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8741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855435/psn-pdf
      November 15, 2023 - Technology, Education and Safety November 15, 2023 Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705. https://psnet.ahrq.gov/issue/technology-education-and-safety-2 Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of reviews illustrates relationsh…

8742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43936/psn-pdf
      December 04, 2015 - Exploring the Potential Use of Safety Cases in Health Care. December 4, 2015 Safety Cases Working Group. London, UK: Health Foundation; 2015. https://psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care This report describes a consensus-building initiative in the United Kingdom seeking to determin…

8743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38213/psn-pdf
      November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…

8744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47062/psn-pdf
      October 13, 2018 - Latent risk assessment tool for health care leaders. October 13, 2018 Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. https://psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders Health …

8745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43790/psn-pdf
      October 23, 2023 - Complaints to the Parliamentary and Health Service Ombudsman. October 23, 2023 Manchester, UK: Parliamentary and Health Service Ombudsman. https://psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017 The National Health Service broadly reports the results of system-level analyses and investigations into t…

8746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48106/psn-pdf
      July 24, 2019 - Teamwork Toolkit. July 24, 2019 Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. https://psnet.ahrq.gov/issue/teamwork-toolkit Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed to help organizations create a culture that embeds teamwork…

8747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72685/psn-pdf
      January 27, 2021 - Human Factors and Ergonomics in Healthcare. January 27, 2021 Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare Human factors approaches have been identified as one of the primary vehicles to create las…

8748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37555/psn-pdf
      February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient safety. February 14, 2018 ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78- e81. https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety This commentary discusses how sleep deprivation affects…

8749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60674/psn-pdf
      July 08, 2020 - Sway: Unravelling Unconscious Bias July 8, 2020 Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.  https://psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias Implicit biases influence behavior and decision making. This publication discusses how a range of implicit biases affect legal…

8750. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840164/psn-pdf
      November 16, 2022 - Medical error and vulnerable communities. November 16, 2022 Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article discusses medical erro…

8751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73715/psn-pdf
      September 15, 2021 - The successful anesthesia patient safety officer. September 15, 2021 Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637. https://psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer Designated safety leadership role…

8752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39622/psn-pdf
      June 23, 2010 - Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. June 23, 2010 Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928/00220124-20100326-02. https://psnet…

8753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36792/psn-pdf
      August 26, 2011 - Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. August 26, 2011 Waring J. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. Sociol Health Illn. 2007;29(2):163-79. https://psnet.ahrq.gov/issue/adaptive-regulation-or-govern…

8754. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47056/psn-pdf
      April 20, 2022 - Healthcare Simulation Week. April 20, 2022 Society for Simulation in Healthcare. https://psnet.ahrq.gov/issue/healthcare-simulation-week Simulation provides a safe space to observe behaviors and generate constructive feedback to enhance individual and team performance. This website provides promotional materials f…

8755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35046/psn-pdf
      June 22, 2009 - Patient safety: do nursing and medical curricula address this theme? June 22, 2009 Wakefield A, Attree M, Braidman I, et al. Patient safety: do nursing and medical curricula address this theme? Nurse Educ Today. 2005;25(4):333-40. https://psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address…

8756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35482/psn-pdf
      May 27, 2011 - The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. May 27, 2011 Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pediatrics. 2005;116(5):e634-42. https:/…

8757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839330/psn-pdf
      November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality. November 2, 2022 Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022 https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality The task of performing a …

8758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35079/psn-pdf
      November 04, 2015 - Medical Error: What Do We Know? What Do We Do? November 4, 2015 Rosenthal MM; Sutcliffe KM, eds. San Francisco, CA: Jossey-Bass; 2002. https://psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do Opening with a review of lessons learned since the Harvard Medical Practice Study (HMPS), this book explore…

8759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43100/psn-pdf
      April 02, 2014 - Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. April 2, 2014 Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.  https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections This special issue explores a national initiativ…

8760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43844/psn-pdf
      January 21, 2015 - Unintended side effects: arbitration and the deterrence of medical error. January 21, 2015 Shieh D. N Y Univ Law Rev. 2014;89:1806-1835. https://psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error This commentary explores the role of medical malpractice arbitration as a deterrent …