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  1. A surgical safety checklist to reduce morbidity and mortality in a global population. | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
    February 09, 2011 - Study Classic A surgical safety checklist to reduce morbidity and mortality in a global population. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…

  2. Association between implementation of a medical team training program and surgical mortality. | PSNet

    psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
    December 21, 2014 - Study Classic Association between implementation of a medical team training program and surgical mortality. Citation Text: Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2…

  3. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. | PSNet

    psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
    September 07, 2016 - Study A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Citation Text: Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am…

  4. Hierarchy and medical error: speaking up when witnessing an error. | PSNet

    psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
    April 14, 2011 - Review Emerging Classic Hierarchy and medical error: speaking up when witnessing an error. Citation Text: Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…

  5. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. | PSNet

    psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons
    January 04, 2010 - Study The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Citation Text: Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…

  6. Assessment of patient retention of inpatient care information post-hospitalization. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
    June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37505/psn-pdf
    February 06, 2008 - Health Literacy Practices in Primary Care Settings: Examples from the Field. February 6, 2008 Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008. https://psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field This report describes tactics for cl…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41452/psn-pdf
    June 06, 2012 - Patient Safety and Satisfaction: The State of American Hospitals. June 6, 2012 Golden, CO: HealthGrades Inc.; May 2012. https://psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals This report used Medicare hospitalization data from 2008–2010 to explore correlations between patient–provid…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33939/psn-pdf
    January 17, 2012 - VHA National Patient Safety Improvement Handbook. January 17, 2012 https://psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook A handbook developed by the VA and the National Center for Patient Safety that provides guidance on how to limit opportunities that adversely impact patient safety and car…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41848/psn-pdf
    November 28, 2016 - The heart of health care: parents' perspectives on patient safety. November 28, 2016 Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004. https://psnet.ahrq.gov/issue/heart-health-care-parents-perspec…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37316/psn-pdf
    January 04, 2012 - Health information exchange and patient safety. January 4, 2012 Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6 Suppl):S40-5. https://psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety This review spotlights specific areas in which health informatio…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40572/psn-pdf
    June 27, 2018 - Understanding care transitions as a patient safety issue. June 27, 2018 Butterfield S; Stegel C; Glock S; Tartaglia D. https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by improving …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38187/psn-pdf
    October 29, 2008 - The importance of simulation: preventing hand-off mistakes. October 29, 2008 Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007. https://psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes This article discusses an AHRQ…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40261/psn-pdf
    March 02, 2011 - Doctors' handovers in hospitals: a literature review. March 2, 2011 Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389. https://psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review This review ex…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36597/psn-pdf
    June 24, 2015 - Patient safety: learning from the aviation industry. June 24, 2015 Kosnik LK, Brown J, Maund T. Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31. https://psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry The authors explain the value of crew resource manageme…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42756/psn-pdf
    November 20, 2013 - Removing the "me" from "MD." November 20, 2013 Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722. https://psnet.ahrq.gov/issue/removing-me-md Recounting what one medical student learned by shadowing a nurse, this commentary emphasizes the importance of interprofessional commu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36010/psn-pdf
    January 02, 2017 - Operating room briefings: working on the same page. January 2, 2017 Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page The authors describe a tool fo…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42112/psn-pdf
    March 13, 2013 - Anger management courses are a new tool for dealing with out-of-control doctors.   March 13, 2013 Boodman SG. Washington Post. March 4, 2013. https://psnet.ahrq.gov/issue/anger-management-courses-are-new-tool-dealing-out-control-doctors This newspaper article reports on how anger management courses can address phy…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41198/psn-pdf
    March 07, 2012 - A handoff is not a telegram: an understanding of the patient is co-constructed. March 7, 2012 Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co- constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536. https://psnet.ahrq.gov/issue/handoff-not-telegram-under…

  20. CARe Forum | PSNet

    psnet.ahrq.gov/training-catalog/care-forum
    July 07, 2025 - CARe Forum Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Betsy Lehman Center for Patient Safety Event Description: The annual CARe Forum is…
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