf
    April 18, 2016 - Unintended medication discrepancies at the time of hospital admission. April 18, 2016 Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44048/psn-pdf
    November 20, 2015 - Clinical handover of the critically ill postoperative patient: an integrative review. November 20, 2015 Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.2015.02.001. https://psnet.ahrq…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50425/psn-pdf
    September 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45658/psn-pdf
    November 09, 2016 - Hospitals installed more sinks to stop infections. The sinks can make the problem worse. November 9, 2016 Branswell H. STAT. October 25, 2016. https://psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse Hospitals have sought to improve hand hygiene with interventions su…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854252/psn-pdf
    October 04, 2023 - Standardization and visualization of the surgical time-out. October 4, 2023 Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46336/psn-pdf
    August 23, 2017 - Improving the Working Environment for Safe Surgical Care. August 23, 2017 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care Surgical training is demanding and can r…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46221/psn-pdf
    July 02, 2017 - Tools and methods for quality improvement and patient safety in perinatal care. July 2, 2017 Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002. https://psnet.ahrq.gov/issue/tools-and-methods-q…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47462/psn-pdf
    October 31, 2018 - Emergency department checklist: an innovation to improve safety in emergency care. October 31, 2018 Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325. https://psnet.ahrq.gov/issue/e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836833/psn-pdf
    March 30, 2022 - As a nurse faces prison for a deadly error, her colleagues worry: could I be next? March 30, 2022 Kelman B. Kaiser Health News. March 22, 2022 https://psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next Criminalization of medical mistakes typifies the blame-focused approach pa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864383/psn-pdf
    March 13, 2024 - Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life". March 13, 2024 Sganga N, Triay A. CBS Evening News. February 29, 2024. https://psnet.ahrq.gov/issue/cyberattack-unitedhealth-still-impacting-prescription-access-these-are-threats- life As health care becomes more technol…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44473/psn-pdf
    September 27, 2016 - Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. September 27, 2016 Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35176/psn-pdf
    June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. June 23, 2009 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60800/psn-pdf
    January 01, 2021 - Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. August 12, 2020 Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing and implementing the leadership s…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74064/psn-pdf
    May 27, 2021 - Achieving zero inequity: lessons learned from patient safety. May 27, 2021 Gandhi TK. NEJM Catalyst. May 27, 2021. https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety The COVID-19 pandemic has shown a spotlight on bias, disparities, and inequity in the healthcare system. The author…

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