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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43336/psn-pdf
    July 09, 2014 - Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? July 9, 2014 Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50688/psn-pdf
    November 20, 2019 - Roles and role ambiguity in patient- and caregiver- performed outpatient parenteral antimicrobial therapy. November 20, 2019 Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qual Patient Saf. 2019;45(11):763…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60600/psn-pdf
    June 17, 2020 - Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. June 17, 2020 Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48011/psn-pdf
    May 29, 2019 - Is it time for safeguards in the adoption of robotic surgery? May 29, 2019 Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. https://psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery The FDA recently raised …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46643/psn-pdf
    January 10, 2018 - The role of checklists and human factors for improved patient safety in plastic surgery. January 10, 2018 Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892. https://psnet…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47258/psn-pdf
    January 09, 2019 - The effect of cognitive load and task complexity on automation bias in electronic prescribing. January 9, 2019 Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/0018720818781224. https://psnet.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45815/psn-pdf
    January 25, 2017 - Handoffs: transitions of care for children in the emergency department. January 25, 2017 American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee. Pediatrics. 2016;138:…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46642/psn-pdf
    December 13, 2017 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. December 13, 2017 Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:10.1371/journal.pone.0186210. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837961/psn-pdf
    August 31, 2022 - Risk reduction strategy to decrease incidence of retained surgical items. August 31, 2022 Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. https://psnet.ahrq.gov/issue/risk-reduc…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43637/psn-pdf
    April 25, 2016 - Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. April 25, 2016 Gray D, Johnson KD, Watts B. Lost In Translation? Addressing Barriers in the Application of Industrial Process Improvement Methodologies to Health Care. Jt Comm J Qual Patient …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61058/psn-pdf
    October 28, 2020 - Interventions and measurements of highly reliable/resilient organization implementations: a literature review. October 28, 2020 Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon. 2020;90:103241. doi:10.1016/j.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60823/psn-pdf
    August 19, 2020 - Disaster ergonomics: human factors in COVID-19 pandemic emergency management. August 19, 2020 Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. https://psnet.ahrq.gov/issue/disaster-e…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48062/psn-pdf
    August 07, 2019 - Ten ways to improve medication safety in community pharmacies. August 7, 2019 Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies Med…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43580/psn-pdf
    October 01, 2014 - Reducing medication errors in critical care: a multimodal approach. October 1, 2014 Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530. https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60918/psn-pdf
    September 16, 2020 - Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. September 16, 2020 Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.2020.06.020. https://psnet.ahrq.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45092/psn-pdf
    May 11, 2016 - The experiences of risk managers in providing emotional support for health care workers after adverse events. May 11, 2016 Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for health care workers after adverse events. J Healthc Risk Manag. 2016;35(4):14-21. doi:10.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837070/psn-pdf
    May 11, 2022 - Patient falls in the operating room setting: an analysis of reported safety events. May 11, 2022 Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503. https://psnet.ahrq.gov/issue/pati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837510/psn-pdf
    June 22, 2022 - In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. June 22, 2022 Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. 2022;18(4):302-309. doi:10.1097/pts.00…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866355/psn-pdf
    July 24, 2024 - Frequency and preventability of adverse drug events in the outpatient setting. July 24, 2024 Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098. https://psnet.ahrq.gov/issue/frequency-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47975/psn-pdf
    May 29, 2019 - Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. May 29, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice Introducing innovations in practice involves taking calculated ri…