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381. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-284
     March 15, 2021 - March 24, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854628/psn-pdf
     October 18, 2023 - Determining medication errors in an adult intensive care unit. October 18, 2023 Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788. https://psnet.ahrq.gov/issue/determining-m…

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851912/psn-pdf
     August 02, 2023 - Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. August 2, 2023 Abramovich I, Matias B, Norte G, et al. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Eur J Anaesthesiol. 2023;40(8):587-595. doi:10.1097/eja.0000000000001849. ht…

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49464/psn-pdf
     December 27, 2020 - https://psnet.ahrq.gov/web-mm/lap-burn The Case A woman was scheduled for an elective diagnostic laparoscopy

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33579/psn-pdf
     September 15, 2024 - The procedure was the surgeon's last of six scheduled procedures that day, and delays in the outpatient

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47580/psn-pdf
     November 28, 2018 - Patient engagement in health care safety: an overview of mixed-quality evidence. November 28, 2018 Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (Millwood). 2018;37(11):1813-1820. doi:10.1377/hlthaff.2018.0716. https://p…

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60874/psn-pdf
     September 02, 2020 - A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. September 2, 2020 Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.…

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74066/psn-pdf
     November 10, 2021 - Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. November 10, 2021 US House of Representatives Committee on Veterans' Affairs Subcommittee on Health.  117th Cong. 1st Sess (2021). https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-withi…

389. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-331
     March 31, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … ’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60244/psn-pdf
     April 22, 2020 - Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. April 22, 2020 Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. Anesth …

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836958/psn-pdf
     April 20, 2022 - Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. April 20, 2022 Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in ra…

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74054/psn-pdf
     November 10, 2021 - Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. November 10, 2021 Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. ATS Sch. 2021;2(3):…

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43456/psn-pdf
     October 03, 2017 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. October 3, 2017 HR 3230, 113th Congress: 2014. https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act- 2014 The Veterans Affairs (VA) health system has both achieved success and str…

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73192/psn-pdf
     April 23, 2012 - The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. April 23, 2012 Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Aff (Millwood). 2013;31(11):2501-2509. doi:10.137…

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44557/psn-pdf
     November 20, 2015 - Reforming the Veterans Health Administration—beyond palliation of symptoms. November 20, 2015 Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46449/psn-pdf
     September 27, 2017 - VA hospitals flooded with complaints about care. September 27, 2017 Estes A. Boston Globe. September 16, 2017. https://psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care Psychological safety can empower staff to communicate concerns that affect patient safety. This newspaper article reports on Veteran…

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45082/psn-pdf
     April 27, 2016 - Surgeons must tell patients of double-booked surgeries, new guidelines say. April 27, 2016 Abelson J, Staltzman J. Boston Globe. April 13, 2016. https://psnet.ahrq.gov/issue/surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say Although scheduling overlapping surgeries may improve operating room e…

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44458/psn-pdf
     September 09, 2015 - Utilizing pharmacy students in transitions-of-care services. September 9, 2015 L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. https://psnet.ahrq.gov/issue/utilizing-pharmacy-students-tran…

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43816/psn-pdf
     November 21, 2016 - Family-initiated dialogue about medications during family-centered rounds. November 21, 2016 Benjamin JM, Cox E, Trapskin PJ, et al. Family-initiated dialogue about medications during family-centered rounds. Pediatrics. 2015;135(1):94-101. doi:10.1542/peds.2013-3885. https://psnet.ahrq.gov/issue/family-initiated-d…

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39870/psn-pdf
     September 22, 2010 - Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts. September 22, 2010 Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies if keeping 12-hour shifts. J Nurs Adm. 2010;40(9):357-9. doi:10.1097/NNA.0b013…