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8581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46762/psn-pdf
      February 14, 2018 - Patient Safety in Surgery. February 14, 2018 Stahel PF, ed. BioMed Central. ISSN: 1754-9493. https://psnet.ahrq.gov/issue/patient-safety-surgery-0 The specialty of surgery draws from both clinical and nontechnical skills for generalists and subspecialists to support safe care delivery. This journal covers a range …

8582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73493/psn-pdf
      July 14, 2021 - Safety cases for digital health innovations: can they work? July 14, 2021 Sujan M, Habli I. Safety cases for digital health innovations: can they work? BMJ Qual Saf. 2021;30(12):1047-1050. doi:10.1136/bmjqs-2021-012983. https://psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work This commen…

8583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60674/psn-pdf
      July 08, 2020 - Sway: Unravelling Unconscious Bias July 8, 2020 Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.  https://psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias Implicit biases influence behavior and decision making. This publication discusses how a range of implicit biases affect legal…

8584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37121/psn-pdf
      March 09, 2009 - An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. March 9, 2009 Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;27(6-7). doi:10.1016/j.technovation.2006.12.00…

8585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45049/psn-pdf
      April 20, 2016 - Medical errors: disclosure styles, interpersonal forgiveness, and outcomes. April 20, 2016 Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026. https://psnet.ahrq.gov/issue/medical-errors…

8586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47463/psn-pdf
      October 17, 2018 - My human doctor. October 17, 2018 Peskin SM. New York Times. October 4, 2018. https://psnet.ahrq.gov/issue/my-human-doctor Error disclosures are difficult but important conversations that can have negative consequences for patients, clinicians, and organizations, even when they are done appropriately. This newspap…

8587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41032/psn-pdf
      December 30, 2014 - Factors that influence the expected length of operation: results of a prospective study. December 30, 2014 Gillespie BM, Chaboyer W, Fairweather N. Factors that influence the expected length of operation: results of a prospective study. BMJ Qual Saf. 2012;21(1):3-12. doi:10.1136/bmjqs-2011-000169. https://psnet.ah…

8588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37441/psn-pdf
      November 01, 2012 - Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005. November 1, 2012 Lewis G, ed. London, England: Confidential Enquiry into Maternal and Child Health; 2007. ISBN: 9780953353682. https://psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer- 200…

8589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73898/psn-pdf
      September 29, 2021 - A Thematic Analysis of HSIB's First 22 Investigations.  September 29, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. https://psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations In-depth failure investigations provide improvement insights for individuals and or…

8590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74045/psn-pdf
      November 03, 2021 - ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. November 3, 2021 Graham J. Kaiser Health News. October 20, 2021. https://psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias Implicit biases permeate decision making and can impede safe and e…

8591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47821/psn-pdf
      May 22, 2019 - Patient Safety. May 22, 2019 National Pharmacy Association; NPA. https://psnet.ahrq.gov/issue/patient-safety-15 This website for independent community pharmacy owners across the United Kingdom features both free and members-only guidance, reporting platforms, and document templates to support patient safety. It i…

8592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47884/psn-pdf
      May 22, 2019 - Implementation and evaluation of a laboratory safety process improvement toolkit. May 22, 2019 Kwan BM, Fernald D, Ferrarone P, et al. Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit. J Am Board Fam Med. 2019;32(2):136-145. doi:10.3122/jabfm.2019.02.180109. https://psnet.ahrq.gov/i…

8593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837710/psn-pdf
      July 20, 2022 - Independent Neurology Inquiry. July 20, 2022 Lockhart B, Mascie-Taylor H. Crown Copyright: London, England; June 2022.  ISBN 9781912313631. https://psnet.ahrq.gov/issue/independent-neurology-inquiry Misdiagnosis of neurological conditions, such as stroke, can lead to delays in treatment and patient morbidity…

8594. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47696/psn-pdf
      February 22, 2019 - Operating room fires. February 22, 2019 Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. https://psnet.ahrq.gov/issue/operating-room-fires Surgical fires, though uncommon, can result in serious harm. This review highlights three co…

8595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44565/psn-pdf
      October 14, 2015 - How to use online clinician rating systems. October 14, 2015 Razmaria AA, Livingston EH. JAMA PATIENT PAGE. How to Use Online Clinician Rating Systems. JAMA. 2015;314(13):1418. doi:10.1001/jama.2015.11957. https://psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems Clinician rating sites may not always pr…

8596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36785/psn-pdf
      March 04, 2011 - Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. March 4, 2011 Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the…

8597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47056/psn-pdf
      April 20, 2022 - Healthcare Simulation Week. April 20, 2022 Society for Simulation in Healthcare. https://psnet.ahrq.gov/issue/healthcare-simulation-week Simulation provides a safe space to observe behaviors and generate constructive feedback to enhance individual and team performance. This website provides promotional materials f…

8598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43621/psn-pdf
      October 22, 2014 - Multidisciplinary in-hospital teams improve patient outcomes: a review. October 22, 2014 Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…

8599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46557/psn-pdf
      November 22, 2017 - Safe handover. November 22, 2017 Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328. https://psnet.ahrq.gov/issue/safe-handover Patient handovers between clinical teams are a common point of information exchange that can be challenging to perform due to interruptions, produ…

8600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34882/psn-pdf
      February 28, 2011 - Fumbled handoffs: one dropped ball after another. February 28, 2011 Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med. 2005;142(5):352-358. https://psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another This case study discusses the chain of events surrounding the delayed dia…