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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42173/psn-pdf
    April 24, 2013 - Hand hygiene and healthcare system change within multi- modal promotion: a narrative review. April 24, 2013 Allegranzi B, Sax H, Pittet D. Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. J Hosp Infect. 2013;83 Suppl 1:S3-10. doi:10.1016/S0195-6701(13)60003-1. https://psn…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46800/psn-pdf
    May 16, 2018 - Ireland investigates cervical cancer screening scandal. May 16, 2018 O'Loughlin E. New York Times. April 30, 2018. https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74045/psn-pdf
    November 03, 2021 - ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. November 3, 2021 Graham J. Kaiser Health News. October 20, 2021. https://psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias Implicit biases permeate decision making and can impede safe and e…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843322/psn-pdf
    February 01, 2023 - A deadly epidural, delivered by a doctor with a history of mistakes. February 1, 2023 Goldstein J. New York Times. January 23, 2023. https://psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes Active errors are evident when they occur, yet systemic weaknesses, if not addressed, allow them to rep…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838258/psn-pdf
    October 05, 2022 - Solutions from Professional Regulation and Beyond. October 5, 2022 Safer Care for All. London, England:  Professional Standards Authority for Health and Social Care; 2022. https://psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond Dedicated leadership is an important component to examine and ad…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867019/psn-pdf
    October 23, 2024 - Reports on Hospital and ASC Performance. October 23, 2024 Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024. https://psnet.ahrq.gov/issue/reports-hospital-and-asc-performance Data collection and transparency are known to motivate change and drive improvement efforts. This se…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35181/psn-pdf
    June 23, 2009 - Communication during trauma resuscitation: do we know what is happening? June 23, 2009 Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844778/psn-pdf
    September 18, 2019 - Assessing clinical reasoning: targeting the higher levels of the pyramid. September 18, 2019 Thampy H, Willert E, Ramani S. Assessing Clinical Reasoning: Targeting the Higher Levels of the Pyramid. J Gen Intern Med. 2019;34(8):1631-1636. doi:10.1007/s11606-019-04953-4. https://psnet.ahrq.gov/issue/assessing-clinic…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839328/psn-pdf
    November 02, 2022 - Quality and Safety. November 2, 2022 Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272. https://psnet.ahrq.gov/issue/quality-and-safety-1 Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to lower-income countries around the world support safe pedia…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73327/psn-pdf
    January 25, 2022 - ISMP Medication Safety Self Assessment® for Perioperative Settings. January 25, 2022 Institute for Safe Medication Practices https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings The perioperative setting is a high-risk area for medication errors, should they occur. This asses…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41722/psn-pdf
    October 17, 2012 - Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. October 17, 2012 Veazey Brooks J, Bosk CL. Remaking surgical socialization: Work hour restrictions, rites of passage, and occupational identity. Soc Sci Med. 2012;75(9). doi:10.1016/j.socscimed.2012.07.007. https:…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50826/psn-pdf
    January 22, 2020 - Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations January 22, 2020 Feldman SS, Brazil V, Zengul FD, et al, eds. Health Syst (Basingstoke). 2019;8(3):153-227. https://psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50623/psn-pdf
    November 06, 2019 - Adverse Events in Anesthesia: An Integrative Review. November 6, 2019 Lemos C de S, Poveda V de B. Adverse Events in Anesthesia: An Integrative Review. J Perianesth Nurs. 2019;34(5):978-998. doi:10.1016/j.jopan.2019.02.005. https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review This integrative …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863766/psn-pdf
    March 06, 2024 - Legacy: a Black Physician Reckons with Racism in Medicine. March 6, 2024 Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287. https://psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine The history of systemic racism is emerging to motivate health care equity and safety efforts. This memo…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37760/psn-pdf
    May 14, 2008 - The role of continuous quality improvement and psychological safety in predicting work-arounds. May 14, 2008 Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. doi:10.1097/01.HMR.0000304505.04932.62.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74708/psn-pdf
    January 26, 2022 - COVID Risk In Hospitals. January 26, 2022 Weber L, Jewett C. Kaiser Health News. 2021-2022. https://psnet.ahrq.gov/issue/covid-risk-hospitals The infectious nature of COVID continues to impact the safety of hospitalized patients. This article series examines factors contributing to hospital-acquired COVID-19 infec…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47025/psn-pdf
    April 11, 2018 - Chemotherapy medication errors. April 11, 2018 Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. https://psnet.ahrq.gov/issue/chemotherapy-medication-errors Chemotherapy errors can result in serious patient harm. This revi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42687/psn-pdf
    September 29, 2017 - Safety checklist compliance and a false sense of safety: new directions for research. September 29, 2017 Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168. https://psnet.ahrq.gov/issue/s…
  19. psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
    July 20, 2009 - Resources From the Same Author(s) Database construction for improving patient safety by examining
  20. psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
    April 17, 2019 - November 4, 2014 Examining the diagnostic justification abilities of fourth-year medical

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