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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34644/psn-pdf
    December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9- year experience. December 23, 2008 Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36032/psn-pdf
    April 11, 2011 - Pediatric medication safety and the media: what does the public see? April 11, 2011 Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see? Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017. https://psnet.ahrq.gov/issue/pediatric-medication-safety-and-media…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46287/psn-pdf
    April 12, 2019 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. April 12, 2019 Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned. Anesth Analg. 2017;126(2):471-477. doi:10.12…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40132/psn-pdf
    May 25, 2011 - Information needs in operating room teams: what is right, what is wrong, and what is needed? May 25, 2011 Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:10.1007/s00464-010-1486-z. https://psn…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854992/psn-pdf
    November 01, 2023 - Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? November 1, 2023 Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? A systematic review. Neurosurg Rev. 2023;46(1):227. doi:10.1007/s1014…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865667/psn-pdf
    April 24, 2024 - Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review. April 24, 2024 Scanlan R, Flenady T, Judd J. Impact of short?notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J Adv Nurs. 2024;80(10):3965-3976. d…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47730/psn-pdf
    January 23, 2019 - Assessment of a simulated case-based measurement of physician diagnostic performance. January 23, 2019 Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetworkopen.2018.7006. https://psn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48140/psn-pdf
    July 31, 2019 - Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. July 31, 2019 Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11(4):e4376. doi:10.7759/cureus.4376.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45904/psn-pdf
    October 24, 2017 - Addressing physician burnout: the way forward. October 24, 2017 Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA. 2017;317(9):901-902. doi:10.1001/jama.2017.0076. https://psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward Burnout can diminish both patient safety and …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36856/psn-pdf
    August 31, 2011 - Hospital workload and adverse events. August 31, 2011 Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events Past research suggests a relationship between nursing workload and quality of car…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43138/psn-pdf
    April 23, 2014 - The quest for safe surgical care: are we missing the obvious? April 23, 2014 Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5. https://psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious Many studies have examined how checklists impact …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849133/psn-pdf
    May 17, 2023 - The association between patient safety culture and adverse events - a scoping review. May 17, 2023 Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s12913-023-09332-8. https://psnet.ahrq.go…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34742/psn-pdf
    July 20, 2016 - Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. July 20, 2016 Helmreich RL, Merritt AC. Brookfield, VT: Ashgate; 1998. ISBN: 9780291398536. https://psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional- influences This boo…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844796/psn-pdf
    September 18, 2019 - Workplace violence against anesthesiologists: we are not immune to this patient safety threat. September 18, 2019 Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;57:123-137. https://psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient- safety-thre…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853058/psn-pdf
    August 30, 2023 - Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. August 30, 2023 Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207. https://psnet.ahrq.gov/iss…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50839/psn-pdf
    January 29, 2020 - Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. January 29, 2020 Lintern S. The Independent. January 15, 2020. https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak The Francis report is a primary example of a large-scale …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849336/psn-pdf
    May 24, 2023 - AI may be on its way to your doctor’s office, but it’s not ready to see patients. May 24, 2023 Tahir D. KFF Health News. May 12, 2023. https://psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients Real-time use of artificial intelligence (AI) in health care settings continues to cau…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44449/psn-pdf
    January 22, 2016 - Do patient safety indicators explain increased weekend mortality? January 22, 2016 Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. https://psnet.ahrq.gov/issue/do-patient-safety-indicators-ex…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47517/psn-pdf
    January 27, 2019 - Defining and classifying terminology for medication harm: a call for consensus. January 27, 2019 Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-2567-5. https://psnet.ahrq.gov/iss…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36511/psn-pdf
    January 07, 2011 - Facing ambiguous threats. January 7, 2011 Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. https://psnet.ahrq.gov/issue/facing-ambiguous-threats This study describes how organizations respond to signs that may or may not portend future catastrophes. The authors…

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