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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46789/psn-pdf
    March 20, 2018 - Healthcare professionals' views of smart glasses in intensive care: a qualitative study. March 20, 2018 Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.2017.11.006. https://psnet.ahrq.gov/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45257/psn-pdf
    July 27, 2016 - Exploring approaches to patient safety: the case of spinal manipulation therapy. July 27, 2016 Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2. https://psnet.ahrq.gov/issue/exploring-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41017/psn-pdf
    February 01, 2013 - Safe surgery: how accurate are we at predicting intra- operative blood loss? February 1, 2013 Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x. https://psnet.ahrq.gov/issue/safe-surge…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37259/psn-pdf
    March 23, 2011 - Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. March 23, 2011 Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Qual Saf Health Care. 2007;16…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47645/psn-pdf
    April 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45545/psn-pdf
    October 05, 2016 - How to Improve Electronic Health Record Usability and Patient Safety. October 5, 2016 Philadelphia, PA: Pew Charitable Trusts; September 6, 2016. https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety The usability of electronic health record (EHR) systems can affect clinici…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44408/psn-pdf
    April 12, 2017 - Enhancing Surgical Performance: A Primer in Non- technical Skills. April 12, 2017 Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322. https://psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills Non-technical skill development is gaining attention as a way …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42839/psn-pdf
    January 09, 2014 - Teaching medical error disclosure to residents using patient-centered simulation training. January 9, 2014 Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.0000000000000046. https://psnet.ahrq.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48042/psn-pdf
    June 12, 2019 - Analysis of medical malpractice claims to improve quality of care: cautionary remarks. June 12, 2019 Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178. https://psnet.ahrq.gov/issue/analysis-medical-mal…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866356/psn-pdf
    July 24, 2024 - To forgive, divine. July 24, 2024 Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006. https://psnet.ahrq.gov/issue/forgive-divine Resident physicians are vulnerable to psychological harm when they have made a mistake. This commentary shares one resident’s experiences with error.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37943/psn-pdf
    January 17, 2012 - Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. January 17, 2012 Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between specially trained pediatric residents and pedi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39798/psn-pdf
    January 19, 2011 - Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. January 19, 2011 Evans S, Murray A, Patrick I, et al. Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. Qual Saf Health Care. 2010;19(6):e57. doi:10.1136/qshc.2009.0…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46208/psn-pdf
    July 12, 2017 - Improving patient safety by practicing in a just culture. July 12, 2017 Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture The importance of just culture is widel…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42248/psn-pdf
    June 12, 2013 - Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). June 12, 2013 Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, validation, and application of the Coordi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44511/psn-pdf
    October 14, 2015 - Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. October 14, 2015 Panagioti M, Stokes J, Esmail A, et al. Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0135947. doi:10.1371/journal.pone.01…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73249/psn-pdf
    May 12, 2021 - I-PASS handover system: a decade of evidence demands action. May 12, 2021 Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action The I-PASS structu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46831/psn-pdf
    April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40535/psn-pdf
    July 22, 2011 - A framework for classifying patient safety practices: results from an expert consensus process. July 22, 2011 Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10.1136/bmjqs.2010.049296. https://psn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34910/psn-pdf
    May 27, 2011 - Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients. May 27, 2011 Ali NA, Mekhjian HS, Kuehn L, et al. Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patient…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44300/psn-pdf
    July 29, 2015 - Learning From Serious Failings in Care: Main Report. July 29, 2015 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015. https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report Substantive reports of failures have t…

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