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6941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44297/psn-pdf
      September 09, 2015 - The problem with checklists. September 9, 2015 Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs- 2015-004431. https://psnet.ahrq.gov/issue/problem-checklists Checklists, while popularly considered to address safety issues, can be difficult to use reliably. Spotlig…

6942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43451/psn-pdf
      August 20, 2014 - Patient safety: this is public health. August 20, 2014 Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145. https://psnet.ahrq.gov/issue/patient-safety-public-health Medical error has been recognized as a serious problem in the United States. This commentar…

6943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72831/psn-pdf
      March 10, 2021 - Enhancing a culture of safety through disclosure of adverse events. March 10, 2021 Cornelissen C, Call RC, Harbell MW, et al. APSF Newsletter. February 202136(1);25-27 https://psnet.ahrq.gov/issue/enhancing-culture-safety-through-disclosure-adverse-events Error disclosure is supported by a robust safety …

6944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37728/psn-pdf
      September 09, 2008 - Tort claims and adverse events in emergency medical services. September 9, 2008 Wang HE, Fairbanks RJ, Shah M, et al. Tort claims and adverse events in emergency medical services. Ann Emerg Med. 2008;52(3):256-62. doi:10.1016/j.annemergmed.2008.02.011. https://psnet.ahrq.gov/issue/tort-claims-and-adverse-events-em…

6945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43322/psn-pdf
      January 28, 2015 - Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. January 28, 2015 Oakbrook, IL: Joint Commission Resources; January 2014. https://psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies This toolkit draws from experiences of the Joint …

6946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37456/psn-pdf
      January 01, 2012 - The impact of health system membership on patient safety initiatives. May 26, 2011 Ford EW, Short JC. The impact of health system membership on patient safety initiatives. Health Care Manage Rev. 2012;33(1):13-20. doi:10.1097/01.hmr.0000304496.89684.7f. https://psnet.ahrq.gov/issue/impact-health-system-membership-…

6947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34573/psn-pdf
      August 16, 2017 - Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents. August 16, 2017 Halbach JL; Sullivan L; New York Medical College https://psnet.ahrq.gov/issue/medical-errors-and-patient-safety-curriculum-guide-teaching-medical-students- and-family This curriculum…

6948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41631/psn-pdf
      September 24, 2016 - Interruption handling strategies during paediatric medication administration. September 24, 2016 Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292. https://psnet.ahrq.gov/issue/interruption-handling-stra…

6949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42948/psn-pdf
      February 19, 2014 - How hospital leaders contribute to patient safety through the development of trust. February 19, 2014 Auer C, Schwendimann R, Koch R, et al. How hospital leaders contribute to patient safety through the development of trust. J Nurs Adm. 2014;44(1):23-9. doi:10.1097/NNA.0000000000000017. https://psnet.ahrq.gov/issu…

6950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74759/psn-pdf
      February 09, 2022 - The challenge of competency assessment of the late- career practitioner. February 9, 2022 Steffany M. The challenge of competency assessment of the late?career practitioner. J Healthc Risk Manag. 2022;41(3):31-38. doi:10.1002/jhrm.21492. https://psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-prac…

6951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39027/psn-pdf
      September 29, 2017 - Disclosing clinical adverse events to patients: can practice inform policy? September 29, 2017 Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. https://psnet.ahrq.gov/issue/discl…

6952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867145/psn-pdf
      November 13, 2024 - Technology, Education and Safety. November 13, 2024 Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742. https://psnet.ahrq.gov/issue/technology-education-and-safety-3 Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…

6953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50805/psn-pdf
      January 15, 2020 - Advancing safety with closed-loop communication of test results. January 15, 2020 Quick Safety. December 17, 2019;(52):1-3. https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…

6954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35614/psn-pdf
      March 10, 2011 - Overriding of drug safety alerts in computerized physician order entry. March 10, 2011 van der Sijs H, Aarts J, Vulto A, et al. Overriding of drug safety alerts in computerized physician order entry. J Am Med Inform Assoc. 2006;13(2):138-47. https://psnet.ahrq.gov/issue/overriding-drug-safety-alerts-computerized-p…

6955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45110/psn-pdf
      May 11, 2016 - Hospital discharge: it's one of the most dangerous periods for patients. May 11, 2016 Rau J. Washington Post. April 29, 2016. https://psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients Transitions in care between inpatient and outpatient settings are an increasing concern for patient s…

6956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44880/psn-pdf
      September 06, 2016 - Drug shortages forcing hard decisions on rationing treatments. September 6, 2016 Fink S. New York Times. January 29, 2016. https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments Drug shortages have become a routine challenge in medicine. Reporting on the impact of medication short…

6957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37848/psn-pdf
      June 18, 2008 - Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. June 18, 2008 Benavidez OJ, Gauvreau K, Jenkins KJ, et al. Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Circulation. 2008;117(23):2995-3001. …

6958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46494/psn-pdf
      January 24, 2018 - Complications. January 24, 2018 Anaesthesia. 2018;73(suppl 1):3-101. https://psnet.ahrq.gov/issue/complications Study of complications can provide insights into presurgical patient counseling, risk assessment, and medical harm prevention. Articles in this special issue explore complications in anesthesia, includin…

6959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43619/psn-pdf
      October 22, 2014 - The SAGES FUSE program: bridging a patient safety gap. October 22, 2014 Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27. https://psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap Surgical fires, though rare,…

6960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44980/psn-pdf
      April 27, 2016 - Surgeon agreement at the time of handover, a prospective cohort study. April 27, 2016 Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6. https://psnet.ahrq.gov/issue/surgeon-agreement-time-hand…