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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39500/psn-pdf
    January 03, 2017 - Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. January 3, 2017 Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. https://psnet.ahrq.gov/issue/using-situ-simulation-improve-h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845346/psn-pdf
    March 01, 2023 - The relationship between safety climate and safety performance: a review. March 1, 2023 Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008. https://psnet.ahrq.gov/issue/relationship-between-safe…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36002/psn-pdf
    March 28, 2011 - Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. March 28, 2011 Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors cons…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46855/psn-pdf
    February 21, 2018 - Leadership and vision for a culture of safety. February 21, 2018 Gandhi TK. NEJM Catalyst. February 8, 2018. https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety Leadership has an important role in establishing a culture of safety in health care organizations. This commentary describes key skills requ…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37150/psn-pdf
    January 02, 2017 - Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. January 2, 2017 Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual Patient Saf. 2007;33(9):549-58. https:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60855/psn-pdf
    August 26, 2020 - The paradoxes of defensive medicine. August 26, 2020 Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84. https://psnet.ahrq.gov/issue/paradoxes-defensive-medicine Defensive medicine behaviors seeking to avoid malpractice risk due to care omissions challenge patient safety and value narratives. This le…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40580/psn-pdf
    July 06, 2011 - Teaching medical error apologies: development of a multi-component intervention. July 6, 2011 Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi- component intervention. Fam Med. 2011;43(6):400-6. https://psnet.ahrq.gov/issue/teaching-medical-error-apologies-developmen…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41982/psn-pdf
    January 07, 2015 - Multitasking during patient handover in the recovery room. January 7, 2015 van Rensen ELJ, Groen EST, Numan SC, et al. Multitasking during patient handover in the recovery room. Anesth Analg. 2012;115(5):1183-7. doi:10.1213/ANE.0b013e31826996a2. https://psnet.ahrq.gov/issue/multitasking-during-patient-handover-rec…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36924/psn-pdf
    April 21, 2011 - A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. April 21, 2011 Davis RL, Wright J, Chalmers F, et al. A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. PLoS Clin Trials. 2007;2(5):e25. https://psnet.ahrq.gov/issue/cluster-ran…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38122/psn-pdf
    September 05, 2009 - Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room. September 5, 2009 Paige JT, Aaron DL, Yang T, et al. Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room. Am Surg. 2008;74(9):817-823. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44703/psn-pdf
    December 16, 2015 - Defining the Role of Social Sciences in Patient Safety. December 16, 2015 Su L, Fernandez R, Grand J, et al, eds. Curr Probl Pediatr Adolesc Health Care. 2015;45:365-394. https://psnet.ahrq.gov/issue/defining-role-social-sciences-patient-safety Applying principles from other fields, such as aviation and nuclear pow…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50876/psn-pdf
    April 22, 2021 - Veterans Accountability Improvement Act. April 22, 2021 SB 1307, 117th Congress: 2021. https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system and cultural norms. This legislation aims to strengt…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845658/psn-pdf
    June 08, 2023 - Simulation Articles of Influence. June 8, 2023 Society for Simulation in Healthcare. 2017-2023. https://psnet.ahrq.gov/issue/simulation-articles-influence Simulation can be used to reveal teamwork coordination gaps and latent factors that contribute to failure. This article collection has been curated by experts i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36863/psn-pdf
    August 29, 2011 - Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. August 29, 2011 Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607. https://psnet.ahrq.gov/issue/embedding-qual…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43356/psn-pdf
    July 16, 2014 - Introducing the safety score audit for staff member and patient safety. July 16, 2014 Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. https://psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-membe…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60537/psn-pdf
    May 27, 2020 - I can't turn my brain off. May 27, 2020 Hoffman J. New York Times. May 16, 2020. https://psnet.ahrq.gov/issue/i-cant-turn-my-brain Health care worker stress is a known contributor to disruptive behavior, error and clinician suicide.  This story discusses the impact of the COVID-19 pandemic on psychological strain …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45478/psn-pdf
    October 26, 2016 - Core principles of quality improvement and patient safety. October 26, 2016 Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety This review discusses key patient safet…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40067/psn-pdf
    December 08, 2010 - Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. December 8, 2010 Moulton C-A, Regehr G, Lingard LA, et al. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Acad Med. 2010;85(10):1571-7. doi:10.1097/ACM.0b013e3181f073dd. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40517/psn-pdf
    June 08, 2011 - Learning safe prescribing during post-take ward rounds. June 8, 2011 Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x. https://psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38252/psn-pdf
    November 26, 2008 - Hospital ethical climate and teamwork in acute care: the moderating role of leaders. November 26, 2008 Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.75018.8d. https://psnet.ahrq.go…