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5801. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841492/psn-pdf
      December 14, 2022 - Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. December 14, 2022 Washington DC; Office of Senator Mark Warner: November 25, 2022. https://psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector There is lack of consensus concerning the need for increased syst…

5802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857446/psn-pdf
      December 06, 2023 - Community Health Systems’ ongoing journey to zero preventable harm. December 6, 2023 Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. https://psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zer…

5803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46071/psn-pdf
      March 20, 2018 - Evaluating situation awareness: an integrative review. March 20, 2018 Orique SB, Despins L. Evaluating Situation Awareness: An Integrative Review. West J Nurs Res. 2018;40(3):388-424. doi:10.1177/0193945917697230. https://psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review Situation awareness in…

5804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46005/psn-pdf
      July 11, 2018 - The 2016 John M. Eisenberg Patient Safety and Quality Awards. July 11, 2018 Jt Comm J Qual Patient Saf. 2017;43:315-337. https://psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-awards Spotlighting the accomplishments of the 2016 recipients of the John M. Eisenberg Patient Safety and Quality …

5805. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74108/psn-pdf
      January 01, 2022 - 'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. November 24, 2021 Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from the perspective of clinical supervisors. Med Teach. 2022;44(2):196-205. doi:10.1080…

5806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73344/psn-pdf
      June 02, 2021 - Assessing patient safety culture in hospital settings. June 2, 2021 Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health. 2021;18(5):2466. doi:10.3390/ijerph18052466. https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospital-settings Accurate measurement of …

5807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60258/psn-pdf
      April 22, 2020 - Operational Measurement of Diagnostic Safety: State of the Science. April 22, 2020 Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and Quality; April 2020. AHRQ Publication No. 20-0040-1-EF. https://psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science This is…

5808. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46326/psn-pdf
      October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd…

5809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43733/psn-pdf
      March 14, 2016 - The effect of an electronic checklist on critical care provider workload, errors, and performance. March 14, 2016 Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance. J Intensive Care Med. 2016;31(3):205-12. doi:10.1177/08…

5810. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44087/psn-pdf
      November 16, 2015 - Teaching a 'good' ward round. November 16, 2015 Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. https://psnet.ahrq.gov/issue/teaching-good-ward-round Ward rounds, while an important educational activity, may not receive the attent…

5811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39218/psn-pdf
      January 13, 2010 - Prolonged hospital stay and the resident duty hour rules of 2003. January 13, 2010 Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. https://psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-d…

5812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37300/psn-pdf
      January 04, 2012 - Beyond negligence: avoidability and medical injury compensation. January 4, 2012 Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402. https://psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation Th…

5813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44588/psn-pdf
      November 21, 2016 - Patient and family advisory councils. The Massachusetts experience. November 21, 2016 Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. https://psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience Patient and family advisory councils are considered valuable method to help hosp…

5814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41406/psn-pdf
      August 02, 2012 - Can patients report patient safety incidents in a hospital setting? A systematic review. August 2, 2012 Ward JK, Armitage G. Can patients report patient safety incidents in a hospital setting? A systematic review. BMJ Qual Saf. 2012;21(8):685-99. doi:10.1136/bmjqs-2011-000213. https://psnet.ahrq.gov/issue/can-pati…

5815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846168/psn-pdf
      March 15, 2023 - Now is the time to routinely ask patients about safety. March 15, 2023 Gandhi TK. Now Is the Time to Routinely Ask Patients About Safety. Jt Comm J Qual Patient Saf. 2023;49(4):235-236. doi:10.1016/j.jcjq.2023.01.009. https://psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety Safety event reporting …

5816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72733/psn-pdf
      February 10, 2021 - Start the year off right by preventing these top 10 medication errors and hazards from 2020. February 10, 2021 ISMP Medication Safety Alert! Acute care edition. January 27, 2021;26(2). https://psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020 Medication safety is chal…

5817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44175/psn-pdf
      October 13, 2015 - Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. October 13, 2015 Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: A systematic revi…

5818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46461/psn-pdf
      November 01, 2017 - Complications: acknowledging, managing, and coping with human error. November 1, 2017 Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. https://psnet.ahrq.gov/issue/complications-acknowledging-managing-and-…

5819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43455/psn-pdf
      December 15, 2014 - What about doctors? The impact of medical errors. December 15, 2014 Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors Patients are the first victims when medica…

5820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50425/psn-pdf
      September 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper…