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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43152/psn-pdf
    May 07, 2014 - The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014 Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. https://psnet.ahrq.gov/issue/trainees-voice-recog…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40658/psn-pdf
    August 03, 2011 - Development and validation of a tool to improve paediatric referral/consultation communication. August 3, 2011 Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781. https:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45093/psn-pdf
    September 04, 2016 - Radically redesigning patient safety. September 4, 2016 Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36041/psn-pdf
    June 21, 2006 - Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. June 21, 2006 Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG. https://psnet.ahrq.gov/issue/intraoperative-adverse-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42263/psn-pdf
    January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. January 14, 2014 Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082. https://psnet.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39863/psn-pdf
    January 04, 2011 - Improving the quality of drug error reporting. January 4, 2011 Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x. https://psnet.ahrq.gov/issue/improving-quality-drug-error-reporting This analysis of voluntarily…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37216/psn-pdf
    July 28, 2010 - Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. July 28, 2010 Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. https://psnet.ahrq.gov/issue/discharge-rounds-80-hour-workwee…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42370/psn-pdf
    June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34782/psn-pdf
    November 01, 2016 - When systems fail. November 1, 2016 Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090- 2616(01)00025-0. https://psnet.ahrq.gov/issue/when-systems-fail This review provides a detailed account of managerial causes of failure and managerial failure prevention strategies. The aut…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46971/psn-pdf
    July 18, 2018 - The Future of NHS Patient Safety Investigation. July 18, 2018 NHS Improvement. London, UK: National Health Service; 2018. https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation Organizational processes to investigate adverse care incidents play an important part in generating the learning needed for …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43185/psn-pdf
    May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41185/psn-pdf
    March 24, 2012 - Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. March 24, 2012 Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss- cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256. https://psnet.ahrq.gov/issue/lea…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47214/psn-pdf
    June 20, 2018 - Journal of Patient Safety and Risk Management. June 20, 2018 Wu AW, ed. Thousand Oaks, CA: SAGE Publications. ISSN: 2516-0435. https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management Risk management and legal issues can affect safety responses throughout a health care system. Articles in this publi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73572/psn-pdf
    August 04, 2021 - Center for Innovations in Quality, Effectiveness and Safety. IQuESt! August 4, 2021 Houston, TX:  Baylor College of Medicine. https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44912/psn-pdf
    November 18, 2016 - Patient safety in genomic medicine: an exploratory study. November 18, 2016 Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16. https://psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study This …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40584/psn-pdf
    July 25, 2011 - Crisis checklists for the operating room: development and pilot testing. July 25, 2011 Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031. https://psnet.ahrq.gov/issue/crisi…
  17. www.ahrq.gov/nursing-home/resources/nahca-resources.html
    February 01, 2021 - National Association of Health Care Assistants (NAHCA) Website Resource:  National Association of Health Care Assistants (NAHCA) website   The National Association of Health Care Assistants works to elevate the professional standing and performance of caregivers through recognition, advocacy, education and e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43356/psn-pdf
    July 16, 2014 - Introducing the safety score audit for staff member and patient safety. July 16, 2014 Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. https://psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-membe…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42279/psn-pdf
    May 15, 2013 - Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. May 15, 2013 Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):113-23; quiz 124-5. doi:10.1097/JPN.0b013…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37934/psn-pdf
    July 23, 2008 - Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. July 23, 2008 Nadzam D, Westergaard F. Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. J Nurs Care Qual. 2008;23(3):189-194. doi:10.1097/01.NCQ.000…