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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38982/psn-pdf
    February 03, 2011 - Association of resident fatigue and distress with perceived medical errors. February 3, 2011 West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389. https://psnet.ahrq.gov/issue/association-resident-f…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36256/psn-pdf
    February 02, 2011 - Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. February 2, 2011 West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071-8. https://psne…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35858/psn-pdf
    July 22, 2010 - How long and how much are nurses now working? July 22, 2010 Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs. 2006;106(4):60-72. https://psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working The authors analyzed results from a national survey and foun…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35595/psn-pdf
    January 04, 2009 - Patient Safety: Achieving a New Standard of Care. January 4, 2009 Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds. Washington (DC): National Academies Press (US); 2004. https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42537/psn-pdf
    October 02, 2013 - The use of a checklist in a pediatric oncology clinic. October 2, 2013 McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic An Institute o…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42025/psn-pdf
    February 06, 2013 - Medical malpractice: why is it so hard for doctors to apologize? February 6, 2013 Sanghavi D. https://psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize Discussing barriers to physician error disclosure, this article details how an apology-and-offer approach and analyzing claims data can im…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40771/psn-pdf
    June 15, 2012 - Medication prescribing errors in the prehospital setting and in the ED. June 15, 2012 Lifshitz AE, Goldstein LH, Sharist M, et al. Medication prescribing errors in the prehospital setting and in the ED. Am J Emerg Med. 2012;30(5):726-31. doi:10.1016/j.ajem.2011.04.023. https://psnet.ahrq.gov/issue/medication-presc…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43411/psn-pdf
    October 01, 2014 - Analysis of medication errors in simulated pediatric resuscitation by residents. October 1, 2014 Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. https://psnet.ahrq.gov/issue/analysis…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60358/psn-pdf
    May 20, 2020 - 2019 John M. Eisenberg Patient Safety and Quality Award Recipients. May 20, 2020 Oakbrook Terrace, IL; Joint Commission: May 13 2020. https://psnet.ahrq.gov/issue/2019-john-m-eisenberg-patient-safety-and-quality-award-recipients The Eisenberg Award honors individuals and organizations who have made vital accomplis…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60563/psn-pdf
    June 03, 2020 - ‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. June 3, 2020 Andrews M. Kaiser News Network. May 19, 2020. https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths Post-mortem examination is an important tool for determining if misdiagnos…
  11. 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…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44492/psn-pdf
    September 23, 2015 - Teamwork in Healthcare. September 23, 2015 Fam Syst Health. 2015;33(3):175-269. https://psnet.ahrq.gov/issue/teamwork-healthcare Teamwork is a key element of patient-centered care, but evidence regarding its use in the primary care environment is limited. Articles in this special issue examine the reasons for this…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61055/psn-pdf
    October 21, 2020 - How administrative burdens can harm health. October 21, 2020 Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020. https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health The crossover of health equity concepts to patient safety has emerged as a consideration for improvement. Thi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41856/psn-pdf
    November 21, 2012 - Electronic health records and National Patient-Safety Goals. November 21, 2012 Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of Medicine. 2012;367(19). doi:10.1056/nejmsb1205420. https://psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safet…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44526/psn-pdf
    October 07, 2015 - The evolution of a safety culture. October 7, 2015 Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. https://psnet.ahrq.gov/issue/evolution-safety-culture This commentary describes how an air transport unit at one hospital developed a safety cultu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841789/psn-pdf
    July 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36610/psn-pdf
    January 14, 2011 - Prevent medication errors: a New Year's resolution: teaching patients about their medications. January 14, 2011 Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications. Home Healthc Nurse. 2007;25(1):59-62. https://psnet.ahrq.gov/issue/prevent-medication-errors-new-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35563/psn-pdf
    June 08, 2010 - A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. June 8, 2010 Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Med Educ. 2005;39(12):1195-204. https://psnet.ahrq.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45742/psn-pdf
    January 18, 2017 - War games and diagnostic errors. January 18, 2017 Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342. doi:10.1136/bmj.i6342. https://psnet.ahrq.gov/issue/war-games-and-diagnostic-errors This commentary draws parallels between a misinterpreted military training exercise with diagno…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36882/psn-pdf
    February 24, 2011 - Resident perceptions of the impact of work hour limitations. February 24, 2011 Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. https://psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations The investigators surv…