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6001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836858/psn-pdf
      April 06, 2022 - Psychological safety during the test of new work processes in an emergency department. April 6, 2022 Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/s12913-022-07687-y. https://psnet.…

6002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39334/psn-pdf
      March 03, 2010 - The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. March 3, 2010 Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator st…

6003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846761/psn-pdf
      September 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/…

6004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38311/psn-pdf
      January 15, 2009 - Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? January 15, 2009 Chudgar SM, Cox CE, Que LG, et al. Current teaching and evaluation methods in critical care medicine: has …

6005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47424/psn-pdf
      November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…

6006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46016/psn-pdf
      May 09, 2017 - Resident duty hours and medical education policy—raising the evidence bar. May 9, 2017 Asch DA, Bilimoria KY, Desai S. Resident Duty Hours and Medical Education Policy - Raising the Evidence Bar. N Engl J Med. 2017;376(18):1704-1706. doi:10.1056/NEJMp1703690. https://psnet.ahrq.gov/issue/resident-duty-hours-and-me…

6007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859353/psn-pdf
      December 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in…

6008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46563/psn-pdf
      February 07, 2018 - Near-miss medication errors provide a wake-up call. February 7, 2018 Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e. https://psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call Case studies of adverse events a…

6009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47798/psn-pdf
      February 20, 2019 - Simulation safety first: an imperative. February 20, 2019 Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341. https://psnet.ahrq.gov/issue/simulation-safety-first-imperative Although simulation training heightens the learnin…

6010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852448/psn-pdf
      January 01, 2024 - A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. August 16, 2023 Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. J Interp…

6011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38046/psn-pdf
      September 10, 2008 - Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. September 10, 2008 Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 autopsy cas…

6012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844554/psn-pdf
      February 15, 2023 - Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. February 15, 2023 Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 https://psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care- providers High-profile medication errors like tha…

6013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853628/psn-pdf
      September 20, 2023 - How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years. September 20, 2023 Fortis B, Bell L. Pro Publica. September 12, 2023. https://psnet.ahrq.gov/issue/how-columbia-ignored-women-undermined-prosecutors-and-protected- predator-more-20-years Sexual abuse of a patient i…

6014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861291/psn-pdf
      January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. January 24, 2024 Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…

6015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48035/psn-pdf
      May 29, 2019 - Is the future of medical diagnosis in computer algorithms? May 29, 2019 Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15- e16. doi:10.1016/s2589-7500(19)30011-1. https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms Artificial intelligence…

6016. The University of Texas System Clinical Safety and Effectiveness Course | PSNet
      psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
      February 01, 2011 - their expectations," and 86% stated that they "intend to make a change by applying the information learned

6017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72681/psn-pdf
      January 27, 2021 - A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. January 27, 2021 Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems- oriented safety management. Safety Sci. 2021;134:105087. doi:10.1016/j.ssci.2020.105087. ht…

6018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33931/psn-pdf
      June 23, 2015 - An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. June 23, 2015 Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Anesthesiology. 1984;60(…

6019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43336/psn-pdf
      July 09, 2014 - Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? July 9, 2014 Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…

6020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849136/psn-pdf
      May 17, 2023 - Using morbidity and mortality conferences to drive quality improvement and reduce errors. May 17, 2023 Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and- reduce-errors Morbidity and mortality (…