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  1. psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
    February 16, 2011 - Study "See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. Citation Text: Minha S'ar, Shefet D, Sagi D, et al. "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition. PLo…
  2. psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
    August 02, 2015 - Study Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. Citation Text: Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…
  3. psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
    August 24, 2022 - Study Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. Citation Text: Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …
  4. psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
    March 11, 2020 - Commentary The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. Citation Text: Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…
  5. psnet.ahrq.gov/web-mm/impact-communication-medication-errors
    August 01, 2009 - The patient and caregiver are thereby asked to explain, in their own words, what they have just learned
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74711/psn-pdf
    April 14, 2023 - World Patient Safety, Science & Technology Summit. April 14, 2023 Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023. https://psnet.ahrq.gov/issue/world-patient-safety-science-technology-summit Multidisciplinary educational opportunities promote cross-industry learning to impro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43318/psn-pdf
    July 02, 2014 - Sign up to Safety. July 2, 2014 National Health Service. https://psnet.ahrq.gov/issue/sign-safety Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up to Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service facilities.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36431/psn-pdf
    March 28, 2011 - Using the internet to deliver education on drug safety. March 28, 2011 Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33. https://psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety The project team implemented a web-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40460/psn-pdf
    April 30, 2024 - Patient Safety Authority Annual Reports. April 30, 2024 Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024. https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports This report summarizes patient safety improvement work in the state of Pennsylvania. It reviews th…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36283/psn-pdf
    April 19, 2011 - The 80-hour duty week: rationale, early attitudes, and future questions. April 19, 2011 Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat Res. 2006;449:138-142. https://psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions T…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36272/psn-pdf
    June 29, 2011 - Selecting indicators for patient safety at the health system level in OECD countries. June 29, 2011 McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. https://psnet.ahrq.gov/issue/selecting-in…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60332/psn-pdf
    May 13, 2020 - Circle Up Training. May 13, 2020 Center for Medical Simulation. https://psnet.ahrq.gov/issue/circle-training Communication strategies are important for engaging staff in behaviors that support effective teamwork. This website highlights a process that involves briefings, supportive conversations, and debriefings a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35379/psn-pdf
    June 15, 2011 - Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. June 15, 2011 Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellence; September 2005. https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families This…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38808/psn-pdf
    January 01, 2013 - Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. July 22, 2009 Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2. https://psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-man…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47678/psn-pdf
    December 19, 2018 - When mistakes happen. December 19, 2018 Beck DL. ASH Clinical News. December 1, 2018. https://psnet.ahrq.gov/issue/when-mistakes-happen This article provides an overview of efforts to understand and improve patient safety and covers topics such as the epidemiology of error, its impact on the individuals involved, …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33946/psn-pdf
    July 26, 2010 - AHRQ WebM&M: Morbidity & Mortality Rounds on the Web. July 26, 2010 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web The Agency for Healthcare Research and Quality's (AHRQ) online journal and forum on patient safety and health care quality. The sit…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35085/psn-pdf
    July 24, 2018 - Working Knowledge: How Organizations Manage What They Know. July 24, 2018 Davenport TH, Prusak L. Boston MA: Harvard Business School Press; 1998. ISBN: 0875846556. https://psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know Two innovators in management consulting introduce core concepts …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38939/psn-pdf
    September 09, 2009 - A model framework for patient safety training in chiropractic: a literature synthesis. September 9, 2009 Zaugg B, Wangler M. A model framework for patient safety training in chiropractic: a literature synthesis. J Manipulative Physiol Ther. 2009;32(6):493-499. doi:10.1016/j.jmpt.2009.06.004. https://psnet.ahrq.gov…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39711/psn-pdf
    July 28, 2010 - Revisiting old slides—how worthwhile is it? July 28, 2010 Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. https://psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it This study reviewed more than 2400 surgical pathology…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40660/psn-pdf
    October 04, 2011 - Incidence, nature and impact of error in surgery. October 4, 2011 Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg. 2011;98(11):1654-1659. doi:10.1002/bjs.7594. https://psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery This study noted a 6% error rate for patie…

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