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  1. 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…
  2. psnet.ahrq.gov/issue/evolution-patient-safety
    August 22, 2012 - Audiovisual Audiovisual Presentation Published August 22, 2012 The evolution of patient safety. Topics Approach to Improving Safety Human Factors Engineering Education and Training Resource Type Audiovisual Presentation Audiovisual Setting of Care Hospitals Clinical Area Medicine Target Audience Health …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863214/psn-pdf
    February 28, 2024 - Appropriate use of medical interpreters in the breast imaging clinic. February 28, 2024 Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109. https://psnet.ahrq.gov/issue/appropriate-use-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865813/psn-pdf
    May 08, 2024 - Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system- level stakeholders. May 8, 2024 Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. B…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865875/psn-pdf
    May 15, 2024 - Digital health interventions and patient safety in abdominal surgery: a systematic review and meta- analysis. May 15, 2024 Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(4):e248555. doi:10…
  6. psnet.ahrq.gov/issue/improving-diagnosis-health-care-implementation-workshop
    August 19, 2020 - Audiovisual Presentation Improving Diagnosis in Health Care: An Implementation Workshop. Citation Text: National Academies of Sciences, Engineering, and Medicine; IOM. Copy Citation Save Save to your library Print Share Facebook Twitter …
  7. 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…
  8. 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…
  9. 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…
  10. 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…
  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/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.…
  13. 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…
  14. 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…
  15. 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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47566/psn-pdf
    January 30, 2019 - Important factors for effective patient safety governance auditing: a questionnaire survey. January 30, 2019 van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. doi:10.1186/s12913-018-3577-9. h…
  17. 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-…
  18. 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;…
  19. psnet.ahrq.gov/issue/pressure-causing-drug-errors
    April 19, 2017 - Audiovisual Is pressure causing drug errors? Citation Text: Meyer T. Copy Citation Save Print Share Facebook Twitter Linkedin Copy URL June 3, 2015 Meyer T. Reporting on how production pressure…
  20. psnet.ahrq.gov/issue/possible-dose-counter-errors-asmanex-twisthaler
    March 11, 2015 - Government Resource Possible dose-counter errors with the Asmanex Twisthaler. Citation Text: Food and Drug Administration; FDA Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

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