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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47542/psn-pdf
    January 16, 2019 - Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. January 16, 2019 Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019. https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837765/psn-pdf
    August 03, 2022 - Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. August 3, 2022 Li W, Stimec J, Camp M, et al. Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. J Emerg Med. 2022;62(4):524-533. doi:1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48076/psn-pdf
    July 24, 2019 - Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. July 24, 2019 Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simul Healthc. 2019;14(4):209-216. do…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43774/psn-pdf
    March 06, 2015 - A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. March 6, 2015 Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838185/psn-pdf
    September 28, 2022 - How to mitigate the effects of cognitive biases during patient safety incident investigations. September 28, 2022 Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 2022;48(11):612-616. doi:10.1016/j.j…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45617/psn-pdf
    November 30, 2016 - Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. November 30, 2016 Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043. https://psnet.ahrq.gov/issue/walk…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46132/psn-pdf
    September 24, 2017 - The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. September 24, 2017 Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Education During the Morbidity and Mort…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44225/psn-pdf
    June 17, 2015 - Do No Harm: Stories of Life, Death, and Brain Surgery. June 17, 2015 Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810. https://psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery This intensely personal memoir by the famed British neurosurgeon Henry Marsh is no hagiography or r…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47659/psn-pdf
    January 27, 2019 - Medical overuse as a physician cognitive error: looking under the hood. January 27, 2019 Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36698/psn-pdf
    February 24, 2011 - The impact of duty hours on resident self reports of errors. February 24, 2011 Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors Residency programs…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45983/psn-pdf
    June 27, 2018 - Educating for the 21st-century health care system: an interdependent framework of basic, clinical, and systems sciences. June 27, 2018 Gonzalo JD, Haidet P, Papp KK, et al. Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences. Acad Med. 2017;92(1):…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46601/psn-pdf
    January 25, 2018 - Night-time communication at Stanford University Hospital: perceptions, reality and solutions. January 25, 2018 Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727. https://psnet.ah…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50798/psn-pdf
    January 15, 2020 - Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. January 15, 2020 Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Implications for Worker and Patien…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42840/psn-pdf
    January 08, 2014 - A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. January 8, 2014 O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. BMJ Qual Saf…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43634/psn-pdf
    November 05, 2014 - Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. November 5, 2014 Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. Clin Med (Lond). 2014;14(5):4…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47568/psn-pdf
    March 06, 2019 - Trends in anesthesia-related liability and lessons learned. March 6, 2019 Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836859/psn-pdf
    April 06, 2022 - Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. April 6, 2022 Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. J Intern Med. 2022;291(4):397-407. doi:10.1111/joim.13472. https://psnet…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44314/psn-pdf
    November 06, 2015 - Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. November 6, 2015 Stall NM, Fischer HD, Wu F, et al. Unintentional Discontinuation of Chronic Medications for Seniors…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837332/psn-pdf
    June 08, 2022 - Influence of psychological safety and organizational support on the impact of humiliation on trainee well- being. June 8, 2022 Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. J Patient Saf. 2022;18(4):370-37…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44430/psn-pdf
    October 28, 2015 - The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. October 28, 2015 Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care. Reliab Eng Syst Saf.…

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