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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836754/psn-pdf
    March 16, 2022 - State of science: evolving perspectives on ‘human error’. March 16, 2022 Read GJM, Shorrock S, Walker GH, et al. State of science: evolving perspectives on ‘human error’. Ergonomics. 2021;64(9):1091-1114. doi:10.1080/00140139.2021.1953615. https://psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39235/psn-pdf
    March 05, 2010 - An examination of technical efficiency, quality, and patient safety in acute care nursing units. March 5, 2010 Mark BA, Jones CB, Lindley L, et al. An examination of technical efficiency, quality, and patient safety in acute care nursing units. Policy Polit Nurs Pract. 2009;10(3):180-6. doi:10.1177/1527154409346322…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50826/psn-pdf
    January 22, 2020 - Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations January 22, 2020 Feldman SS, Brazil V, Zengul FD, et al, eds. Health Syst (Basingstoke). 2019;8(3):153-227. https://psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37913/psn-pdf
    July 31, 2008 - Reliability of a revised NOTECHS scale for use in surgical teams. July 31, 2008 Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams. Am J Surg. 2008;196(2):184-90. doi:10.1016/j.amjsurg.2007.08.070. https://psnet.ahrq.gov/issue/reliability-revised-notechs-scale…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41418/psn-pdf
    June 15, 2012 - Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. June 15, 2012 Minehart RD, Pian-Smith MCM, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45229/psn-pdf
    July 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41156/psn-pdf
    March 02, 2012 - The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. March 2, 2012 Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Acta Anaesthesiol Scand. 2012;56(…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35394/psn-pdf
    April 06, 2011 - Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. April 6, 2011 Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Sa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39844/psn-pdf
    November 02, 2010 - Safety through redundancy: a case study of in-hospital patient transfers. November 2, 2010 Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. https://psnet.ahrq.gov/issue/safety-through-redundancy-case-stu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39177/psn-pdf
    May 04, 2010 - The impact of organisational and individual factors on team communication in surgery: a qualitative study. May 4, 2010 Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int J Nurs Stud. 2010;47(6):732-41. doi:10…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40328/psn-pdf
    September 27, 2016 - Critical phase distractions in anaesthesia and the sterile cockpit concept. September 27, 2016 Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. https://psnet.ahrq.gov/issue/critic…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41074/psn-pdf
    January 18, 2012 - Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items. January 18, 2012 Norton EK, Martin C, Micheli AJ. Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items. AORN J. 2011;95(1). doi:10.1016/j.aorn.2011.06.007. https://psnet…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41134/psn-pdf
    July 06, 2012 - Differential impact of a crew resource management program according to professional specialty. July 6, 2012 Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:10.1177/1062860611423805. https://psne…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44387/psn-pdf
    August 19, 2015 - Simulation in Surgical Training and Practice. August 19, 2015 Brown KM, Paige JT, eds. Surg Clin North Am. 2015;95:695-918. https://psnet.ahrq.gov/issue/simulation-surgical-training-and-practice Simulation training is being used more broadly as an educational approach in health care. Articles in this special issue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45476/psn-pdf
    September 21, 2016 - Use of a surgical safety checklist to improve team communication. September 21, 2016 Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019. https://psnet.ahrq.gov/issue/use-surgical-safety-checklist-i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38630/psn-pdf
    May 13, 2009 - Seasoned surgeons assessed in a laparoscopic surgical crisis. May 13, 2009 Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. https://psnet.ahrq.gov/issue/seasoned-surgeons-assessed-lapa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40966/psn-pdf
    November 30, 2011 - Toward safer practice in otology: a report on 15 years of clinical negligence claims. November 30, 2011 Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.22136. https://psnet.ahrq.gov/iss…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43036/psn-pdf
    March 27, 2014 - Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. March 27, 2014 Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. https://psnet.ahrq.gov/issue/redesigning-hospital-alarms…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43522/psn-pdf
    October 15, 2014 - A model of disruptive surgeon behavior in the perioperative environment. October 15, 2014 Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011. https://psnet.ahrq.gov/issue/model-disruptive-surgeon-beh…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50577/psn-pdf
    October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers Report. October 23, 2019 Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400. https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report Ambulatory surgery centers (ASC) play an increasing role in com…

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