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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35339/psn-pdf
    April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42976/psn-pdf
    May 29, 2014 - Quality and safety in pediatric hematology/oncology. May 29, 2014 Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946. https://psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology Children with cancer are particularly vulner…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34659/psn-pdf
    April 07, 2010 - Leading change: why transformation efforts fail. April 7, 2010 Kotter JP. Harvard Bus Rev  1995;73(2);59-67. https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail Kotter, a professor at Harvard Business School, outlines the eight stages of a successful change process, as well a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43699/psn-pdf
    November 26, 2014 - Diagnosing overdiagnosis: conceptual challenges and suggested solutions. November 26, 2014 Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol. 2014;29(9):599-604. doi:10.1007/s10654-014-9920-5. https://psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challen…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47289/psn-pdf
    October 24, 2018 - ASHP guidelines on managing drug product shortages. October 24, 2018 Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441. https://psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages Drug shortages are a pe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40769/psn-pdf
    March 21, 2012 - Identification of adverse events in ground transport emergency medical services. March 21, 2012 Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/1062860611415515. https://psnet.ahrq.gov/issue/ide…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39072/psn-pdf
    November 04, 2009 - Variations in nursing care quality across hospitals. November 4, 2009 Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. J Adv Nurs. 2009;65(11):2299-310. doi:10.1111/j.1365-2648.2009.05090.x. https://psnet.ahrq.gov/issue/variations-nursing-care-quality-across-hospitals This seconda…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46336/psn-pdf
    August 23, 2017 - Improving the Working Environment for Safe Surgical Care. August 23, 2017 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care Surgical training is demanding and can r…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45257/psn-pdf
    July 27, 2016 - Exploring approaches to patient safety: the case of spinal manipulation therapy. July 27, 2016 Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2. https://psnet.ahrq.gov/issue/exploring-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41388/psn-pdf
    May 30, 2012 - Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. May 30, 2012 Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. Ann…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46244/psn-pdf
    June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46076/psn-pdf
    September 24, 2017 - The evolving story of overlapping surgery. September 24, 2017 Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061. https://psnet.ahrq.gov/issue/evolving-story-overlapping-surgery Scheduling overlapping procedures is perceived as risky, despite l…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44729/psn-pdf
    January 07, 2016 - The morbidity and mortality meeting: time for a different approach? January 7, 2016 Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4- 8. doi:10.1136/archdischild-2015-309536. https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41971/psn-pdf
    January 23, 2013 - Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study. January 23, 2013 Leroy H, Dierynck B, Anseel F, et al. Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: A team-level study. Journal of Applied Psychology.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45150/psn-pdf
    October 13, 2018 - Pain as the neglected patient safety concern: five years on. October 13, 2018 Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. https://psnet.ahrq.gov/issue/pain-neglected-patient-safety-conce…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45689/psn-pdf
    January 25, 2018 - How to prevent burnout (maybe). January 25, 2018 Dissanaike S. How to prevent burnout (maybe). Am J Surg. 2016;212(6):1251-1255. doi:10.1016/j.amjsurg.2016.08.022. https://psnet.ahrq.gov/issue/how-prevent-burnout-maybe Burnout can affect the ability of individuals and teams to act safely. Originally delivered as a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46080/psn-pdf
    August 28, 2017 - A growth mindset approach to preparing trainees for medical error. August 28, 2017 Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40237/psn-pdf
    February 23, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses. February 23, 2011 Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876. ht…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40875/psn-pdf
    November 21, 2016 - Implementation of Condition Help: family teaching and evaluation of family understanding. November 21, 2016 Hueckel RM, Mericle JM, Frush K, et al. Implementation of condition help: family teaching and evaluation of family understanding. J Nurs Care Qual. 2012;27(2):176-81. doi:10.1097/NCQ.0b013e318235bdec. https:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45321/psn-pdf
    August 01, 2017 - Peer support for clinicians: a programmatic approach. August 1, 2017 Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297. https://psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach Peer support programs can help …

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