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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850911/psn-pdf
    June 21, 2023 - International perspectives on modifications to the surgical safety checklist. June 21, 2023 Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183. https://psnet.ahrq.gov/issue/internatio…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853436/psn-pdf
    September 13, 2023 - Long-term sustainability and adaptation of I-PASS handovers. September 13, 2023 Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007. https://psnet.ahrq.gov/issue/long-term-sustainability-and-ada…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47032/psn-pdf
    May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. May 23, 2018 Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037. https://psnet.ahrq.g…

  4. 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…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38060/psn-pdf
    April 11, 2011 - Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. April 11, 2011 Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Pediatrics. 2008;122(3):55…

  6. 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 …

  7. 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.…

  8. 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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34797/psn-pdf
    October 06, 2015 - Adapting to new technologies in the operating room. October 6, 2015 Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593- 613. doi:10.1518/001872096778827224. https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room New technology continues to offer great ad…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35510/psn-pdf
    February 19, 2010 - Simulation study of rested versus sleep-deprived anesthesiologists. February 19, 2010 Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-200306000-00008. https://psnet.ahrq.gov/issue/simulation-study-res…

  11. 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…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35069/psn-pdf
    June 22, 2009 - Towards an organization with a memory: exploring the organizational generation of adverse events in health care. June 22, 2009 Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manage Res. 2005;18(2). doi:10.1258/0951484053…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47892/psn-pdf
    March 27, 2019 - Addressing medicine's bias against patients who are overweight. March 27, 2019 Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927. doi:10.1001/jama.2019.0048. https://psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight Patients with o…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73429/psn-pdf
    June 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. June 23, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings Wrong site/wrong patent surgery is a persisten…

  15. 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 …

  16. 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…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43390/psn-pdf
    July 30, 2014 - Hazards tied to medical records rush. July 30, 2014 Rowland C. https://psnet.ahrq.gov/issue/hazards-tied-medical-records-rush Government incentives have led to rapid development and adoption of electronic health records (EHRs). This newspaper article examines some of the unintended consequences of implementing ele…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44431/psn-pdf
    October 21, 2015 - Use of a human factors classification framework to identify causal factors for medication and medical device- related adverse clinical incidents. October 21, 2015 Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for medication and medical device-re…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46697/psn-pdf
    January 10, 2018 - Primary care providers' perspectives on errors of omission. January 10, 2018 Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161. https://psnet.ahrq.gov/issue/primary-care-providers-perspectives…
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