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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45995/psn-pdf
    May 24, 2017 - Patient Safety. May 24, 2017 Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244. https://psnet.ahrq.gov/issue/patient-safety-13 Articles in this special issue provide insights into how human error can affect the safety of oral and maxillofacial surgery, a primarily ambulatory environment…
  2. psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
    August 21, 2015 - devices in health care is that providers are likely to have the device with them at all times and keep it operational
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848384/psn-pdf
    May 03, 2023 - Roadmap to Health Care Safety for Massachusetts. May 3, 2023 Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023. https://psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts Collective engagement and focus are required to attain large sys…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45003/psn-pdf
    July 18, 2016 - Effect of surgical safety checklists on pediatric surgical complications in Ontario. July 18, 2016 O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. https://psnet.ahrq.gov/issue/effect…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45139/psn-pdf
    May 25, 2016 - Alarm management: promoting safety and establishing guidelines. May 25, 2016 Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518- 21. doi:10.1016/j.aorn.2016.03.008. https://psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines Alarms…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40897/psn-pdf
    November 02, 2011 - Infrequent physician use of implantable cardioverter- defibrillators risks patient safety. November 2, 2011 Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.226282. https://psnet.ahrq.gov/is…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72537/psn-pdf
    December 02, 2020 - Automation failures and patient safety. December 2, 2020 Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935. https://psnet.ahrq.gov/issue/automation-failures-and-patient-safety Task automation in medicine is a core …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39295/psn-pdf
    January 03, 2017 - The Veterans Affairs shift change physician-to-physician handoff project. January 3, 2017 Anderson J, Shroff D, Curtis A, et al. The Veterans Affairs shift change physician-to-physician handoff project. Jt Comm J Qual Patient Saf. 2010;36(2):62-71. https://psnet.ahrq.gov/issue/veterans-affairs-shift-change-physici…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44728/psn-pdf
    December 02, 2015 - Doctors debate safety of their white coats. December 2, 2015 Butler DL, Major Y, Bearman G, et al. Transmission of nosocomial pathogens by white coats: an in-vitro model. The Journal of hospital infection. 2010;75(2):137-8. doi:10.1016/j.jhin.2009.11.024. https://psnet.ahrq.gov/issue/doctors-debate-safety-their-whi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47829/psn-pdf
    March 27, 2019 - The impact of internal service quality on preventable adverse events in hospitals. March 27, 2019 Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/poms.12758. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42720/psn-pdf
    November 13, 2013 - Workplace bullying in the OR: results of a descriptive study. November 13, 2013 Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015. https://psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41084/psn-pdf
    January 25, 2012 - 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. January 25, 2012 Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi:10.1080/13548506.2011.592841. h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46885/psn-pdf
    March 20, 2018 - Opioid prescribing patterns and complications in the dermatology Medicare population. March 20, 2018 Cao S, Karmouta R, Li DG, et al. Opioid Prescribing Patterns and Complications in the Dermatology Medicare Population. JAMA Dermatol. 2018;154(3):317-322. doi:10.1001/jamadermatol.2017.5835. https://psnet.ahrq.gov/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836720/psn-pdf
    March 09, 2022 - Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era. March 9, 2022 Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID?19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/1468-5973.12356. https://psnet.ahrq.gov/is…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41843/psn-pdf
    November 21, 2012 - Sharing lessons learned to prevent incorrect surgery. November 21, 2012 Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280. https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery The Veterans Affairs (VA) system has publi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42235/psn-pdf
    June 03, 2013 - Surgical safety checklist: implementation in an ambulatory surgical facility. June 3, 2013 Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8. https://psnet.ahrq.gov/issue/surgical-sa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46174/psn-pdf
    August 30, 2017 - Inpatients notes: sensemaking—fostering a shared understanding in clinical teams. August 30, 2017 Leykum LK, O'Leary KJ. Web Exclusives. Annals for Hospitalists Inpatient Notes - Sensemaking-Fostering a Shared Understanding in Clinical Teams. Ann Intern Med. 2017;167(4):HO2-HO3. doi:10.7326/M17- 1829. https://psn…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43659/psn-pdf
    November 05, 2014 - Intraoperative patient information handover between anesthesia providers. November 5, 2014 Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001. https://psnet.ahrq.gov/issue/intraopera…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46508/psn-pdf
    November 22, 2017 - The checklist: recognize limits, but harness its power. November 22, 2017 Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603. https://psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power Checklists are used in various health c…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39944/psn-pdf
    October 20, 2010 - Increasing patient safety and surgical team communication by using a count/time out board. October 20, 2010 Edel EM. Increasing patient safety and surgical team communication by using a count/time out board. AORN J. 2010;92(4):420-4. doi:10.1016/j.aorn.2010.03.013. https://psnet.ahrq.gov/issue/increasing-patient-s…

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