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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43560/psn-pdfSeptember 24, 2014 - Burnout in Healthcare. September 24, 2014 Laschinger H, Montgomery A, eds. Burnout Res. 2014;1:57-102. https://psnet.ahrq.gov/issue/burnout-healthcare Burnout has been linked to depression, work dissatisfaction, and increased rates of adverse events. Articles in this special issue explore health professionals' exp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37376/psn-pdfMarch 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://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34719/psn-pdfDecember 23, 2008 - Learning from samples of one or fewer. December 23, 2008 March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465- 472.) https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer Organizations learn from experience. However, learning from rare events is challenging becau… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74095/psn-pdfFebruary 01, 2022 - Zero Suicide Initiative. November 17, 2021 Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893. https://psnet.ahrq.gov/issue/zero-suicide-initiative Patient suicide attempts are considered never events. This funding announcement calls for pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840494/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36425/psn-pdfDecember 22, 2010 - Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. December 22, 2010 Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2006;130(11):1662-1668. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35110/psn-pdfApril 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-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44110/psn-pdfMay 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866357/psn-pdfJuly 24, 2024 - People’s Experiences of Diagnosis. July 24, 2024 People’s Experiences Of Diagnosis. London, England: National Voices; June 2024. https://psnet.ahrq.gov/issue/peoples-experiences-diagnosis The discussion of diagnostic safety has expanded to include an effort to realize excellence. This report explores the diagnosti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60563/psn-pdfJune 03, 2020 - ‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. June 3, 2020 Andrews M. Kaiser News Network. May 19, 2020. https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths Post-mortem examination is an important tool for determining if misdiagnos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46494/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43375/psn-pdfJuly 23, 2014 - Managing risk at the point-of-care: preventing errors. July 23, 2014 Njoroge S; Nichols JH. https://psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors Highlighting how the disconnect between clinicians conducting point-of-care testing as a patient care action and laboratory staff performing the analys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73326/psn-pdfJune 01, 2021 - CANDOR Webinar Series. June 1, 2021 Patient Safety Movement Foundation. 2021. https://psnet.ahrq.gov/issue/candor-webinar-series The Communication and Optimal Resolution (CANDOR) model was designed to support early error disclosure with patients and families after mistakes in care occur. This three-part webi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34887/psn-pdfFebruary 26, 2009 - Has the Leapfrog Group had an impact on the health care market? February 26, 2009 Galvin RS, Delbanco S, Milstein A, et al. Has the leapfrog group had an impact on the health care market? Health Aff (Millwood). 2005;24(1):228-33. https://psnet.ahrq.gov/issue/has-leapfrog-group-had-impact-health-care-market The Le… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39103/psn-pdfNovember 18, 2009 - Identifying organizational cultures that promote patient safety. November 18, 2009 Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c. https://psnet.ahrq.gov/issue/identifying-organizatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36041/psn-pdfJune 21, 2006 - Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. June 21, 2006 Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG. https://psnet.ahrq.gov/issue/intraoperative-adverse-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36796/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38701/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45241/psn-pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36965/psn-pdfFebruary 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…
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