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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37119/psn-pdf
    March 24, 2011 - Patient safety: helping medical students understand error in healthcare. March 24, 2011 Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in healthcare. Qual Saf Health Care. 2007;16(4):256-9. https://psnet.ahrq.gov/issue/patient-safety-helping-medical-students-under…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36148/psn-pdf
    March 03, 2011 - Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. March 3, 2011 Moorthy K, Munz Y, Forrest D, et al. Surgical Crisis Management Skills Training and Assessment. Ann Surg. 2006;244(1). doi:10.1097/01.sla.0000217618.30744.61. https://psne…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73380/psn-pdf
    June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction. June 9, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; April 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of pediatric wron…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36387/psn-pdf
    July 14, 2010 - Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. July 14, 2010 Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43354/psn-pdf
    July 16, 2014 - Weaving a healthcare tapestry of safety and communication. July 16, 2014 Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d. https://psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication Th…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44277/psn-pdf
    July 01, 2015 - When should surgeons stop operating? July 1, 2015 Whitehead N. National Public Radio. June 18, 2015. https://psnet.ahrq.gov/issue/when-should-surgeons-stop-operating The competency of surgeons as they age has been debated as a risk to patient safety. This news article describes concerns about the aging population …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37163/psn-pdf
    May 04, 2015 - A medication safety education program to reduce the risk of harm caused by medication errors. May 4, 2015 Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84. https://psnet.ahrq.gov/issue/medication-safety-education-progra…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38008/psn-pdf
    August 27, 2008 - The Team Climate Inventory: application in hospital teams and methodological considerations. August 27, 2008 Ouwens M, Hulscher M, Akkermans R, et al. The Team Climate Inventory: application in hospital teams and methodological considerations. Qual Saf Health Care. 2008;17(4):275-80. doi:10.1136/qshc.2006.021543. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40999/psn-pdf
    January 01, 2012 - Improving patient safety via automated laboratory-based adverse event grading. December 15, 2011 Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-000513. https://psnet.ahrq.gov/issue…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35976/psn-pdf
    August 10, 2010 - Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. August 10, 2010 Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator- associated pneumonia (VAP) in the trauma patient. J Trauma. 2006;60(5):1106-1113.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47371/psn-pdf
    September 26, 2018 - When I say…diagnostic error. September 26, 2018 Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. https://psnet.ahrq.gov/issue/when-i-saydiagnostic-error Inconsistent terminology use in research, education, and measurement strategy development hinders progress and understanding in eme…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37898/psn-pdf
    July 09, 2008 - Patient safety in obstetrics: what aviators, firefighters and others can teach us. July 9, 2008 Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x.2008.00325.x. https://psnet.ahrq.gov/issu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35443/psn-pdf
    September 18, 2009 - The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals. September 18, 2009 Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44029/psn-pdf
    April 25, 2016 - Accelerating the adoption of a safety culture. April 25, 2016 Birk S. Accelerating the Adoption of a Safety Culture. Healthcare Executive. 2015;30(2):18-20, 22-24, 26. https://psnet.ahrq.gov/issue/accelerating-adoption-safety-culture Hospital senior managers have been challenged to establish a safety culture in the…
  15. psnet.ahrq.gov/web-mm/signout-fallout
    November 16, 2022 - new teamwork training program, or narrowly addressing interruptions of oral handoffs, we thought that developing
  16. psnet.ahrq.gov/web-mm/snfs-opening-black-box
    August 27, 2012 - teamstepps.ahrq.gov/ QAPI for Nursing Homes—CMS has produced tools and resources to assist nursing homes with developing
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73103/psn-pdf
    March 31, 2021 - As a result, a developing skin infection could have been missed by the nursing staff.
  18. psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
    August 20, 2018 - generally avoidable with the implementation of quality improvement measures. 3 Current policies emphasize developing
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49651/psn-pdf
    May 01, 2012 - As a result, programs are currently developing new handoff curricula.(4) Because programs must also
  20. psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
    August 21, 2019 - Study Residents, responsibility, and error: how residents learn to navigate the intersection. Citation Text: Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000…

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