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8881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38226/psn-pdf
      February 18, 2011 - Critical events in the lives of interns. February 18, 2011 Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. https://psnet.ahrq.gov/issue/critical-events-lives-interns Resident physicians remain at high risk for burno…

8882. 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/…

8883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34737/psn-pdf
      November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems Failure. November 19, 2015 Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure This video, produced by the Partnership for Patient Safety and the Harvard …

8884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43657/psn-pdf
      November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. November 26, 2014 American Society of Health-System Pharmacists https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…

8885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837907/psn-pdf
      August 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings Medication errors associated with surgery and…

8886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43529/psn-pdf
      October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr…

8887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838639/psn-pdf
      October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions. October 19, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)- 0047-2-EF. https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions Delayed, wrong, and missed diagnoses are commo…

8888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44846/psn-pdf
      August 31, 2016 - Making health care safer: protect patients from antibiotic resistance. August 31, 2016 CDC; Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance Health care–associated infections (HAI) are a worldwide patient safety problem. This a…

8889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44488/psn-pdf
      September 16, 2015 - Environmental Cleaning for the Prevention of Healthcare- Associated Infections (HAIs). September 16, 2015 Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD: Agency for Healthcare Research and Quality; August 2015. Technical Brief No. 22. AHRQ Publication No. 15- EHC020-EF. https://p…

8890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40362/psn-pdf
      April 13, 2011 - Role of clinical context in residents' physical examination diagnostic accuracy. April 13, 2011 Sibbald M, Panisko D, Cavalcanti RB. Role of clinical context in residents' physical examination diagnostic accuracy. Med Educ. 2011;45(4):415-21. doi:10.1111/j.1365-2923.2010.03896.x. https://psnet.ahrq.gov/issue/role-…

8891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45386/psn-pdf
      November 23, 2016 - Balancing doctor egos and errors. November 23, 2016 Sweeney JF. Medical Economics. November 10, 2016. https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discus…

8892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41051/psn-pdf
      February 20, 2012 - What do patients and relatives know about problems and failures in care? February 20, 2012 Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100. https://psnet.ahrq.gov/issue/what-do-patients-and…

8893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37556/psn-pdf
      November 21, 2016 - Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. November 21, 2016 Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. doi:10.1001/archsurg.2007.27. https:/…

8894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35158/psn-pdf
      January 02, 2017 - Using simulation-based training to improve patient safety: what does it take? January 2, 2017 Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. https://psnet.ahrq.gov/issue/using-simulation-based-training-…

8895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44018/psn-pdf
      November 16, 2015 - Targeted communication intervention using nursing crew resource management principles. November 16, 2015 Tschannen D, McClish D, Aebersold M, et al. Targeted communication intervention using nursing crew resource management principles. J Nurs Care Qual. 2015;30(1):7-11. doi:10.1097/NCQ.0000000000000073. https://p…

8896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39698/psn-pdf
      July 21, 2010 - Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. July 21, 2010 Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. Clin Infect Dis. 2010;51…

8897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47978/psn-pdf
      May 01, 2019 - Patient Safety. May 1, 2019 GMS J Med Educ. 2019;36:Doc11-Doc22. https://psnet.ahrq.gov/issue/patient-safety-16 Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education sy…

8898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866567/psn-pdf
      August 21, 2024 - A daily dose of communication to improve quality and safety outcomes. August 21, 2024 Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…

8899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36225/psn-pdf
      July 10, 2008 - Transfers of patient care between house staff on internal medicine wards: a national survey. July 10, 2008 Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. https://psnet.ahrq.gov/issue/transfe…

8900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37861/psn-pdf
      June 25, 2008 - Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. June 25, 2008 Stainsby D, Jones H, Wells AW, et al. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. Br …