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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46087/psn-pdf
    September 24, 2017 - Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. September 24, 2017 Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Important Legal Precedent From the da…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48019/psn-pdf
    June 26, 2019 - Please reconcile, not wait a while. June 26, 2019 Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while Medication reconciliation to ensure ac…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45230/psn-pdf
    July 20, 2016 - Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. July 20, 2016 Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.0000000000000532. https://psnet.ahrq.gov/issu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46093/psn-pdf
    April 26, 2017 - Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems. April 26, 2017 Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2017;166(8):HO2-HO3. doi:10.7326/M17-05…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. September 1, 2018 Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48119/psn-pdf
    August 07, 2019 - Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. August 7, 2019 Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inp…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46903/psn-pdf
    December 04, 2018 - Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? December 4, 2018 Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41. https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn- about-improvement …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45805/psn-pdf
    April 12, 2017 - 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. April 12, 2017 Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract. 2017;64(6):e26484. doi:10.1002/pbc.2…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73215/psn-pdf
    May 05, 2021 - To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. May 5, 2021 Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43893/psn-pdf
    March 04, 2015 - Impact of incorporating pharmacy claims data into electronic medication reconciliation. March 4, 2015 Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.2146/ajhp140082. https://psnet.ahrq.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61059/psn-pdf
    October 28, 2020 - Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. October 28, 2020 Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44930/psn-pdf
    June 01, 2016 - How well is quality improvement described in the perioperative care literature? A systematic review. June 1, 2016 Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2016;42(5):196-206. https://psnet.ahr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74153/psn-pdf
    December 08, 2021 - The benefits and harms of open notes in mental health: a Delphi survey of international experts. December 8, 2021 Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46142/psn-pdf
    June 14, 2017 - Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. June 14, 2017 Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. https://psnet.ahrq.gov/issue/introducing-new-ju…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47388/psn-pdf
    March 13, 2019 - Artificial intelligence systems for complex decision- making in acute care medicine: a review. March 13, 2019 Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2. https://psnet.ahrq.gov/issue/artificial-in…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43809/psn-pdf
    February 25, 2015 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. February 25, 2015 Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pedia…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45014/psn-pdf
    July 18, 2016 - Improving patient safety through simulation training in anesthesiology: where are we? July 18, 2016 Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523. https://psnet.ahrq.gov/issue/impro…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73534/psn-pdf
    July 28, 2021 - "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. July 28, 2021 Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74127/psn-pdf
    December 01, 2021 - Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review. December 1, 2021 Theobald KA, Tutticci N, Ramsbotham J, et al. Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systemati…