-
psnet.ahrq.gov/node/60020/psn-pdf
March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills
performance improvement.
March 4, 2020
Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance
Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880.
https://psnet.ahrq.gov/issue/enotss-platform-s…
-
psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - EMS Perils from Hospital Overcrowding
August 31, 2022
Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
The Case
A 71-year-old man with a history of postoperative septic knee arthritis (status: post-intravenous…
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension
C. Jessica Dine, MD, MA; and Jennifer S. Myers, MD | February 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Dine JC, Myers JS. Balancing Supervision and Autonomy:…
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psnet.ahrq.gov/node/43970/psn-pdf
May 19, 2015 - Organisational reporting and learning systems:
innovating inside and outside of the box.
May 19, 2015
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the
box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
https://psnet.ahrq.gov/issue/organisational-re…
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psnet.ahrq.gov/node/851060/psn-pdf
June 28, 2023 - An integrative systematic review of employee silence and
voice in healthcare: what are we really measuring.
June 28, 2023
Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and
voice in healthcare: what are we really measuring? Front Psychiatry. 2023;14:111579.
doi:10.…
-
psnet.ahrq.gov/node/34995/psn-pdf
February 03, 2011 - The Research on Adverse Drug Events and Reports
(RADAR) project.
February 3, 2011
Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR)
project. JAMA. 2005;293(17):2131-40.
https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
This article su…
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psnet.ahrq.gov/node/61001/psn-pdf
October 07, 2020 - The Economics of Patient Safety Part III: Long-term Care:
Valuing Safety for the Long Haul.
October 7, 2020
de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Economic Co-operation and
Development. Paris, France: OECD Publishing; 2020. OECD Health Working Papers, No. 121.
https://psnet.ah…
-
psnet.ahrq.gov/node/34771/psn-pdf
May 06, 2016 - Managing the Unexpected: Sustained Performance in a
Complex World, Third Edition.
May 6, 2016
Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. ISBN-13: 9781118862414.
https://psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
According to Weick and Sutcliffe, high…
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psnet.ahrq.gov/node/841479/psn-pdf
December 14, 2022 - Fast does not imply flawed: analyzing emergency
physician productivity and medical errors.
December 14, 2022
Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician
productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849.
doi:10.1002/emp2.12849.
ht…
-
psnet.ahrq.gov/node/46639/psn-pdf
November 29, 2017 - Enhancing pediatric perioperative patient safety.
November 29, 2017
Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442.
doi:10.1016/j.aorn.2017.09.007.
https://psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
Pediatric surgical patients face uniqu…
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psnet.ahrq.gov/node/45736/psn-pdf
February 01, 2017 - Disruptive behaviour in the perioperative setting: a
contemporary review.
February 1, 2017
Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary
review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x.
https://psnet.ahrq.gov/issue/disruptive…
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psnet.ahrq.gov/node/38174/psn-pdf
November 05, 2008 - National Surgical Quality Improvement Program.
November 5, 2008
American College of Surgeons.
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the
quality of surgical care in their hospital…
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psnet.ahrq.gov/node/43196/psn-pdf
September 27, 2016 - Impact of intraoperative distractions on patient safety: a
prospective descriptive study using validated
instruments.
September 27, 2016
Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a
prospective descriptive study using validated instruments. World J Surg. 2014;…
-
psnet.ahrq.gov/node/44597/psn-pdf
October 28, 2015 - Smarter clinical checklists: how to minimize checklist
fatigue and maximize clinician performance.
October 28, 2015
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician
Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/33929/psn-pdf
June 23, 2015 - 40 years behind the mask: safety revisited.
June 23, 2015
Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology.
1996;84(4):965-975.
https://psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
In this article based on a special lecture delivered at the 1995 annua…
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psnet.ahrq.gov/node/42905/psn-pdf
July 30, 2014 - The surgical safety checklist and teamwork coaching
tools: a study of inter-rater reliability.
July 30, 2014
Huang LC, Conley D, Lipsitz S, et al. The Surgical Safety Checklist and Teamwork Coaching Tools: a study
of inter-rater reliability. BMJ Qual Saf. 2014;23(8):639-50. doi:10.1136/bmjqs-2013-002446.
https://p…
-
psnet.ahrq.gov/node/48047/psn-pdf
June 05, 2019 - Do safety briefings improve patient safety in the acute
hospital setting? A systematic review.
June 5, 2019
Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting?
A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.1111/jan.13984.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/47446/psn-pdf
October 03, 2018 - Hospital staffing and health care–associated infections: a
systematic review of the literature.
October 3, 2018
Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A
Systematic Review of the Literature. Jt Comm J Qual Patient Saf. 2018;44(10):613-622.
doi:10.1016/j.jcj…
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psnet.ahrq.gov/node/46057/psn-pdf
September 24, 2017 - Narrative feedback from OR personnel about the safety of
their surgical practice before and after a surgical safety
checklist intervention.
September 24, 2017
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their
surgical practice before and after a surgical safety che…
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psnet.ahrq.gov/node/47087/psn-pdf
May 02, 2018 - The Economics of Patient Safety in Primary and
Ambulatory Care: Flying Blind.
May 2, 2018
Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and
Development; 2018.
https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
The global eco…