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  1. psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
    April 21, 2021 - Organizational Policy/Guidelines Disclosure of adverse events in pediatrics. Citation Text: Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…
  2. psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
    January 12, 2022 - Commentary Learning and mindfulness: improving perioperative patient safety. Citation Text: Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006. Copy Citation Format: DOI Googl…
  3. psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety
    July 18, 2018 - Commentary Using good catches to promote a just culture and perioperative patient safety. Citation Text: Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394. Copy Citation Format: DOI…
  4. psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
    July 10, 2008 - Review Disclosing harmful medical errors to patients. Citation Text: Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356(26):2713-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…
  5. psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
    March 23, 2011 - Study Incidents during out-of-hospital patient transportation. Citation Text: Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…
  6. psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
    January 18, 2011 - Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  7. psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
    June 03, 2015 - Commentary Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Citation Text: McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8. Copy Citation Form…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73630/psn-pdf
    August 25, 2021 - Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. August 25, 2021 Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e048036. doi:10.1136/bmjopen-2020-0…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34713/psn-pdf
    February 18, 2011 - The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. February 18, 2011 Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377-84. https://psnet.ah…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38100/psn-pdf
    July 02, 2009 - Surgical team behaviors and patient outcomes. July 2, 2009 Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002. https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes Direct observation of teamwork…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60297/psn-pdf
    January 01, 2021 - A call for the application of patient safety culture in medical humanitarian action: a literature review. May 6, 2020 Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737. doi:10.10…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48178/psn-pdf
    January 01, 2020 - ACR guidance document on MR safe practices: updates and critical information 2019. August 14, 2019 ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 2020;51(2):331-338.  https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39105/psn-pdf
    November 18, 2009 - Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. November 18, 2009 Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. Am J Surg. 2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837730/psn-pdf
    January 01, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. July 28, 2022 Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42964/psn-pdf
    May 10, 2014 - What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. May 10, 2014 Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96. d…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47374/psn-pdf
    April 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61118/psn-pdf
    January 01, 2021 - Bracing for the storm: one health care system's planning for the COVID-19 surge. November 11, 2020 Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.2020.09.007. https://psnet.ahrq.gov/is…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45445/psn-pdf
    September 27, 2016 - Using Kotter's change model for implementing bedside handoff: a quality improvement project. September 27, 2016 Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212. https:/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39462/psn-pdf
    April 21, 2010 - Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. April 21, 2010 Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146. doi:10.1097/HMR.0b0…

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