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psnet.ahrq.gov/node/43964/psn-pdf
November 25, 2015 - Simulation-based Surgical Education.
November 25, 2015
Surgery. 2015;158:1395-1440.
https://psnet.ahrq.gov/issue/simulation-based-surgical-education
Simulation training is widely accepted as a method to enhance operative techniques and nontechnical
behaviors. Articles in this special issue cover topics in surgical…
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psnet.ahrq.gov/node/37988/psn-pdf
July 13, 2010 - Simulation in graduate medical education 2008: a review
for emergency medicine.
July 13, 2010
McLaughlin S, Fitch MT, Goyal DG, et al. Simulation in graduate medical education 2008: a review for
emergency medicine. Acad Emerg Med. 2008;15(11):1117-29. doi:10.1111/j.1553-2712.2008.00188.x.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/36410/psn-pdf
June 29, 2011 - Voluntary incident reporting by anaesthetic trainees in an
Australian hospital.
June 29, 2011
Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian
hospital. Int J Qual Health Care. 2006;18(6):452-7.
https://psnet.ahrq.gov/issue/voluntary-incident-reporting-a…
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psnet.ahrq.gov/node/45287/psn-pdf
August 03, 2016 - Mistakes We Make in Dialysis.
August 3, 2016
Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328.
https://psnet.ahrq.gov/issue/mistakes-we-make-dialysis
Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles
in this special issue explore common renal …
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psnet.ahrq.gov/node/45741/psn-pdf
November 16, 2018 - Monitoring the diagnostic process on an inpatient
neurology service.
November 16, 2018
Dhand A, Bucelli R, Varadhachary A, et al. Monitoring the Diagnostic Process on an Inpatient Neurology
Service. Neurohospitalist. 2017;7(3):132-136. doi:10.1177/1941874416677681.
https://psnet.ahrq.gov/issue/monitoring-diagnosti…
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psnet.ahrq.gov/node/43089/psn-pdf
April 02, 2014 - Save a brain, make a checklist.
April 2, 2014
Hamblin J. The Atlantic. March 17, 2014.
https://psnet.ahrq.gov/issue/save-brain-make-checklist
Reporting on the use of checklists, this magazine article describes studies that identified benefits, such as
reduced complication rates, along with research that questioned…
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psnet.ahrq.gov/node/38822/psn-pdf
July 29, 2009 - The 5th anniversary of the "Universal Protocol": pitfalls
and pearls revisited.
July 29, 2009
Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls
revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14.
https://psnet.ahrq.gov/issue/5th-annivers…
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psnet.ahrq.gov/node/40973/psn-pdf
November 30, 2011 - A clinical nurse specialist intervention to facilitate safe
transfer from ICU.
November 30, 2011
St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse
Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab.
https://psnet.ahrq.gov/issue/clinical-nurse-spec…
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psnet.ahrq.gov/node/39927/psn-pdf
February 17, 2011 - The ACGME’s final duty-hour standards—special PGY-1
limits and strategic napping.
February 17, 2011
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J
Med. 2010;363(17):1589-1591.
https://psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits…
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psnet.ahrq.gov/node/39320/psn-pdf
March 28, 2010 - The Emergency Medical Services Safety Attitudes
Questionnaire.
March 28, 2010
Patterson D, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes
questionnaire. Am J Med Qual. 2010;25(2):109-15. doi:10.1177/1062860609352106.
https://psnet.ahrq.gov/issue/emergency-medical-services-safety-att…
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psnet.ahrq.gov/node/37350/psn-pdf
January 05, 2012 - How safe is my intensive care unit? Methods for
monitoring and measurement.
January 5, 2012
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for
monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-un…
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psnet.ahrq.gov/node/34601/psn-pdf
January 26, 2009 - Strategies and tips for maximizing failure mode and effect
analysis in your organization.
January 26, 2009
Chicago, IL: American Society of Healthcare Risk Management; 2002.
https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-
organization
The implementation and appli…
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psnet.ahrq.gov/node/844772/psn-pdf
September 18, 2019 - Lyme disease is baffling, even to experts, but new
insights are at last accumulating.
September 18, 2019
O'Rourke M. The Atlantic. September 2019.
https://psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating
Diagnostic errors occur due to a variety of factors. This magazine ar…
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psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - Quality and safety education for nurses: a nursing
leadership skills exercise.
June 17, 2014
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ.
2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
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psnet.ahrq.gov/node/40756/psn-pdf
September 07, 2011 - How reliable is your hospital? A qualitative framework for
analysing reliability levels.
September 7, 2011
Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability
levels. BMJ Qual Saf. 2011;20(9):785-790.
https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit…
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psnet.ahrq.gov/node/34932/psn-pdf
April 06, 2011 - Do split-side rails present an increased risk to patient
safety?
April 6, 2011
Hignett S, Griffiths P. Do split-side rails present an increased risk to patient safety? Qual Saf Health Care.
2005;14(2):113-6.
https://psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety
Although this datab…
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psnet.ahrq.gov/node/50715/psn-pdf
December 04, 2019 - Quality and Safety of Healthcare in Switzerland.
December 4, 2019
Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public
Health; 2019.
https://psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
Patient safety is a goal for countries worldwide. This report …
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psnet.ahrq.gov/node/34928/psn-pdf
February 25, 2009 - Understanding safer practices in health care: a prologue
for the role of indicators.
February 25, 2009
Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the
role of indicators. J Eval Clin Pract. 2005;11(2):161-70.
https://psnet.ahrq.gov/issue/understanding-safe…
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psnet.ahrq.gov/node/47915/psn-pdf
April 03, 2019 - Adversarial attacks on medical machine learning.
April 3, 2019
Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979).
2019;363(6433):1287-1289. doi:10.1126/science.aaw4399.
https://psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
This review article…
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psnet.ahrq.gov/node/37021/psn-pdf
February 17, 2011 - Disclosing harmful medical errors to patients.
February 17, 2011
Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med.
2007;356(26):2713-9.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
In this article, the authors review disclosure standards,…