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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39650/psn-pdf
    June 30, 2010 - Negotiating safety when staffing falls short. June 30, 2010 Zolnierek CD, Steckel CM. Negotiating Safety when Staffing Falls Short. Crit Care Nurs Clin North Am. 2010;22(2). doi:10.1016/j.ccell.2010.03.014. https://psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short This commentary describes strategi…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42408/psn-pdf
    July 10, 2013 - Non-technical Skills and the Future of Teamwork in Healthcare Settings. July 10, 2013 Sevdalis N. London, UK: The Health Foundation; June 2013. https://psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings Highlighting the value of teamwork in delivering safe care, this report describes…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38497/psn-pdf
    July 13, 2009 - Social aspects of clinical errors: a discussion paper. July 13, 2009 Richman J, Mason T, Mason-Whitehead E, et al. Social aspects of clinical errors. Int J Nurs Stud. 2009;46(8). doi:10.1016/j.ijnurstu.2009.01.006. https://psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper This article engages wi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36984/psn-pdf
    September 14, 2011 - TeamSTEPPS: assuring optimal teamwork in clinical settings. September 14, 2011 Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7. https://psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings The authors discuss the TeamSTEPPS…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38134/psn-pdf
    December 30, 2008 - Developing expert medical teams: toward an evidence- based approach. December 30, 2008 Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence- based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x. https://psnet.ahrq.gov/issue/developin…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42600/psn-pdf
    September 18, 2013 - Oral medications inadvertently given via the intravenous route. September 18, 2013 Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91. https://psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route Analyzing data submitted to the Pennsylvania Patient Safety Reporti…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36639/psn-pdf
    January 14, 2011 - Creating a safety culture at the Children's and Women's Health Centre of British Columbia. January 14, 2011 Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6. https://psnet.ahrq.gov/issue/creating-s…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41691/psn-pdf
    September 19, 2012 - Events associated with the prescribing, dispensing, and administering of medication loading doses. September 19, 2012 Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88. https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication- loading-doses This article discuss…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41991/psn-pdf
    January 23, 2013 - Handovers from the OR to the ICU. January 23, 2013 Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. https://psnet.ahrq.gov/issue/handovers-or-icu This commentary discusses concerns associated with patient transfer…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39793/psn-pdf
    August 25, 2010 - Infection Control in the Intensive Care Unit. August 25, 2010 Crit Care Med. 2010;38:S265-S404.   https://psnet.ahrq.gov/issue/infection-control-intensive-care-unit Articles in this special issue describe strategies to reduce infections in the intensive care unit, including human factors design, guideline use…

  11. Health IT Patient Safety Action and Surveillance Plan. | PSNet

    psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - May 13, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019 FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016 View More Related Resources Strategy on Reducing Regulatory

  12. Team-training in healthcare: a narrative synthesis of the literature. | PSNet

    psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
    July 02, 2014 - Related Resources From the Same Author(s) Promoting a culture of safety as a patient safety strategy … July 2, 2014 Rapid response systems as a patient safety strategy: a systematic review … October 10, 2017 Towards high-reliability organising in healthcare: a strategy for building

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - exploring how sleep deprivation affects clinician performance and the impact of work hour limits as a strategy … common-program-requirements-learning-and-working-environment-duty-hours https://psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36814/psn-pdf
    March 28, 2011 - paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy … paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47582/psn-pdf
    December 12, 2018 - data from chart review and taking ulcer severity into account may yield a more meaningful measurement strategy … success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45277/psn-pdf
    July 01, 2017 - really-possible Crew resource management (CRM), a type of team training, is a prime example of an aviation strategy … They propose more widespread implementation of CRM as a strategy to enhance safety culture.

  17. Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
    December 16, 2015 - October 10, 2017 Rapid response systems as a patient safety strategy: a systematic review … March 20, 2013 Promoting a culture of safety as a patient safety strategy: a systematic … November 2, 2016 Impact of a team and leaders-directed strategy to improve nurses' adherence

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43711/psn-pdf
    November 26, 2014 - health-care-associated-infections https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43341/psn-pdf
    July 23, 2014 - nursing-handoffs-systematic-review-literature https://psnet.ahrq.gov/issue/bedside-handover-quality-improvement-strategy-transform-care-bedside … https://psnet.ahrq.gov/issue/bedside-handover-quality-improvement-strategy-transform-care-bedside https

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39336/psn-pdf
    March 21, 2017 - This study adds to the literature by employing a multilevel evaluation strategy, using a comparison … Patient outcomes were not part of the measurement strategy.
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