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3301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42189/psn-pdf
      April 17, 2013 - Avoiding medical emergencies. April 17, 2013 Omar Y. Avoiding medical emergencies. Br Dent J. 2013;214(5):255-9. doi:10.1038/sj.bdj.2013.217. https://psnet.ahrq.gov/issue/avoiding-medical-emergencies This commentary details how to assess and address risks in dental care and highlights checklists as a tool to help …

3302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36954/psn-pdf
      February 24, 2011 - Patient safety knowledge and its determinants in medical trainees. February 24, 2011 Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4. https://psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-tr…

3303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42769/psn-pdf
      November 27, 2013 - Sepsis: recognizing the next event. November 27, 2013 Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53. https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event This commentary describes the development and implementatio…

3304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41179/psn-pdf
      February 29, 2012 - High fidelity simulation as a research tool. February 29, 2012 Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001. https://psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool This review explores simulation as a met…

3305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47675/psn-pdf
      November 28, 2023 - SOPS Surveys. November 28, 2023 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/sops-surveys Surveys are established mechanisms for organizational assessment of safety culture. This collection of webinars provides an overview of the AHRQ Surveys on Patient Safety Culture™ (SOPS®) and a ran…

3306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36765/psn-pdf
      August 10, 2011 - Factors influencing perioperative nurses' error reporting preferences. August 10, 2011 Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43. https://psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-prefer…

3307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39467/psn-pdf
      April 21, 2010 - Nursing handoffs: a systematic review of the literature. April 21, 2010 Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. https://psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-…

3308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36911/psn-pdf
      September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. September 1, 2011 Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…

3309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36151/psn-pdf
      September 29, 2010 - Communication and teamwork in patient care: how much can we learn from aviation? September 29, 2010 Lyndon A. Communication and teamwork in patient care: how much can we learn from aviation? J Obstet Gynecol Neonatal Nurs. 2006;35(4):538-46. https://psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-…

3310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41927/psn-pdf
      December 19, 2012 - Should you reveal nonharmful mistakes to patients? December 19, 2012 Yasgur BS. https://psnet.ahrq.gov/issue/should-you-reveal-nonharmful-mistakes-patients This article discusses the results of a survey to assess physicians' perceptions about acknowledging mistakes that did not harm patients. https://psnet.ahrq.g…

3311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36571/psn-pdf
      January 05, 2017 - The Objective Structured Clinical Examination as an educational tool in patient safety. January 5, 2017 Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. https://psnet.ahrq.gov/issue/objective-structured-clinical-…

3312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36119/psn-pdf
      January 05, 2017 - A leadership framework for culture change in health care. January 5, 2017 Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. https://psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care The authors describ…

3313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50380/psn-pdf
      September 25, 2019 - Poetry and Medicine. Mistakes. September 25, 2019 Kittleson M. JAMA. 2019;322:984. https://psnet.ahrq.gov/issue/poetry-and-medicine-mistakes Medical mistakes are a source of anxiety for both patients and clinicians. This poem articulates a physician's perspective regarding the psychological impact of uncertainty a…

3314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38897/psn-pdf
      April 21, 2011 - Quality initiatives: developing a radiology quality and safety program: a primer. April 21, 2011 Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.294095006. https://psnet.ahrq.gov/issue/quality-…

3315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42737/psn-pdf
      November 20, 2019 - HANYS' Report on Report Cards. November 20, 2019 Rensselaer, NY: Healthcare Association of New York State; November 2019. https://psnet.ahrq.gov/issue/hanys-report-report-cards This publication assessed 12 widely disseminated hospital report cards by criteria including transparency of methodology, evidence-based m…

3316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42385/psn-pdf
      June 26, 2013 - Identifying and addressing preventable process errors in trauma care. June 26, 2013 Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. https://psnet.ahrq.gov/issue/identifying-and-addressing-pre…

3317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41656/psn-pdf
      September 05, 2012 - ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health. September 5, 2012 Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c. https://psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health …

3318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37028/psn-pdf
      April 11, 2009 - Multidisciplinary crisis simulations: the way forward for training surgical teams. April 11, 2009 Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. https://psnet.ahrq.gov/issue/multidisciplinary-crisis-simul…

3319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50900/psn-pdf
      February 12, 2020 - How to "DEAL" with disruptive physician behavior. February 12, 2020 Junga Z, Tritsch A, Singla M. How to “DEAL” With disruptive physician behavior. Gastroenterology. 2019;157(6):1469-1472. doi:10.1053/j.gastro.2019.10.021. https://psnet.ahrq.gov/issue/how-deal-disruptive-physician-behavior In this commentary, the …

3320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38021/psn-pdf
      August 27, 2008 - A review of the current evidence base for significant event analysis. August 27, 2008 Bowie P, Pope L, Lough M. A review of the current evidence base for significant event analysis. J Eval Clin Pract. 2008;14(4):520-36. doi:10.1111/j.1365-2753.2007.00908.x. https://psnet.ahrq.gov/issue/review-current-evidence-base…