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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35712/psn-pdf
    August 27, 2010 - ACOG Committee Opinion #464: patient safety in the surgical environment. August 27, 2010 Committee Opinion No. 464: Patient Safety in the Surgical Environment. Obstetrics & Gynecology. 2010;116(3). doi:10.1097/aog.0b013e3181f69b22. https://psnet.ahrq.gov/issue/acog-committee-opinion-464-patient-safety-surgical-env…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40510/psn-pdf
    June 08, 2011 - Causes of near misses: perceptions of perioperative nurses. June 8, 2011 Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017. https://psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses Perioperative nurses implicated…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37360/psn-pdf
    January 05, 2012 - Building accountability through patient safety organizations. January 5, 2012 Ross J. Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8. https://psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations This commentary introduces the Patient S…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40609/psn-pdf
    July 13, 2011 - Human reliability analysis: a critique and review for managers. July 13, 2011 French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008. https://psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-man…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42366/psn-pdf
    June 19, 2013 - Quality, patient safety, and the cardiac surgical team. June 19, 2013 Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249- 268. doi:10.1016/j.anclin.2013.01.004. https://psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team This review discusses the…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41991/psn-pdf
    January 23, 2013 - Handovers from the OR to the ICU. January 23, 2013 Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. https://psnet.ahrq.gov/issue/handovers-or-icu This commentary discusses concerns associated with patient transfer…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39221/psn-pdf
    January 13, 2010 - The effects of stress and coping on surgical performance during simulations. January 13, 2010 Wetzel CM, Black SA, Hanna GB, et al. The effects of stress and coping on surgical performance during simulations. Ann Surg. 2010;251(1):171-6. doi:10.1097/SLA.0b013e3181b3b2be. https://psnet.ahrq.gov/issue/effects-stress…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37821/psn-pdf
    June 11, 2008 - Full work analysis of resident work hours. June 11, 2008 Dassinger MS, Eubanks JW, Langham MR. Full work analysis of resident work hours. J Surg Res. 2008;147(2):178-81. doi:10.1016/j.jss.2008.03.010. https://psnet.ahrq.gov/issue/full-work-analysis-resident-work-hours A time-motion study of surgical residents foun…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42408/psn-pdf
    July 10, 2013 - Non-technical Skills and the Future of Teamwork in Healthcare Settings. July 10, 2013 Sevdalis N. London, UK: The Health Foundation; June 2013. https://psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings Highlighting the value of teamwork in delivering safe care, this report describes…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36328/psn-pdf
    January 02, 2011 - Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. January 2, 2011 Olympio MA; Reinke B; Abramovich A. https://psnet.ahrq.gov/issue/challenges-ahead-technology-training-report-training-initiative-committee- technology The authors describe the complexity of…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37672/psn-pdf
    April 09, 2008 - An observational study of laterality errors in a sample of clinical records. April 9, 2008 Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3. https://psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records C…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41469/psn-pdf
    October 19, 2012 - Deconstructing intraoperative communication failures. October 19, 2012 Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029. https://psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures Video reco…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42785/psn-pdf
    January 01, 2014 - The effects of safety checklists in medicine: a systematic review. December 19, 2013 Thomassen Ø, Storesund A, Søfteland E, et al. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiol Scand. 2014;58(1):5-18. doi:10.1111/aas.12207. https://psnet.ahrq.gov/issue/effects-safety-checklis…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35689/psn-pdf
    December 31, 2014 - Error reduction through team leadership: applying aviation's CRM model in the OR. December 31, 2014 Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5. https://psnet.ahrq.gov/issue/error-reduction-through-team-leadersh…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49429/psn-pdf
    January 01, 2004 - Ruptured Heterotopic Pregnancy January 1, 2004 Cedars MI. Ruptured Heterotopic Pregnancy. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy The Case A 43-year-old woman, gravida 3 para 2, presented at 16 weeks' gestational age with abdominal pain. Her current pregnancy was the r…
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
    October 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case October 2003 Hemivulvectomy: Wrong Side Removed Source and Credits This presentation is based on the Oct. 2003 AHRQ WebM&M Spotlight Case in OB/GYN See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Charles Vin…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41936/psn-pdf
    December 19, 2012 - A multiple-drawer medication layout problem in automated dispensing cabinets. December 19, 2012 Pazour JA, Meller RD. A multiple-drawer medication layout problem in automated dispensing cabinets. Health Care Manag Sci. 2012;15(4). doi:10.1007/s10729-012-9197-8. https://psnet.ahrq.gov/issue/multiple-drawer-medicati…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46644/psn-pdf
    June 20, 2018 - The Science of Teamwork. June 20, 2018 McDaniel SH, Salas E, eds. Am Psychol. 2018;73:305-600. https://psnet.ahrq.gov/issue/science-teamwork Effective teams are core to safe practice in a wide range of work environments. This special issue explores team psychology with an emphasis on high-risk industries such as s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36175/psn-pdf
    September 29, 2010 - Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. September 29, 2010 Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;27(7). doi:10.1177/0170840606065708. https://ps…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35949/psn-pdf
    May 24, 2006 - Implementation of patient safety initiatives in US hospitals. May 24, 2006 McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052. https://psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-…

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