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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47987/psn-pdf
    May 08, 2019 - Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. May 8, 2019 Cortegiani A, Gregoretti C, Neto AS, et al; LAS VEGAS Investigators, PROVE Network, Clinical Trial Network of the European Society of Anaesthesiology. Br J Anaesth. 2019;122…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46362/psn-pdf
    January 01, 2021 - Making patient safety event data actionable: understanding patient safety analyst needs. October 4, 2017 Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.1097/pts.0000000000000400. https:/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855091/psn-pdf
    November 08, 2023 - Handoff tool improves transitions from the operating room to the neonatal intensive care unit. November 8, 2023 Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695. doi:10.1097/pq9.000000000000069…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46703/psn-pdf
    August 01, 2018 - Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. August 1, 2018 Brewster L, Tarrant C, Willars J, et al. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 2018;27(8):625-632. doi:10.1136/bmjqs-2017-006970.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73439/psn-pdf
    June 30, 2021 - Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study. June 30, 2021 Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts: a mixed?method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.1111/jocn.15839. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850914/psn-pdf
    June 21, 2023 - A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. June 21, 2023 Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42. doi:10.1002/jhrm.21538. https://psnet.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44942/psn-pdf
    September 29, 2017 - Challenges in patient safety improvement research in the era of electronic health records. September 29, 2017 Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.1016/j.hjdsi.2016.06.005. https://…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46858/psn-pdf
    May 11, 2019 - Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.  May 11, 2019 Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853059/psn-pdf
    August 30, 2023 - Anesthesia Risk Alert program: a proactive safety initiative. August 30, 2023 Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-pr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36025/psn-pdf
    March 28, 2011 - Understanding diagnostic errors in medicine: a lesson from aviation. March 28, 2011 Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation T…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44470/psn-pdf
    October 13, 2015 - Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. October 13, 2015 Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45108/psn-pdf
    October 11, 2017 - IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. October 11, 2017 Caron A, Chazard E, Muller J, et al. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. J Am Med Inform Assoc. 2017;24(2):323-330. do…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45643/psn-pdf
    November 30, 2016 - Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. November 30, 2016 Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospita…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47103/psn-pdf
    August 22, 2018 - Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. August 22, 2018 Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10.1016/j.ssci.2018.02.002. https:…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72482/psn-pdf
    November 18, 2020 - Real-time debriefing after critical events: exploring the gap between principle and reality. November 18, 2020 Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003. ht…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45357/psn-pdf
    October 09, 2016 - Leading article: how can I optimise my role as a leader within the surgical team? October 9, 2016 Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48138/psn-pdf
    July 17, 2019 - Beyond the clinical team: evaluating the human factors- oriented training of non-clinical professionals working in healthcare contexts. July 17, 2019 Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare con…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38799/psn-pdf
    September 29, 2009 - Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. September 29, 2009 Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2009;24(4):316-324. doi:10.1097/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46116/psn-pdf
    May 24, 2017 - Elimination of emergency department medication errors due to estimated weights. May 24, 2017 Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5476. https://psnet.ahrq.gov/issue/elimin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74056/psn-pdf
    January 01, 2022 - Critical care simulation education program during the COVID-19 pandemic. November 10, 2021 Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19 pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928. https://psnet.ahrq.gov/issue/critical-care…

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