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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41160/psn-pdf
    February 22, 2012 - Surgical count practice variability and the potential for retained surgical items. February 22, 2012 Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014. https://psnet.ahrq.gov/issue/surgical-count-practice-variabilit…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36077/psn-pdf
    July 05, 2006 - Perinatal patient safety from the perspective of nurse executives: a round table discussion. July 5, 2006 Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J. https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion The authors summarize a discussion be…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38130/psn-pdf
    January 02, 2017 - View the world through a different lens: shadowing another provider. January 2, 2017 Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. https://psnet.ahrq.gov/issue/view-world-through-different-le…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35025/psn-pdf
    September 21, 2005 - A mediation skills model to manage disclosure of errors and adverse events to patients. September 21, 2005 Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.23.4.22. https://psnet.ahrq.gov/issue…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41428/psn-pdf
    April 17, 2013 - A checklist to improve patient safety in interventional radiology. April 17, 2013 Koetser ICJ, de Vries EN, van Delden OM, et al. A checklist to improve patient safety in interventional radiology. Cardiovasc Intervent Radiol. 2013;36(2):312-9. doi:10.1007/s00270-012-0395-z. https://psnet.ahrq.gov/issue/checklist-i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41991/psn-pdf
    January 23, 2013 - Handovers from the OR to the ICU. January 23, 2013 Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. https://psnet.ahrq.gov/issue/handovers-or-icu This commentary discusses concerns associated with patient transfer…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40056/psn-pdf
    November 21, 2016 - Bringing change-of-shift report to the bedside: a patient- and family-centered approach. November 21, 2016 Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8a6c8. https://psnet.ahrq.gov/issue/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36571/psn-pdf
    January 05, 2017 - The Objective Structured Clinical Examination as an educational tool in patient safety. January 5, 2017 Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. https://psnet.ahrq.gov/issue/objective-structured-clinical-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41078/psn-pdf
    January 18, 2012 - A new paradigm for surgical procedural training. January 18, 2012 Sachdeva AK, Buyske J, Dunnington GL, et al. A new paradigm for surgical procedural training. Curr Probl Surg. 2011;48(12):854-968. doi:10.1067/j.cpsurg.2011.08.003. https://psnet.ahrq.gov/issue/new-paradigm-surgical-procedural-training This comment…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37964/psn-pdf
    June 29, 2011 - Impact of miscommunication in medical dispute cases in Japan. June 29, 2011 Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028. https://psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-ja…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35469/psn-pdf
    January 21, 2011 - Neurologic patient safety: an in-depth study of malpractice claims. January 21, 2011 Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6. https://psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims The…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35594/psn-pdf
    January 04, 2006 - VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. January 4, 2006 General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83. https://psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities The Government Account…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41295/psn-pdf
    April 11, 2012 - The pursuit of perfection: hospitals take heightened actions to reduce adverse events. April 11, 2012 May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3. https://psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37736/psn-pdf
    April 30, 2008 - Causes of near misses in critical care of neonates and children. April 30, 2008 Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x. https://psnet.ahrq.gov/issue/causes-near-misses-critical-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39588/psn-pdf
    December 04, 2016 - Reporting adverse events to patients: a step-by-step approach. December 4, 2016 Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. https://psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach This article discu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38344/psn-pdf
    January 21, 2009 - The error of omission: a simple checklist approach for improving operating room safety. January 21, 2009 Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0b013e318193472f. https://psnet.ahrq.go…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39390/psn-pdf
    March 23, 2011 - Teamwork behaviours and errors during neonatal resuscitation. March 23, 2011 Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. https://psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-d…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40114/psn-pdf
    December 21, 2014 - A human factors curriculum for surgical clerkship students. December 21, 2014 Cahan MA, Larkin AC, Starr S, et al. A human factors curriculum for surgical clerkship students. Arch Surg. 2010;145(12):1151-7. doi:10.1001/archsurg.2010.252. https://psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-stud…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37028/psn-pdf
    April 11, 2009 - Multidisciplinary crisis simulations: the way forward for training surgical teams. April 11, 2009 Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. https://psnet.ahrq.gov/issue/multidisciplinary-crisis-simul…
  20. www.ahrq.gov/nursing-home/resources/best-mental-health.html
    June 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff Resource: Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff This resource focuses on emotional well-being of nursing home staff, including information about the effects of t…