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  1. Association between surgeon stress and major surgical complications. | PSNet

    psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
    November 29, 2023 - Study Association between surgeon stress and major surgical complications. Citation Text: Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072. Copy Citation Format:…

  2. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. | PSNet

    psnet.ahrq.gov/issue/improving-perceptions-teamwork-climate-veterans-health-administration-medical-team-training
    December 21, 2014 - Study Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Citation Text: Carney BT, West P, Neily J, et al. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Am J…

  3. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

    psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding
    November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

  4. Teamwork in obstetric critical care. | PSNet

    psnet.ahrq.gov/issue/teamwork-obstetric-critical-care
    January 31, 2024 - Review Teamwork in obstetric critical care. Citation Text: Guise J-M, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):937-51. doi:10.1016/j.bpobgyn.2008.06.010. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  5. A qualitative survey of factors shaping the role of a safety professional. | PSNet

    psnet.ahrq.gov/issue/qualitative-survey-factors-shaping-role-safety-professional
    August 12, 2020 - Study A qualitative survey of factors shaping the role of a safety professional. Citation Text: Van Wassenhove W, Foussard C, Dekker SWA, et al. A qualitative survey of factors shaping the role of a safety professional. Safety Sci. 2022;154:105835. doi:10.1016/j.ssci.2022.105835. Copy …

  6. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. | PSNet

    psnet.ahrq.gov/issue/safety-teletriage-nurses-and-physicians-united-states-and-israel-narrative-review-and
    April 29, 2020 - Study Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. Citation Text: Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum…

  7. Systems approach to suicide prevention: strengthening culture, practice, and education. | PSNet

    psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
    July 10, 2024 - Commentary Systems approach to suicide prevention: strengthening culture, practice, and education. Citation Text: Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…

  8. Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet

    psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
    November 16, 2022 - Commentary Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. Citation Text: Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…

  9. Diagnostic reasoning: an endangered competency in internal medicine training. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
    September 04, 2019 - Commentary Diagnostic reasoning: an endangered competency in internal medicine training. Citation Text: Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. Copy Citat…

  10. Towards a framework for managing risk associated with technology-induced error. | PSNet

    psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
    May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced error. Citation Text: Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. Copy Citation Format: …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49809/psn-pdf
    October 01, 2017 - Hyperbilirubinemia Refractory to Phototherapy October 1, 2017 Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy The Case A 1-day-old full-term infant was noted to have elevated total serum bilirubin (…

  13. Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling | PSNet

    psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
    June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 31, 2024 Innovation Contact …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36093/psn-pdf
    August 09, 2007 - Hospitals combat errors at the 'hand-off.' August 9, 2007 Landro L. https://psnet.ahrq.gov/issue/hospitals-combat-errors-hand This article reports on communication interventions such as SBAR (Situation-Background-Assessment- Recommendation) that make patient hand-offs more reliable. https://psnet.ahrq.gov/issue/h…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42391/psn-pdf
    June 26, 2013 - Patient Notification Toolkit. June 26, 2013 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/patient-notification-toolkit This toolkit provides guidance and resources to help organizations inform patients about infection control lapses. https://psnet.ahrq.gov/issue/patient-notificatio…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36357/psn-pdf
    December 19, 2009 - Error reporting in organizations. December 19, 2009 Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030. https://psnet.ahrq.gov/issue/error-reporting-organizations The authors provide a framework for individual error reporting behavior that follows three phases: error detection, situation assessment, and choic…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35765/psn-pdf
    September 14, 2008 - Manchester Patient Safety Framework (MaPSaF). September 14, 2008 Manchester, UK: University of Manchester; 2006. https://psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf This tool was developed to help National Health Service organizations assess their progress in implementing and sustaining a safet…

  18. Implementing a Fall Prevention Program | PSNet

    psnet.ahrq.gov/perspective/implementing-fall-prevention-program
    November 29, 2023 - Implementing a Fall Prevention Program Frances Healey, RN, PhD | December 1, 2011  View more articles from the same authors. Citation Text: Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…

  19. Failed Interpretation of Screening Tool: Delayed Treatment | PSNet

    psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
    August 20, 2018 - Failed Interpretation of Screening Tool: Delayed Treatment Citation Text: Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citatio…

  20. Diagnosing Diagnostic Mistakes | PSNet

    psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
    April 30, 2014 - SPOTLIGHT CASE Diagnosing Diagnostic Mistakes Citation Text: McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google S…
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