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1981. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet
      psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
      January 01, 2006 - Whoever the leader is, that person can really create a team climate that's conducive to everyone communicating

1982. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863227/psn-pdf
      February 28, 2024 - What Do You Do If You Think You Have Been Harmed By Your Healthcare. February 28, 2024 Seattle, WA: Collaborative for Accountability and Improvement; 2023. https://psnet.ahrq.gov/issue/what-do-you-do-if-you-think-you-have-been-harmed-your-healthcare There is a need for patients and families to understand effective…

1983. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44979/psn-pdf
      April 06, 2016 - When a surgeon should just say 'I'm sorry'. April 6, 2016 Cohen E. CNN. March 24, 2016. https://psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry Poor communication regarding medical errors can contribute to patient and family frustration and fear. Reporting on a case involving disclosure of a wrong-site …

1984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47501/psn-pdf
      February 06, 2019 - Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. February 6, 2019 Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2019;28(2):160-166. doi:10.1136/b…

1985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47133/psn-pdf
      April 07, 2019 - "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. April 7, 2019 van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. https://psnet.ahrq.gov/issue/doctor-jazz-les…

1986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43971/psn-pdf
      April 25, 2016 - Why empathy may be the best risk management strategy. April 25, 2016 Hertz BT. Why empathy may be the best risk management strategy. Medical economics. 2015;92(3):40-4. https://psnet.ahrq.gov/issue/why-empathy-may-be-best-risk-management-strategy Communication and response strategies have been shown to improve how …

1987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49853/psn-pdf
      February 01, 2019 - Adverse Event During Intrahospital Transport February 1, 2019 Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport The Case A 4-year-old boy underwent surgery under general anesthesia for correction o…

1988. Situational (Un)Awareness | PSNet
      psnet.ahrq.gov/web-mm/situational-unawareness
      August 01, 2009 - Situational (Un)Awareness Citation Text: Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

1989. Weekly Resource | PSNet
      psnet.ahrq.gov/periodic-issue/weekly-resource
      March 25, 2025 - March 12, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

1990. Spotlight Case September 2006 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
      September 01, 2006 - Spotlight Case September 2006 Spotlight Case September 2006 Triple Handoff Source and Credits This presentation is based on the September 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Arpana Vidyarthi, MD, UCSF Sc…

1991. Collaborative for Accountability and Improvement. | PSNet
      psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
      August 14, 2018 - Multi-use Website Collaborative for Accountability and Improvement. Citation Text: Collaborative for Accountability and Improvement. University of Washington. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

1992. In Conversation with…Jack Barker, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
      January 01, 2006 - Whoever the leader is, that person can really create a team climate that's conducive to everyone communicating

1993. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - Caution, Interrupted Citation Text: Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

1994. Danger in Disruption | PSNet
      psnet.ahrq.gov/web-mm/danger-disruption
      July 29, 2020 - Danger in Disruption Citation Text: Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

1995. In Conversation with…Vineet Arora, MD, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
      March 01, 2011 - In Conversation with…Vineet Arora, MD, MA March 1, 2011  Also Read an Essay Citation Text: In Conversation with…Vineet Arora, MD, MA . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …

1996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47622/psn-pdf
      April 24, 2019 - Consumer-directed technologies to improve medication management and safety. April 24, 2019 Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. https://psnet.ahrq.gov/issue/consumer-directed-technologies-…

1997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851191/psn-pdf
      July 05, 2023 - Disclosing medical errors: prioritising the needs of patients and families. July 5, 2023 Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. https://psnet.ahrq.gov/issue/disclosing-med…

1998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43760/psn-pdf
      March 20, 2015 - Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. March 20, 2015 Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at ho…

1999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853978/psn-pdf
      September 27, 2023 - Fragmented: A Doctor's Quest to Piece Together American Health Care. September 27, 2023 Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196. https://psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care Disjointed health care processes contribute to missed test resu…

2000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45377/psn-pdf
      October 27, 2016 - Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. October 27, 2016 Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Intern Med. 2016;165(8):HO2-HO4. doi:10.7…