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8261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42584/psn-pdf
      September 11, 2013 - Cardiac surgical ICU care: eliminating "preventable" complications. September 11, 2013 Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124. https://psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-p…

8262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41543/psn-pdf
      January 18, 2013 - Research on nursing handoffs for medical and surgical settings: an integrative review. January 18, 2013 Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. https://psnet.ahrq.gov/issue/resea…

8263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42601/psn-pdf
      September 18, 2013 - 'You talking to me?' Docs and feedback. September 18, 2013 Diamond F. 'You talking to me?' Docs and feedback. Managed care (Langhorne, Pa.). 2013;22(7):30-2. https://psnet.ahrq.gov/issue/you-talking-me-docs-and-feedback Reporting on barriers to teamwork, this magazine article relates how hierarchy influences speaki…

8264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40838/psn-pdf
      September 27, 2016 - Cognitive Factors in Health Care. September 27, 2016 Rogers WA, ed. J Exp Psychol Appl. 2011;17(3):191-302. https://psnet.ahrq.gov/issue/cognitive-factors-health-care Articles in this special issue explore the impact of cognition on health care activities such as patient identification, interruptions, and team com…

8265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60191/psn-pdf
      April 01, 2020 - Unprofessional Behavior Leads to Complications. April 1, 2020 Unprofessional Behavior Leads to Complications. JN Learning. 2020. https://psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications Disruptive behavior is a recognized deterrent to safe communication, sharing of concerns and teamwork. This educa…

8266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39094/psn-pdf
      June 09, 2011 - Human factors in surgery: from Three Mile Island to the operating room. June 9, 2011 D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662. https://psnet.ahrq.gov/issue/human-factors-surgery-three-mile-…

8267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43113/psn-pdf
      April 09, 2014 - Transforming the health care environment collaborative. April 9, 2014 Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529- 39. doi:10.1016/j.aorn.2014.01.012. https://psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative This commentary examines the…

8268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38287/psn-pdf
      February 06, 2009 - Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. February 6, 2009 Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.01717.x. https://psnet.ahrq.gov/iss…

8269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36180/psn-pdf
      September 29, 2010 - Why nurses make medication errors: a simulation study. September 29, 2010 Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7. https://psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study The investigators used a simulate…

8270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41476/psn-pdf
      June 20, 2012 - Interdisciplinary team training: five lessons learned. June 20, 2012 Contratti F, Ng G, Deeb J. Interdisciplinary team training: five lessons learned. Am J Nurs. 2012;112(6):47- 52. doi:10.1097/01.NAJ.0000415127.84605.1f. https://psnet.ahrq.gov/issue/interdisciplinary-team-training-five-lessons-learned This commen…

8271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42185/psn-pdf
      April 10, 2013 - Improving patient safety in medicine: is the model of anaesthesia care enough? April 10, 2013 Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly. 2013;143:w13770. doi:10.4414/smw.2013.13770. https://psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-an…

8272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844558/psn-pdf
      January 13, 2024 - On Patient Safety. January 13, 2024 Tingle J. Br J Nurs. 2001-2024. https://psnet.ahrq.gov/issue/patient-safety-19 This series of commentaries discusses a wide range of policy, legal, and operational topics related to patient safety in the British health system, such as artificial intelligence, patient communicati…

8273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46151/psn-pdf
      May 24, 2017 - The last person you'd expect to die in childbirth. May 24, 2017 Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017. https://psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth Maternal mortality is increasing in the United States. This news article reports on this critical safety probl…

8274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42757/psn-pdf
      November 20, 2013 - Clinical ICT Systems in the Victorian Public Health Sector. November 20, 2013 Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013. https://psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector Following the implementation of a large clinical information communicati…

8275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74193/psn-pdf
      December 15, 2021 - Input for the TeamSTEPPS Curriculum Updates. December 15, 2021 Rockville MD, Agency for Healthcare Quality and Research. December 7, 2021. https://psnet.ahrq.gov/issue/input-teamstepps-curriculum-updates The TeamSTEPPS program is an established approach for improving teamwork and communication in health care. This…

8276. eCare Plan Videos | Agency for Healthcare Research and Quality
      www.ahrq.gov/ecareplan/videos/index.html
      August 01, 2024 - eCare Plan Videos The eCare Plan project produced three videos on the following topics: Video 1: Challenges of Managing Multiple Chronic Conditions This video introduces Dorothea, who has multiple chronic conditions, and explains some of the difficulties navigating a complex health care system. Video 2: Creatin…

8277. Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/worksheet.html
      July 01, 2023 - Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership AHRQ Safety Program for Perinatal Care Purpose: To enhance communication and shared problem solving between clinical staff and senior executives with respect to patient safety issues on the labor and delivery unit. …

8278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39068/psn-pdf
      October 28, 2009 - Four patients say Cedars-Sinai did not tell them they had received a radiation overdose. October 28, 2009 Zarembo A. https://psnet.ahrq.gov/issue/four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation- overdose This news piece describes communication gaps following a radiation overdose incid…

8279. OSHA COVID-19 Standards Webpage | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/osha-covid-19-standards.html
      May 01, 2022 - OSHA COVID-19 Standards Webpage Resource: OSHA COVID-19 Standards Webpage This webpage provides additional information about Occupational Safety & Health Administration (OSHA) COVID-19 exposure standards and requirements, including requirements in states that operate their own OSHA-approved State Plans; rec…

8280. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - aviation teams and include developing a thorough case orientation, making inquiries and assertions, communicating