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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39407/psn-pdf
    March 31, 2010 - What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. March 31, 2010 Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. Am J Surg. 2010;199(3):…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34697/psn-pdf
    December 08, 2010 - Sentinel events. In memory of Ben—a case study. December 8, 2010 Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. https://psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study Written from the perspective of a risk manager, the author tells the story of a medication a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41534/psn-pdf
    July 25, 2012 - Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. July 25, 2012 Hu Y-Y, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;256(2):203-10. doi:10.1097/SLA.0b013e…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44190/psn-pdf
    June 03, 2015 - Minimizing medical mistakes: mother's mission to reduce hospital errors. June 3, 2015 Takahara D. KDVR. May 19, 2015. https://psnet.ahrq.gov/issue/minimizing-medical-mistakes-mothers-mission-reduce-hospital-errors Parents of children who experience harm in the course of medical care serve as advocates to drive saf…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43177/psn-pdf
    May 14, 2014 - Disclosing medical errors to patients: effects of nonverbal involvement. May 14, 2014 Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007. https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-n…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44784/psn-pdf
    May 03, 2017 - WISH Patient Safety Forum May 3, 2017 World Innovation Summit for Health 2015. Doha, Qatar: Qatar Foundation; February 2015. https://psnet.ahrq.gov/issue/wish-patient-safety-forum The 2015 conference focused on persisting barriers to patient safety worldwide and recommended strategies to achieve lasting improvemen…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837896/psn-pdf
    January 01, 2023 - Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. August 24, 2022 Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflect…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60916/psn-pdf
    September 17, 2020 - Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. September 17, 2020 Boylen S, Cherian S, Gill FJ, et al. Impact of professional interpreters on outcomes for hospitalized children from migrant and refug…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50866/psn-pdf
    February 05, 2020 - Effectiveness of acute care remote triage systems: a systematic review. February 5, 2020 Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4. https://psnet.ahrq.gov/issue/effectiveness-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764405/psn-pdf
    March 02, 2022 - Evaluation of communication and safety behaviors during hospital-wide code response simulation. March 2, 2022 Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital- wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575. htt…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73567/psn-pdf
    August 04, 2021 - Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. August 4, 2021 Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systemati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50654/psn-pdf
    November 13, 2019 - Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. November 13, 2019 Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around implementation of the Operating Room…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60254/psn-pdf
    January 01, 2022 - Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. April 22, 2020 Rodrigo-Rincon I, Irigoyen-Aristorena I, Tirapu-Leon B, et al. Do patients and relatives have different dispositions when challenging…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74862/psn-pdf
    February 23, 2022 - Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. February 23, 2022 Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. Ann…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50802/psn-pdf
    January 15, 2020 - Use of error management theory to quantify and characterize residents' error recovery strategies. January 15, 2020 Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:10.1016/j.amjsurg.2019.11.013. h…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838245/psn-pdf
    January 01, 2023 - A novel study of situational awareness among out-of- hospital providers during an online clinical simulation. October 5, 2022 Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Australas Emerg Care. 2023;26(1):96-103. doi:10.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43285/psn-pdf
    July 16, 2014 - Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. July 16, 2014 Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. J Contin Educ Nurs. 2014;…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46952/psn-pdf
    January 01, 2019 - Perspectives on patient and family engagement with reduction in harm: the forgotten voice. December 21, 2018 Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1097/NCQ.0000000000000333. htt…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44345/psn-pdf
    October 05, 2015 - Apologies following an adverse medical event: the importance of focusing on the consumer's needs. October 5, 2015 Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):1058-62. doi:10.1016/j.pec.2015.06…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49410/psn-pdf
    July 01, 2003 - A good example of this involvement is the training materials (mannequins, videos, handouts, CD- ROMs

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