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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41514/psn-pdf
    July 02, 2014 - Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. July 2, 2014 Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257d57d. https://psnet.ahrq.gov/issue/pers…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50595/psn-pdf
    January 01, 2020 - Clinical reasoning as a core competency. October 30, 2019 Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027. https://psnet.ahrq.gov/issue/clinical-reasoning-core-competency Enhancing clinical reasoning skill, particularly amon…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50743/psn-pdf
    December 18, 2019 - Design of a safety dashboard for patients. December 18, 2019 Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. https://psnet.ahrq.gov/issue/design-safety-dashboard-patients Patients and caregivers should be acti…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841490/psn-pdf
    December 14, 2022 - Prevent administration of ear drops into the eyes. December 14, 2022 ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3. https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes Look-alike medications are vulnerable to wrong route and other use errors. This article examines the…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45747/psn-pdf
    December 21, 2016 - Implementing No Interruption Zones in the perioperative environment. December 21, 2016 Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536- 540. doi:10.1016/j.aorn.2016.09.018. https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41970/psn-pdf
    July 02, 2014 - Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. July 2, 2014 Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841145/psn-pdf
    December 07, 2022 - Guidelines in Practice: prevention of unintentionally retained surgical items. December 7, 2022 Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804. https://psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39595/psn-pdf
    June 15, 2011 - Application of human error theory in case analysis of wrong procedures. June 15, 2011 Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9. https://psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wron…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867698/psn-pdf
    October 01, 2024 - Toolkit for MRSA Prevention in ICU & Non-ICU Settings. October 1, 2024 Agency for Healthcare Research and Quality. Toolkit for MRSA Prevention in ICU & Non-ICU Settings. October 2024. https://psnet.ahrq.gov/issue/toolkit-mrsa-prevention-icu-non-icu-settings Methicillin-resistant Staphylococcus aureus (MRSA) infect…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845655/psn-pdf
    March 08, 2023 - Crisis in the Lakeshore Hospital ER. March 8, 2023 Derfel A. Montreal Gazette. February 24- March 1, 2023 https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths associated with emergency care that, w…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42861/psn-pdf
    January 15, 2014 - Transitioning Newborns From NICU to Home: A Resource Toolkit. January 15, 2014 Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No. 12(14)-0054-EF. https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit Infants discharged from the neonatal intensiv…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38080/psn-pdf
    September 24, 2008 - Patient-centered approach for improving prescription drug warning labels. September 24, 2008 Webb J, Davis TC, Bernadella P, et al. Patient-centered approach for improving prescription drug warning labels. Patient Educ Couns. 2008;72(3):443-9. doi:10.1016/j.pec.2008.05.019. https://psnet.ahrq.gov/issue/patient-cen…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46382/psn-pdf
    December 19, 2017 - Medication errors and trainees: advice for learners and organizations. December 19, 2017 Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. https://psnet.ahrq.gov/issue/medication-errors-and…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46469/psn-pdf
    October 25, 2017 - RxAwareness. October 25, 2017 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/rxawareness The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to raise awareness of the addictive nature of the medication. This national campaign enlists…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60924/psn-pdf
    September 16, 2020 - Avoid punitive approach to your safety event reporting, September 16, 2020 Cheney C. HealthLeaders. September 4, 2020. https://psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting A blameless approach to error and near miss reporting is foundational to the success of the effort. This article di…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38885/psn-pdf
    August 19, 2009 - Patient safety: Part II. Opportunities for improvement in patient safety. August 19, 2009 Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.jaad.2009.04.055. https://psnet.ahrq.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44452/psn-pdf
    September 04, 2016 - Reflecting on diagnostic errors: taking a second look is not enough. September 4, 2016 Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4. https://psnet.ahrq.gov/issue/reflecting-diagnostic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73886/psn-pdf
    September 29, 2021 - When less is more: the role of overdiagnosis and overtreatment in patient safety. September 29, 2021 Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013. https://psnet.ahrq.gov/issue/when-less-more-role-overdi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35550/psn-pdf
    March 02, 2010 - Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. March 2, 2010 Philibert I. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. Sleep. 2005;28(11):1392-402. https://psnet.ahrq.gov/issue/sleep-loss-and-performance-residents-and-nonphysicians…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39432/psn-pdf
    April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. April 8, 2011 Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149. ht…

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