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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849130/psn-pdf
    May 17, 2023 - Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. May 17, 2023 Powell M. J Health Org Manag. 2023;37(1):67-83. https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry Individual, team, and organizational willingness to identify and add…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37097/psn-pdf
    October 04, 2011 - The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. October 4, 2011 Williams E, Manwell LB, Konrad TR, et al. The relationship of organizational culture, stress, satisfaction, and burnout with physici…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39933/psn-pdf
    December 31, 2014 - Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. December 31, 2014 Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2010;16(10):e245-50. https://ps…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34922/psn-pdf
    February 25, 2009 - Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. February 25, 2009 Silén-Lipponen M, Tossavainen K, Turunen H, et al. Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. Int …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40050/psn-pdf
    September 24, 2016 - Going blank: factors contributing to interruptions to nurses' work and related outcomes. September 24, 2016 Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j.1365-2834.2010.01166.x. http…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73884/psn-pdf
    September 29, 2021 - Dual surgeon operating to improve patient safety. September 29, 2021 Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg. 2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014. https://psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety Many non-urgent, non-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47925/psn-pdf
    August 21, 2019 - Second victims and mindfulness: a systematic review. August 21, 2019 S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review The secon…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47268/psn-pdf
    May 11, 2019 - Measuring shared mental models in healthcare. May 11, 2019 Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219. https://psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare Shared mental models are an important element of team collaboration. This review explores the current…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46414/psn-pdf
    January 10, 2018 - Leveraging the electronic health record to improve quality and safety in rheumatology. January 10, 2018 Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. https://psnet.ahrq.gov/issue/lev…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50679/psn-pdf
    November 20, 2019 - Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. November 20, 2019 Cooper J. Anesthesiology 2019. October 19th, 2019; Orlando, FL. https://psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon This re…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43211/psn-pdf
    July 16, 2015 - Seeking high reliability in primary care: leadership, tools, and organization. July 16, 2015 Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022. https://psnet.ahrq.gov/issue/seeking-high-reliability-p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45930/psn-pdf
    April 26, 2017 - A boy's life is lost to sepsis. Thousands are saved in his wake. April 26, 2017 Dwyer J. New York Times. April 13, 2017. https://psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake Stories of patient harm due to medical mistakes can serve as catalysts for organizational improvement. This newsp…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43018/psn-pdf
    March 19, 2014 - Improved obstetric safety through programmatic collaboration. March 19, 2014 Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48146/psn-pdf
    July 17, 2019 - Quality and Safety in Anesthesia and Perioperative Care. July 17, 2019 Ruskin KJ, Stiegler MP, Rosenbaum SH, eds. New York, NY: Oxford University Press; 2016. ISBN: 9780199366149. https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care The perioperative setting is a high-risk environment.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43106/psn-pdf
    September 27, 2016 - The sterile cockpit: an effective approach to reducing medication errors? September 27, 2016 Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. https://psnet.ahrq.gov/issue/sterile-cockpi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45927/psn-pdf
    April 12, 2017 - How redesigning the abrasive alarms of hospital soundscapes can save lives. April 12, 2017 Couch C. Fast Company. April 3, 2017. https://psnet.ahrq.gov/issue/how-redesigning-abrasive-alarms-hospital-soundscapes-can-save-lives Alarm frequency can contribute to distractions and stress in the hospital environment. Re…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50374/psn-pdf
    September 25, 2019 - Explainable artificial intelligence for safe intraoperative decision support. September 25, 2019 Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821. https://psnet.ahrq.gov/issue/explainable-artificial-int…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46698/psn-pdf
    February 07, 2018 - Enhancing the quality and safety of the perioperative patient. February 7, 2018 Staender S, Smith A. Enhancing the quality and safety of the perioperative patient. Curr Opin Anaesthesiol. 2017;30(6):730-735. doi:10.1097/ACO.0000000000000517. https://psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-p…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50838/psn-pdf
    January 29, 2020 - Start the new year off right by preventing these top 10 medication errors and hazards. January 29, 2020 ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6. https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards Medication errors routinely c…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36087/psn-pdf
    September 28, 2010 - Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. September 28, 2010 Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;41(4 Pt 2):1654-76. https://psnet.ah…

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