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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45800/psn-pdf
    January 18, 2017 - Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. January 18, 2017 Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital- Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.7326/M16- 2545. https://psnet.ahrq…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849327/psn-pdf
    May 24, 2023 - Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. May 24, 2023 Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04166-7. https://psnet.ahrq.gov/issue/diag…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41022/psn-pdf
    December 21, 2011 - Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. December 21, 2011 Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communicatio…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42635/psn-pdf
    December 06, 2013 - Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. December 6, 2013 Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39428/psn-pdf
    April 07, 2010 - Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. April 7, 2010 Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018. h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46143/psn-pdf
    June 14, 2017 - Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. June 14, 2017 Dublin, Ireland: Health Information and Quality Authority; May 2017. https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital- tullamore-coun…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34778/psn-pdf
    December 23, 2008 - Anesthetic mishaps: breaking the chain of accident evolution. December 23, 2008 Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution A review of anesthesia saf…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34909/psn-pdf
    February 27, 2009 - Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. February 27, 2009 Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Ann Emerg Med. 200…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44273/psn-pdf
    July 01, 2015 - Current issues in patient safety in surgery: a review. July 1, 2015 Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4. https://psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review Universal strateg…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36917/psn-pdf
    September 01, 2011 - Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. September 1, 2011 Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996- 2004 from closed claims registered by the Danish…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47597/psn-pdf
    August 07, 2019 - Intentional rounding—an integrative literature review. August 7, 2019 Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review This review exam…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43882/psn-pdf
    February 18, 2015 - Case Studies in Patient Safety: Foundations for Core Competencies. February 18, 2015 Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548. https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies Patient stories can help illustrate…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47871/psn-pdf
    March 27, 2019 - Closing the disclosure gap: medical errors in pediatrics. March 27, 2019 Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4). doi:10.1542/peds.2019-0221. https://psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics Disclosure of errors and advers…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840492/psn-pdf
    November 30, 2022 - Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. November 30, 2022 Eldeib D. ProPublica. November 13, 2022. https://psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen- mothers Pregnancy is recognized as a high-risk condition …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46945/psn-pdf
    August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review. August 29, 2018 Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review Variou…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48093/psn-pdf
    July 24, 2019 - Failure to report poor care as a breach of moral and professional expectation. July 24, 2019 Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299. https://psnet.ahrq.gov/issue/failure-report-poor-care-breac…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47766/psn-pdf
    March 27, 2019 - Advancing the Safety of Acute Pain Management. March 27, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management Pain management has emerged as a complex safety concern. This report discusses four organizational prerequisites to improve pain …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60851/psn-pdf
    August 26, 2020 - Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error Challenges to effective clinical reas…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47632/psn-pdf
    April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46326/psn-pdf
    October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd…

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