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4761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36204/psn-pdf
      September 30, 2010 - Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. September 30, 2010 Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J Clin Epidemiol. 2006;59(9). doi…

4762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37376/psn-pdf
      March 28, 2012 - Duty hours restriction and their effect on resident education and academic departments: the American perspective. March 28, 2012 Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaesthesiol. 2007;20(6):580-4. https://…

4763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36965/psn-pdf
      February 15, 2011 - Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. February 15, 2011 McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63. https://psnet.ahrq.gov/issue/strat…

4764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840494/psn-pdf
      November 30, 2022 - Safety of anesthetic and perioperative medication practices. November 30, 2022 Meyer TA. Anesthesiology News. October 31, 2022. https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices Medication use in the surgical environment is complex and high-risk. This article describes steps tow…

4765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39973/psn-pdf
      January 04, 2011 - Residency training at a crossroads: duty-hour standards 2010. January 4, 2011 Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010. Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287. https://psnet.ahrq.gov/issue/residency-training-cross…

4766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38701/psn-pdf
      June 28, 2011 - Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'  June 28, 2011 Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement f…

4767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45241/psn-pdf
      October 31, 2023 - Hospital Harm Project. October 31, 2023 Canadian Institute for Health Information, Health Excellence Canada. https://psnet.ahrq.gov/issue/hospital-harm-project Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative developed a measure to track unintended harm in acute c…

4768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43495/psn-pdf
      December 15, 2014 - Disruptive behaviors among physicians. December 15, 2014 Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians This commentary spotlights concerns about physicians with disruptive behaviors an…

4769. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34618/psn-pdf
      July 28, 2013 - National Survey on Consumers' Experiences With Patient Safety and Quality Information. July 28, 2013 Washington DC: Kaiser Family Foundation, Agency for Healthcare Research and Quality, Harvard School of Public Health; 2004. https://psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-qual…

4770. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46494/psn-pdf
      January 24, 2018 - Complications. January 24, 2018 Anaesthesia. 2018;73(suppl 1):3-101. https://psnet.ahrq.gov/issue/complications Study of complications can provide insights into presurgical patient counseling, risk assessment, and medical harm prevention. Articles in this special issue explore complications in anesthesia, includin…

4771. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44110/psn-pdf
      May 13, 2015 - Simulation in Anaesthesia and Surgery. May 13, 2015 Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96. https://psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery In the last decade, simulation has emerged as an educational strategy for teaching clinical skills. Articles in this sp…

4772. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36796/psn-pdf
      August 26, 2011 - Patient safety curriculum for surgical residency programs: results of a national consensus conference. August 26, 2011 Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results of a national consensus conference. Surgery. 2007;141(4):427-41. https://psnet.ahrq.go…

4773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35110/psn-pdf
      April 06, 2011 - Medication safety program reduces adverse drug events in a community hospital. April 6, 2011 Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a community hospital. Qual Saf Health Care. 2005;14(3):169-74. https://psnet.ahrq.gov/issue/medication-safety-program-reduces-…

4774. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38117/psn-pdf
      September 29, 2017 - Advances in Patient Safety: New Directions and Alternative Approaches. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1- 4). https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches The 115 articles freel…

4775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73453/psn-pdf
      June 30, 2021 - Algorithmic Bias Playbook. June 30, 2021 Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021. https://psnet.ahrq.gov/issue/algorithmic-bias-playbook Biased algorithms are receiving increasing attention as artificial intelligence (AI) becomes more present…

4776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41297/psn-pdf
      September 19, 2012 - Failure mode and effects analysis: too little for too much? September 19, 2012 Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723. https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-mu…

4777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36221/psn-pdf
      October 20, 2010 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. October 20, 2010 Hohenhaus S, Powell S, Hohenhaus JT. Am J Nurs. 2006;106(8):72A-72B. https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and- teamwork-using-sba…

4778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43718/psn-pdf
      December 03, 2014 - Patient safety culture in nephrology nurse practice settings: initial findings. December 3, 2014 Ulrich B, Kear T. Nephrol Nurs J. 2014;41:459-476. https://psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings This study utilized AHRQ patient safety culture surveys to asse…

4779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39184/psn-pdf
      January 06, 2010 - Patient safety attitudes of paediatric trainee physicians. January 6, 2010 Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230. https://psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physic…

4780. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet
      psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
      September 14, 2022 - Study Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. Citation Text: Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…