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2021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46681/psn-pdf
      April 16, 2018 - Trainee autonomy and patient safety. April 16, 2018 George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety Reduced resident work hours and insufficient senior surgeon…

2022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41427/psn-pdf
      October 19, 2012 - How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. October 19, 2012 Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Biol Phys. 2012;84(2):e131-7. doi:1…

2023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44420/psn-pdf
      August 26, 2015 - Obstetric safety and quality. August 26, 2015 Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918. https://psnet.ahrq.gov/issue/obstetric-safety-and-quality Obstetric hospital admission has substantial potential for harm should something go wr…

2024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43096/psn-pdf
      August 22, 2016 - Rapid learning of adverse medical event disclosure and apology. August 22, 2016 Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-d…

2025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47336/psn-pdf
      March 04, 2019 - "Saying sorry": some strategies for effective apology within the workplace. March 4, 2019 Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571. https://psnet.ahrq.gov/issue/saying-sorry…

2026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37221/psn-pdf
      December 15, 2011 - Simulation-based medical error disclosure training for pediatric healthcare professionals. December 15, 2011 Wayman KI, Yaeger KA, Sharek PJ, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual. 2007;29(4):12-9. https://psnet.ahrq.gov/issue/simulation-ba…

2027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47534/psn-pdf
      November 21, 2018 - Resident hesitation in the operating room: does uncertainty equal incompetence? November 21, 2018 Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. https://psnet.ahrq.gov/issue/resident-hesit…

2028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43177/psn-pdf
      May 14, 2014 - Disclosing medical errors to patients: effects of nonverbal involvement. May 14, 2014 Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007. https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-n…

2029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842779/psn-pdf
      January 12, 2011 - Resilience Engineering in Practice: a Guidebook. January 12, 2011 Hollnagel E, Parie?s J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749 https://psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook Safety-critical industries rely on organizational aptitude to respond to disr…

2030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838140/psn-pdf
      November 07, 2015 - Safety-I, Safety-II and resilience engineering. November 7, 2015 Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering Organiz…

2031. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44380/psn-pdf
      October 26, 2018 - From Safety-I to Safety-II: A White Paper. October 26, 2018 Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper To enhance patient safety, researchers must consider complexity in health care settings. This white pape…

2032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33636/psn-pdf
      July 01, 2006 - Key Issues in Developing a Successful Hospital Safety Program July 1, 2006 Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program Perspective What are the key success factors…

2033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47159/psn-pdf
      August 01, 2018 - Safety II behavior in a pediatric intensive care unit. August 1, 2018 Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018. https://psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit The tradit…

2034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47341/psn-pdf
      August 29, 2018 - AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. August 29, 2018 AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J. 2018;108(1):64-65. doi:10.1002/aorn.12292. https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-h…

2035. 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 …

2036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37424/psn-pdf
      May 25, 2011 - Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. May 25, 2011 Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 75 cases from Germany. Fam Pract. 2008…

2037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43979/psn-pdf
      April 29, 2015 - The Report of the Morecambe Bay Investigation. April 29, 2015 Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306. https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation Sharing information about large-scale investigations into failures can provide insights on factors that contribute to…

2038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47473/psn-pdf
      December 05, 2018 - Holding out for an apology. December 5, 2018 Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033. https://psnet.ahrq.gov/issue/holding-out-apology Patients who experience care complications are vulnerable to psychological consequences that can affect their relationship with their clinical teams.…

2039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837811/psn-pdf
      August 10, 2022 - Examining the Status of VA’s Electronic Health Record Modernization Program. August 10, 2022 US Senate Committee on Veterans Affairs. 117th Cong (2021-2022). (July 20, 2022). https://psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program Large-scale electronic health record (EHR) …

2040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40442/psn-pdf
      May 18, 2011 - Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences. May 18, 2011 Dintzis SM, Stetsenko GY, Sitlani CM, et al. Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experien…