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9581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838031/psn-pdf
      September 13, 2022 - Addressing the Loss of Trust in Safety Culture. September 7, 2022 Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022.  https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture Trust in patient safety processes encourages reporting of concerns, learning from error, and develop…

9582. 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…

9583. 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 …

9584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43672/psn-pdf
      November 12, 2014 - Is a tired doctor a safe doctor? November 12, 2014 Goldman B. "White Coat, Black Art." CBC Radio. October 31, 2014. https://psnet.ahrq.gov/issue/tired-doctor-safe-doctor This radio segment explores whether sleep deprivation affects the safety of care delivery. Panelists discuss sleep deprivation in health care, th…

9585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45581/psn-pdf
      October 19, 2016 - Reducing diagnostic errors. October 19, 2016 Gittlen S. HealthLeaders Media. October 1, 2016. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-0 The recent recognition of diagnostic error as a blind spot in health care has driven the need to enhance diagnosis. This news article reports how health systems, a…

9586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48042/psn-pdf
      June 12, 2019 - Analysis of medical malpractice claims to improve quality of care: cautionary remarks. June 12, 2019 Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178. https://psnet.ahrq.gov/issue/analysis-medical-mal…

9587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48043/psn-pdf
      October 01, 2023 - Health Services Safety Investigations Body. October 1, 2023 Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA. https://psnet.ahrq.gov/issue/health-services-safety-investigations-body Independent investigations examine system weaknesses in health care to inform improvement, reduce risk, and pr…

9588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44729/psn-pdf
      January 07, 2016 - The morbidity and mortality meeting: time for a different approach? January 7, 2016 Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4- 8. doi:10.1136/archdischild-2015-309536. https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro…

9589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42635/psn-pdf
      December 06, 2013 - Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. December 6, 2013 Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…

9590. 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…

9591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41425/psn-pdf
      June 19, 2012 - Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? June 19, 2012 Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…

9592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45364/psn-pdf
      September 04, 2016 - A piece of my mind. Changing the narrative. September 4, 2016 Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative Storytelling can share knowledge and build community among physicians. However, if clinicians communicat…

9593. 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…

9594. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74860/psn-pdf
      February 23, 2022 - Is electronic health record safety a paradox? February 23, 2022 Harrington L. Is electronic health record safety a paradox? AACN Adv Crit Care. 2021;32(4):375-380. doi:10.4037/aacnacc2021406. https://psnet.ahrq.gov/issue/electronic-health-record-safety-paradox The usability of health information technology, such a…

9595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36838/psn-pdf
      April 19, 2011 - A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. April 19, 2011 Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Health Care. 2001;10(4):250-6. https://psn…

9596. 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…

9597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44074/psn-pdf
      November 16, 2015 - Investigating Clinical Incidents in the NHS. November 16, 2015 Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886. https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs Applying evidence ge…

9598. 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…

9599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38555/psn-pdf
      April 15, 2009 - Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. April 15, 2009 Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 2009;21(2):121-6. doi:10.1080/10401330…

9600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34586/psn-pdf
      July 21, 2009 - Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. July 21, 2009 Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qual Patient Saf. 2004;30(10):534-542. http…