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8401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60948/psn-pdf
      September 23, 2020 - Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant. September 23, 2020 Ramaswamy SV. Rockland/Westchester Journal News. September 9, 2020. https://psnet.ahrq.gov/issue/without-ounce-empathy-their-stories-show-dangers-being-black-and-pregnant Implicit and explicit biases …

8402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45110/psn-pdf
      May 11, 2016 - Hospital discharge: it's one of the most dangerous periods for patients. May 11, 2016 Rau J. Washington Post. April 29, 2016. https://psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients Transitions in care between inpatient and outpatient settings are an increasing concern for patient s…

8403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866357/psn-pdf
      July 24, 2024 - People’s Experiences of Diagnosis. July 24, 2024 People’s Experiences Of Diagnosis. London, England: National Voices; June 2024. https://psnet.ahrq.gov/issue/peoples-experiences-diagnosis The discussion of diagnostic safety has expanded to include an effort to realize excellence. This report explores the diagnosti…

8404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45646/psn-pdf
      November 23, 2016 - Patient safety in the emergency department. November 23, 2016 Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. https://psnet.ahrq.gov/issue/patient-safety-emergency-department Emergency departments are high-risk environments due to the urgency of care …

8405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39634/psn-pdf
      December 04, 2016 - We meant no harm, yet we made a mistake; why not apologize for it? A student's view. December 4, 2016 Sanford DE, Fleming DA. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. HEC Forum. 2010;22(2):159-69. doi:10.1007/s10730-010-9131-8. https://psnet.ahrq.gov/issue/we-meant-no-ha…

8406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43152/psn-pdf
      May 07, 2014 - The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014 Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. https://psnet.ahrq.gov/issue/trainees-voice-recog…

8407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37751/psn-pdf
      June 29, 2011 - Using nurses and office staff to report prescribing errors in primary care. June 29, 2011 Kennedy AG, Littenberg B, Senders JW. Using nurses and office staff to report prescribing errors in primary care. Int J Qual Health Care. 2008;20(4):238-45. doi:10.1093/intqhc/mzn015. https://psnet.ahrq.gov/issue/using-nurses…

8408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865820/psn-pdf
      May 08, 2024 - Breaking the silence on medical mistakes. May 8, 2024 Scott M. The Pulse. New York Public Radio; April 26, 2024. https://psnet.ahrq.gov/issue/breaking-silence-medical-mistakes Individuals involved in medical errors need time and support to process the incident and its consequences. This moderated podcast examines …

8409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73326/psn-pdf
      June 01, 2021 - CANDOR Webinar Series. June 1, 2021 Patient Safety Movement Foundation. 2021.  https://psnet.ahrq.gov/issue/candor-webinar-series The Communication and Optimal Resolution (CANDOR) model was designed to support early error disclosure with patients and families after mistakes in care occur. This three-part webi…

8410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42438/psn-pdf
      July 31, 2013 - Perceived patient safety culture in a critical care transport program. July 31, 2013 Erler C, Edwards NE, Ritchey S, et al. Perceived patient safety culture in a critical care transport program. Air Med J. 2013;32(4):208-215. doi:10.1016/j.amj.2012.11.002. https://psnet.ahrq.gov/issue/perceived-patient-safety-cult…

8411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60829/psn-pdf
      August 19, 2020 - Patient Safety. August 19, 2020 Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60. https://psnet.ahrq.gov/issue/patient-safety-20 Simulation is a recognized technique to educate and plan to improve care processes and safety. This pair of special issues highlights the use of simulation in nur…

8412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35846/psn-pdf
      July 22, 2010 - Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. July 22, 2010 Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.2.144. https://psnet.ahrq.gov/issue/…

8413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846165/psn-pdf
      March 15, 2023 - Do no unconscious harm. March 15, 2023 Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698. https://psnet.ahrq.gov/issue/do-no-unconscious-harm Implicit biases can degrade decision making as they impact heuristics, test result interpretation, and patient/physician commun…

8414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36183/psn-pdf
      March 28, 2011 - A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. March 28, 2011 Kobayashi H, Pian-Smith M, Sato M, et al. A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. Qual Saf Health Care. 2006;15(4):277-83. https://psnet.ahrq.gov/issu…

8415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42516/psn-pdf
      February 04, 2016 - "Excuse me": teaching interns to speak up. February 4, 2016 O'Connor P, Byrne D, O'Dea A, et al. "Excuse me:" teaching interns to speak up. Jt Comm J Qual Patient Saf. 2013;39(9):426-431. https://psnet.ahrq.gov/issue/excuse-me-teaching-interns-speak Previous research has shown that junior physicians may be unwilli…

8416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38183/psn-pdf
      December 14, 2016 - Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children in the Emergency Setting. December 14, 2016 Pediatr Radiol. 2008;38(suppl 4):625-734. https://psnet.ahrq.gov/issue/building-bridges-between-radiology-and-emergency-medicine-consensus- confere…

8417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41710/psn-pdf
      November 08, 2012 - Improving teamwork on general medical units: when teams do not work face-to-face. November 8, 2012 McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478. https://psnet.ahrq.gov/issue/improving-tea…

8418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36882/psn-pdf
      February 24, 2011 - Resident perceptions of the impact of work hour limitations. February 24, 2011 Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. https://psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations The investigators surv…

8419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40104/psn-pdf
      December 22, 2010 - Noise in the operating room—what do we know? A review of the literature. December 22, 2010 Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001. https://psnet.ahrq.gov/issue/noise-operatin…

8420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60537/psn-pdf
      May 27, 2020 - I can't turn my brain off. May 27, 2020 Hoffman J. New York Times. May 16, 2020. https://psnet.ahrq.gov/issue/i-cant-turn-my-brain Health care worker stress is a known contributor to disruptive behavior, error and clinician suicide.  This story discusses the impact of the COVID-19 pandemic on psychological strain …