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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44451/psn-pdfOctober 14, 2015 - Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. October 14, 2015 Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Female Surgeons. J Am Coll Surg. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45862/psn-pdfFebruary 08, 2017 - Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. February 8, 2017 Newcastle Upon Tyne, UK: Care Quality Commission; December 2016. CQC-356-122016. https://psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-rev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47349/psn-pdfJanuary 30, 2019 - Relationship of staff information sharing and advice networks to patient safety outcomes. January 30, 2019 Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10.1097/NNA.0000000000000646. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836773/psn-pdfMarch 23, 2022 - Association between operative autonomy of surgical residents and patient outcomes. March 23, 2022 Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848381/psn-pdfMay 03, 2023 - VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. May 3, 2023 Muoio D. Fierce Healthcare. April 21, 2023. https://psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error- ridden-early-rollout Notable problems have occurred during t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837743/psn-pdfJuly 27, 2022 - The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022 Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-01137-204. https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient- harm Problems w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47254/psn-pdfSeptember 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48089/psn-pdfJune 19, 2019 - Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the American College of Physicians. June 19, 2019 Candilis PJ, Kim DT, Sulmasy LS, et al. Physician Impairment and Rehabilitation: Reintegration Into Medical Practice While Ensuring Pat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837764/psn-pdfAugust 03, 2022 - Disparities in adverse event reporting for hospitalized children. August 3, 2022 Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049. https://psnet.ahrq.gov/issue/disparities-adverse-event… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73664/psn-pdfSeptember 01, 2021 - Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? September 1, 2021 Speaks L, Helmer SD, Quinn KR, et al. Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? J Surg Ed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45145/psn-pdfJanuary 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. January 8, 2018 Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family Involvement in Care in a Pediatric… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839310/psn-pdfDecember 01, 2019 - The patient perspective on errors in cancer care: results of a cross-sectional survey. December 1, 2019 Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross- sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.0000000000000368. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838627/psn-pdfOctober 19, 2022 - Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums. October 19, 2022 Dehmoobad Sharifabadi A, Clarkin C, Doja A. Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums. BMJ Open. 2022;12(9):e063104. doi:10.1136/bmj… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43438/psn-pdfFebruary 23, 2018 - Safety-I and Safety-II: The Past and Future of Safety Management. February 23, 2018 Hollnagel E. Aldershot, Hampshire, England: Ashgate; 2014. ISBN: 9781472423085. https://psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management Historically, the approach to patient safety has been more reacti… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.pptMay 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Fatal Error in Neonate: Does ‘Just Culture’ Provide an Answer? * * Source and Credits This presentation is based on the May 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Sidney W.A. Dekker, Ph… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49845/psn-pdfOctober 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages October 1, 2018 Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages The Case A 1-month-old preterm infant in the ne… -
psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safetySeptember 29, 2017 - Relationships Between Physician Professional Satisfaction and Patient Safety Mark Friedberg, MD, MPP | February 1, 2016 View more articles from the same authors. Citation Text: Friedberg MW. Relationships Between Physician Professional Satisfaction and Patient Saf…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49581/psn-pdfMarch 21, 2009 - Double Dosing, by the Rules March 21, 2009 Cohen H. Double Dosing, by the Rules. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/double-dosing-rules The Case A 65-year-old woman with rheumatoid arthritis and chronic obstructive pulmonary disease (COPD) was admitted to a medical unit during the night with wo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33827/psn-pdfFebruary 01, 2017 - New Insights About Team Training From a Decade of TeamSTEPPS February 1, 2017 Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps Perspective Ten years ago, the Ag… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50697/psn-pdfNovember 27, 2019 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation November 27, 2019 Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation The Case A 36-year-old woman with a history of dep…
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