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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851356/psn-pdf
    July 12, 2023 - Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. July 12, 2023 Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44623/psn-pdf
    November 11, 2015 - Quality, Safety, and Noninterpretive Skills. November 11, 2015 Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848. https://psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills Increased radiation exposure has emerged as a patient safety problem, with the potential to result in harm for provide…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35852/psn-pdf
    April 12, 2006 - Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. April 12, 2006 Davis K, Schoen S, Schoenbaum SC, et al. New York, NY: The Commonwealth Fund; 2006. https://psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens This …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43877/psn-pdf
    February 25, 2015 - Training situational awareness to reduce surgical errors in the operating room. February 25, 2015 Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643. https://psnet.ahrq.gov/issue/train…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33922/psn-pdf
    August 05, 2009 - The importance of cognitive errors in diagnosis and strategies to minimize them. August 5, 2009 Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780. https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863749/psn-pdf
    March 06, 2024 - Improving situation awareness to advance patient outcomes: a systematic literature review. March 6, 2024 Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288. doi:10.1097/cin.0000000000001112. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866640/psn-pdf
    September 04, 2024 - Improving resident physician participation in reporting patient safety and quality concerns. September 4, 2024 Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.24.0016. https://psnet.ahrq.go…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866521/psn-pdf
    August 14, 2024 - High reliability in a safety net hospital leading to operational excellence. August 14, 2024 Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236. https://psnet.ahrq.gov/issue/high-re…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48046/psn-pdf
    August 21, 2019 - Educational targets to reduce medication errors by general surgery residents. August 21, 2019 Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009. https://psnet.ahrq.gov/issue/educat…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46740/psn-pdf
    January 01, 2021 - High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. March 28, 2018 Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An Exploratory Study of an Objective, Standardized Medication Safety Tool. J …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847729/psn-pdf
    April 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing errors. April 19, 2023 Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. https://psnet.ahrq.gov/issue/stamp-5-year-project…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837501/psn-pdf
    June 22, 2022 - Development and validation of a brief culture-of-safety survey. June 22, 2022 Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006. https://psnet.ahrq.gov/issue/development-and-validati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836725/psn-pdf
    March 09, 2022 - Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Health Workers. March 9, 2022 Geneva, Switzerland: World Health Organization and International Labour Organization; 2022. ISBN 9789240040779. https://psnet.ahrq.gov/issue/caring-those-who-care-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837419/psn-pdf
    June 15, 2022 - Implicit racial bias in pediatric orthopaedic surgery. June 15, 2022 Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop. 2022;42(7):393-399. doi:10.1097/bpo.0000000000002170. https://psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery Res…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837418/psn-pdf
    June 15, 2022 - Diagnostic trajectories in primary care at 12 months: an observational cohort study. June 15, 2022 Fontil V, Khoong EC, Lyles C, et al. Diagnostic trajectories in primary care at 12 months: an observational cohort study. Jt Comm J Qual Patient Saf. 2022;48(8):395-402. doi:10.1016/j.jcjq.2022.04.010. https://psnet.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853619/psn-pdf
    September 20, 2023 - Defining speaking up in the healthcare system: a systematic review. September 20, 2023 Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. https://psnet.ahrq.gov/issue/defining-speaking-healthca…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34805/psn-pdf
    November 07, 2017 - Medication errors in neonatal and paediatric intensive- care units. November 7, 2017 Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units Th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41677/psn-pdf
    September 26, 2012 - Interventions to reduce medication errors in adult intensive care: a systematic review. September 26, 2012 Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2012.04220.x. https://psnet.ahrq.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42201/psn-pdf
    December 29, 2014 - A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. December 29, 2014 Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. Int J Qual Hea…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40131/psn-pdf
    April 03, 2017 - Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. April 3, 2017 Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Qual Patient Saf. 2011;37(1):20-8. https…

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