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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35588/psn-pdf
    February 03, 2011 - Creating a safer health care system: finding the constraint. February 3, 2011 Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. https://psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint This editorial builds on the discussi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837305/psn-pdf
    June 01, 2022 - Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. June 1, 2022 Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. Acad Med. 2…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44726/psn-pdf
    January 07, 2016 - The impact of resident duty hour and supervision changes: a review. January 7, 2016 Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061. https://psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73714/psn-pdf
    September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021 Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240. https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47783/psn-pdf
    April 10, 2019 - An IDEA: safety training to improve critical thinking by individuals and teams. April 10, 2019 Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/1062860618820687. https://psnet.ahrq.gov/issue/idea-s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47030/psn-pdf
    June 06, 2018 - Creating a safer operating room: groups, team dynamics and crew resource management principles. June 6, 2018 Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008. https://p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46032/psn-pdf
    May 03, 2017 - Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. May 3, 2017 King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the Military Health System. Mil Med. 2017;182(…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35089/psn-pdf
    August 05, 2009 - Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. August 5, 2009 Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6. https://psnet.ahrq.gov/issue/teaching-m…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46793/psn-pdf
    February 28, 2018 - Patient safety movement: history and future directions. February 28, 2018 Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions The pati…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838183/psn-pdf
    September 28, 2022 - Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. September 28, 2022 Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215. doi:10.1093/ajc…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46040/psn-pdf
    April 12, 2017 - How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. April 12, 2017 Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of health professionals to improve …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43855/psn-pdf
    April 15, 2016 - Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? April 15, 2016 Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad Practice? Ann Plast Surg. 2016;76(5):550-5. do…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44799/psn-pdf
    July 11, 2017 - Unintended Consequences: New Problems and New Solutions. July 11, 2017 Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271. https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions Unexpected effects associated with implementation and use of health information technolo…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73675/psn-pdf
    September 08, 2021 - A system-wide hospital child maltreatment patient safety program. September 8, 2021 Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40263/psn-pdf
    March 02, 2011 - Trauma resuscitation errors and computer-assisted decision support. March 2, 2011 FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333. https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43377/psn-pdf
    April 25, 2016 - Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." April 25, 2016 Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Comm J Qual Patient Saf. 2014;40(8):…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865704/psn-pdf
    May 01, 2024 - Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. May 1, 2024 Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46421/psn-pdf
    November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46706/psn-pdf
    March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. March 20, 2018 Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269. https://psnet.ahrq.gov/iss…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46187/psn-pdf
    December 06, 2017 - A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. December 6, 2017 Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for p…

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