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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41668/psn-pdf
    December 21, 2014 - A surgical simulation curriculum for senior medical students based on TeamSTEPPS. December 21, 2014 Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340. https://psnet.ahrq.gov/issue/…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41360/psn-pdf
    September 30, 2012 - The simulated ward: ideal for training clinical clerks in an era of patient safety. September 30, 2012 Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050. https://psnet.ahrq.gov/issue/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47539/psn-pdf
    November 28, 2018 - The star of the diagnostic journey: assessing patient perspectives. November 28, 2018 Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45. https://psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives Patients are increasingly seen as partners in efforts to improve health ca…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50805/psn-pdf
    January 15, 2020 - Advancing safety with closed-loop communication of test results. January 15, 2020 Quick Safety. December 17, 2019;(52):1-3. https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41053/psn-pdf
    December 30, 2014 - Time to accelerate integration of human factors and ergonomics in patient safety. December 30, 2014 Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. https://psnet.ahrq.gov/issue/time-acc…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46553/psn-pdf
    October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44770/psn-pdf
    September 24, 2016 - Obstacles to research on the effects of interruptions in healthcare. September 24, 2016 Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083. https://psnet.ahrq.gov/issue/obstacles-research-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860400/psn-pdf
    January 10, 2024 - AHA Patient Safety Initiative. January 10, 2024 American Hospital Association. https://psnet.ahrq.gov/issue/aha-patient-safety-initiative Leadership at the organization and system level is crucial to gaining improvement traction and sustainability. This initiative centers on safety culture, care inequities, and wo…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44155/psn-pdf
    June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43591/psn-pdf
    August 02, 2015 - The automated operating room: a team approach to patient safety and communication. August 2, 2015 Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825. https://psnet.ahrq.gov/issue/au…
  11. 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…
  12. 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:…
  13. 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…
  14. 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.…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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 …
  20. 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…