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  1. 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…
  2. 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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74056/psn-pdf
    January 01, 2022 - Critical care simulation education program during the COVID-19 pandemic. November 10, 2021 Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19 pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928. https://psnet.ahrq.gov/issue/critical-care…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72722/psn-pdf
    February 10, 2021 - Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. February 10, 2021 Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff Toward Medical Error Management Policies in Humanitari…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36068/psn-pdf
    September 28, 2010 - Getting doctors to report medical errors: project DISCLOSE. September 28, 2010 King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt Comm J Qual Patient Saf. 2006;32(7):382-392. https://psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose This …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46485/psn-pdf
    October 18, 2017 - Medical team training improves team performance: AOA critical issues. October 18, 2017 Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. https://psnet.ahrq.gov/issue/medical-team-t…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44514/psn-pdf
    April 05, 2016 - Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study. April 5, 2016 Fanning L, Jones N, Manias E. Impact of automated dispensing cabinets on medication selection and preparation error r…
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45650/psn-pdf
    December 14, 2016 - Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence. December 14, 2016 Tournebize J, Gibaja V, Muszczak A, et al. Are Physicians Safely Prescribing Opioids for Chronic Noncancer Pain? A Systematic Review of Current Evidence. Pain Pract. 2016;16(3):370-83. d…
  10. 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-…
  11. 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…
  12. 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(…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34083/psn-pdf
    June 30, 2011 - Handoff strategies in settings with high consequences for failure: lessons for health care operations. June 30, 2011 Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual Health Care. 2004;16(2):125-132. doi:10.1093/intqhc/mzh026. https://ps…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37907/psn-pdf
    May 26, 2011 - Assessing the anticipated consequences of computer- based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument. May 26, 2011 Sittig DF, Ash JS, Guappone KP, et al. Assessing the anticipated consequences of Computer-based Provider Order Entry at three community ho…
  16. 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. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856634/psn-pdf
    January 01, 2024 - Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. November 29, 2023 Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Patient Saf. 2024;50(2):139-148. d…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47147/psn-pdf
    November 19, 2018 - Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. November 19, 2018 Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process for Operating Room-to- ICU Tra…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47183/psn-pdf
    May 11, 2019 - Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. May 11, 2019 Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of Certification: A Qualitative Analysis of A…
  20. 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…

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