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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839816/psn-pdfJanuary 01, 2023 - Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. November 9, 2022 Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg Educ. 2023;80(1):102-109. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847546/psn-pdfMarch 25, 2021 - Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. March 25, 2021 Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional interventi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866398/psn-pdfJuly 31, 2024 - An effective program to reduce malpractice claims and payments in a large orthopaedic practice. July 31, 2024 Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):1286-1292. doi:10.2106/jbjs.23.00973.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866312/psn-pdfJuly 17, 2024 - Development of patient safety measures to identify inappropriate diagnosis of common infections. July 17, 2024 White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-1411. doi:10.1093/cid/ciae044. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866517/psn-pdfAugust 14, 2024 - Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. August 14, 2024 Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1177/0272989x241248612. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50573/psn-pdfOctober 23, 2019 - Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. October 23, 2019 Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. J … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44237/psn-pdfNovember 03, 2015 - Surgical never events and contributing human factors. November 3, 2015 Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors Never even… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38935/psn-pdfMarch 01, 2017 - Leadership committed to safety. December 23, 2016 Sentinel Event Alert. August 27, 2009;(43):1-3. https://psnet.ahrq.gov/issue/leadership-committed-safety Despite the past decade's focus on improving patient safety, most health care organizations are still striving to achieve high reliability status—consistently p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837799/psn-pdfAugust 10, 2022 - Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. August 10, 2022 Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a befo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837069/psn-pdfJanuary 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. May 11, 2022 Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73132/psn-pdfApril 14, 2021 - Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review. April 14, 2021 Vasey B, Ursprung S, Beddoe B, et al. Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review. JAMA Netw Open. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46309/psn-pdfDecember 22, 2018 - Effects of the I-PASS nursing handoff bundle on communication quality and workflow. December 22, 2018 Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36518/psn-pdfMarch 28, 2011 - Nurses' attitudes to a medical emergency team service in a teaching hospital. March 28, 2011 Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching hospital. Qual Saf Health Care. 2006;15(6):427-32. https://psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866687/psn-pdfSeptember 11, 2024 - An exploratory analysis of the association between healthcare associated infections & hospital financial performance. September 11, 2024 Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between healthcare associated infections & hospital financial performance. Healthcare (Basel… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36409/psn-pdfSeptember 28, 2016 - The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. September 28, 2016 Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. IntJ Med Inform. 2007;76… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41494/psn-pdfJune 27, 2012 - National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. June 27, 2012 Washington, DC: National Quality Forum; June 2012. https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus- report Progress in improving patient safety has been hampe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35856/psn-pdfJune 16, 2011 - The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. June 16, 2011 Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res. 2006;6(1):44. doi:10.1186/1472… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36487/psn-pdfJune 16, 2011 - Perceptions of safety culture vary across the intensive care units of a single institution. June 16, 2011 Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Care Med. 2007;35(1):165-76. https://psnet.ahrq.gov/issue/perceptions-saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42619/psn-pdfJanuary 23, 2019 - High-reliability health care: getting there from here. January 23, 2019 Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023. https://psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here Aviation is often cited as an … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837797/psn-pdfAugust 10, 2022 - Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. August 10, 2022 Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situations of error theory as a psychos…
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