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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73884/psn-pdf
    September 29, 2021 - Dual surgeon operating to improve patient safety. September 29, 2021 Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg. 2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014. https://psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety Many non-urgent, non-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46713/psn-pdf
    April 12, 2019 - Association between ophthalmologist age and unsolicited patient complaints. April 12, 2019 Fathy CA, Pichert JW, Domenico HJ, et al. Association Between Ophthalmologist Age and Unsolicited Patient Complaints. JAMA Ophthalmol. 2018;136(1):61-67. doi:10.1001/jamaophthalmol.2017.5154. https://psnet.ahrq.gov/issue/ass…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46366/psn-pdf
    September 27, 2017 - Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. September 27, 2017 Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03.009. https://psnet.ahrq.gov/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41905/psn-pdf
    December 05, 2012 - Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. December 5, 2012 Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. J Patient Saf. 2012;8(4):1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44788/psn-pdf
    May 31, 2017 - Patient handoffs: is cross cover or night shift better? May 31, 2017 Higgins A, Brannen ML, Heiman HL, et al. Patient Handoffs: Is Cross Cover or Night Shift Better? J Patient Saf. 2017;13(2):88-92. doi:10.1097/PTS.0000000000000126. https://psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better Du…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47936/psn-pdf
    June 14, 2019 - A team disclosure of error educational activity: objective outcomes. June 14, 2019 Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883. https://psnet.ahrq.gov/issue/team-disclosure-error-educatio…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45837/psn-pdf
    March 08, 2017 - Promoting civility in the OR: an ethical imperative. March 8, 2017 Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019. https://psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative The operating room is a complex environment th…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40290/psn-pdf
    May 25, 2011 - Fatigue, performance and the work environment: a survey of registered nurses. May 25, 2011 Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. https://psnet.ahrq.gov/issue/fatigue-performance-and…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47387/psn-pdf
    September 12, 2018 - Guideline implementation: team communication. September 12, 2018 Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. https://psnet.ahrq.gov/issue/guideline-implementation-team-communication Although team development has rec…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42564/psn-pdf
    September 11, 2013 - Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. September 11, 2013 Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1002/bjs.9168. https://psnet.ah…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43462/psn-pdf
    September 12, 2016 - Preventable mortality after common urological surgery: failing to rescue? September 12, 2016 Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. https://psnet.ahrq.gov/issue/preventable-mortality-af…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36716/psn-pdf
    July 26, 2011 - Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. July 26, 2011 Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. Am J Health Syst Pharm.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43243/psn-pdf
    June 11, 2014 - Improved incident reporting following the implementation of a standardized emergency department peer review process. June 11, 2014 Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86. d…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39284/psn-pdf
    April 12, 2011 - Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. April 12, 2011 Garrouste-Orgeas M, Timsit JF, Vesin A, et al. Selected Medical Errors in the Intensive Care Unit. Am J Respir Crit Care Med. 2009;181(2):134-142. doi:10.1164/rccm.200812-1820oc. https://psnet.ahrq.gov…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43120/psn-pdf
    September 27, 2016 - How studying human factors improves patient safety. September 27, 2016 Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. https://psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety Human factors engineering is being increasingly promoted as an…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867650/psn-pdf
    January 01, 2022 - Opioid deprescribing toolkit. January 1, 2022 Health Innovation East, National Health Service. Opioid deprescribing toolkit. https://psnet.ahrq.gov/issue/opioid-deprescribing-toolkit Sudden discontinuation of long-term prescription opioid use can lead to adverse outcomes for patients. Based on research and clinici…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42355/psn-pdf
    February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43763/psn-pdf
    April 22, 2015 - The nurse's role in medication safety. April 22, 2015 Durham B. The nurse's role in medication safety. Nursing (Brux). 2015;45(4). doi:10.1097/01.NURSE.0000461850.24153.8b. https://psnet.ahrq.gov/issue/nurses-role-medication-safety-0 Nurses perform a critical role in preventing medication errors. This commentary e…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45551/psn-pdf
    November 30, 2016 - Parents' perspectives on "keeping their children safe" in the hospital. November 30, 2016 Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193. https://psnet.ahrq.gov/issue/parent…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47504/psn-pdf
    December 21, 2018 - Health apps and health policy: what is needed? December 21, 2018 Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA. 2018;320(19):1975-1976. doi:10.1001/jama.2018.14378. https://psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed Mobile health care applications are incre…