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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45728/psn-pdf
    January 23, 2017 - Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. January 23, 2017 Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout. Mayo Clin Proc. 2017;92(1):12…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45298/psn-pdf
    April 22, 2017 - The problem with root cause analysis. April 22, 2017 Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417- 422. doi:10.1136/bmjqs-2016-005511. https://psnet.ahrq.gov/issue/problem-root-cause-analysis Root cause analysis (RCA) is a strategy to investigate incident…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42170/psn-pdf
    May 10, 2013 - Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. May 10, 2013 Burnett E, Kearney N, Johnston B, et al. Understanding factors that impact on health care profess…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45736/psn-pdf
    February 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43310/psn-pdf
    July 09, 2014 - Antimicrobial stewardship: another focus for patient safety? July 9, 2014 Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patie…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74081/psn-pdf
    November 17, 2021 - The influence of the availability heuristic on physicians in the emergency department. November 17, 2021 Ly DP. The influence of the availability heuristic on physicians in the emergency department. Ann Emerg Med. 2021;78(5):650-657. doi:10.1016/j.annemergmed.2021.06.012. https://psnet.ahrq.gov/issue/influence-ava…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43645/psn-pdf
    November 12, 2014 - Health IT and Clinical Decision Support Systems. November 12, 2014 Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375. https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems A universal agreement on how to calculate the return on investment for health information technology (IT) and…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840144/psn-pdf
    November 16, 2022 - Dedicated teams to optimize quality and safety of surgery: a systematic review. November 16, 2022 Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078. doi:10.1093/intqhc/mzac078. ht…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46489/psn-pdf
    January 01, 2021 - Intervening in interruptions: what exactly is the risk we are trying to manage? October 11, 2017 Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429. https://psnet.ahrq.gov/issue/intervening…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47232/psn-pdf
    November 14, 2018 - Managing alarm systems for quality and safety in the hospital setting. November 14, 2018 Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202. https://psnet.ahrq.gov/issue/managing-alarm-systems-quality…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73222/psn-pdf
    May 05, 2021 - Fatal mistakes: why do ten-fold medication errors in children keep happening? May 5, 2021 Parry C. The Pharmaceutical Journal.  April 22 2021. https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening Weight-based prescribing in children harbors challenges to accura…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38779/psn-pdf
    July 15, 2009 - Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. July 15, 2009 Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. Ergonomics.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47503/psn-pdf
    October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44911/psn-pdf
    February 17, 2016 - Improving doctor–patient communication in a digital world. February 17, 2016 Lakshmanan I. The Diane Rehm Show. February 9, 2016. https://psnet.ahrq.gov/issue/improving-doctor-patient-communication-digital-world Digital technologies represent both promise and risks for communication in health care. This radio inte…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34779/psn-pdf
    December 21, 2014 - Measuring and managing quality of surgery. Statistical vs incidental approaches. December 21, 2014 McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg. 1992;127(6):733-7; discussion 738. https://psnet.ahrq.gov/issue/measuring-and-mana…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44187/psn-pdf
    November 10, 2015 - A safe practice standard for barcode technology. November 10, 2015 Leung AA, Denham CR, Gandhi TK, et al. A safe practice standard for barcode technology. J Patient Saf. 2015;11(2):89-99. doi:10.1097/PTS.0000000000000049. https://psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology Barcode technology has…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72470/psn-pdf
    January 01, 2021 - Safe use of the EHR by medical scribes: a qualitative study. November 18, 2020 Ash JS, Corby S, Mohan V, et al. Safe use of the EHR by medical scribes: a qualitative study. J Amer Med Inform Assoc. 2021;28(2):294-302. doi:10.1093/jamia/ocaa199. https://psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73858/psn-pdf
    September 22, 2021 - Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. September 22, 2021 D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Surgery. 2021;170(2):440-44…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37631/psn-pdf
    May 18, 2015 - The science of improvement. May 18, 2015 Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182. https://psnet.ahrq.gov/issue/science-improvement This commentary by Dr. Donald Berwick, president of the Institute for Healthcare Improvement, addresses the growing tension betw…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48035/psn-pdf
    May 29, 2019 - Is the future of medical diagnosis in computer algorithms? May 29, 2019 Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15- e16. doi:10.1016/s2589-7500(19)30011-1. https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms Artificial intelligence…