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8641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45795/psn-pdf
      May 24, 2017 - Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. May 24, 2017 Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;213(2):299-306. doi:10.1016/j.amjsu…

8642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44393/psn-pdf
      August 12, 2015 - FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). August 12, 2015 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015. https…

8643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852451/psn-pdf
      August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…

8644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865341/psn-pdf
      March 27, 2024 - Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. March 27, 2024 Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. doi:10.1016/j.breast.2024.103699. …

8645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854988/psn-pdf
      November 01, 2023 - Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. November 1, 2023 Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…

8646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47568/psn-pdf
      March 06, 2019 - Trends in anesthesia-related liability and lessons learned. March 6, 2019 Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…

8647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72812/psn-pdf
      March 10, 2021 - High nursing staff turnover in nursing homes offers important quality information. March 10, 2021 Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality information. Health Aff (Millwood). 2021;40(3):384-391. doi:10.1377/hlthaff.2020.00957. https://psnet.ahrq.gov/issue/…

8648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50536/psn-pdf
      October 16, 2019 - The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project October 16, 2019 Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-expe…

8649. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - Ambulances held hostage: EMS strategies for reducing ambulance offload times. EMS 1 .

8650. Medication Administration Errors | PSNet
      psnet.ahrq.gov/primer/medication-administration-errors
      December 15, 2024 - Medication Administration Errors Citation Text: MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X…

8651. Emergency Error | PSNet
      psnet.ahrq.gov/web-mm/emergency-error
      January 18, 2013 - SPOTLIGHT CASE Emergency Error Citation Text: Symons NRA. Emergency Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

8652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43939/psn-pdf
      February 25, 2015 - Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. February 25, 2015 Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory. Clin C…

8653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837423/psn-pdf
      June 15, 2022 - Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. June 15, 2022 Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by online and offline speech recogniti…

8654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866952/psn-pdf
      October 16, 2024 - Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. October 16, 2024 Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionn…

8655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38721/psn-pdf
      June 25, 2009 - Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. June 25, 2009 DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. Am J Health Syst Ph…

8656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44886/psn-pdf
      September 27, 2016 - Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? September 27, 2016 Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226…

8657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43905/psn-pdf
      March 04, 2015 - Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties. March 4, 2015 Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in Colorado: A prospective observational study revea…

8658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42744/psn-pdf
      September 01, 2016 - Physicians' responses to clinical decision support on an intensive care unit—comparison of four different alerting methods. September 1, 2016 Scheepers-Hoeks A-MJ, Grouls RJ, Neef C, et al. Physicians' responses to clinical decision support on an intensive care unit--comparison of four different alerting methods. …

8659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45529/psn-pdf
      October 11, 2017 - Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. October 11, 2017 Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health system's experience. Am J Surg. 20…

8660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46984/psn-pdf
      April 04, 2018 - Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. April 4, 2018 Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident W…