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9121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39060/psn-pdf
      October 28, 2009 - Impact of duty-hour restriction on resident inpatient teaching. October 28, 2009 Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448. https://psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teac…

9122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44863/psn-pdf
      July 01, 2016 - Rating the raters: the inconsistent quality of health care performance measurement. July 1, 2016 Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631. https://psnet.ahrq.gov/is…

9123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44848/psn-pdf
      April 22, 2016 - Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. April 22, 2016 Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center. Jt Comm J Qual …

9124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851924/psn-pdf
      August 02, 2023 - The things we carry: the scope and impact of second victim syndrome. August 2, 2023 Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. https://psnet.ahrq.gov/issue/things-we-carry-scope-and-…

9125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866118/psn-pdf
      June 12, 2024 - Factors Affecting the Delivery of Safe Care in Midwifery Units. June 12, 2024 Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. https://psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units Safe maternal care is a challenge world…

9126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43752/psn-pdf
      January 21, 2015 - Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. January 21, 2015 Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and their importance for patient …

9127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42860/psn-pdf
      March 20, 2014 - Eight critical factors in creating and implementing a successful simulation program. March 20, 2014 Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. https://psnet.ahrq.gov/issue/eight-critica…

9128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862999/psn-pdf
      February 21, 2024 - Health tech hazards: at-home medical devices, AI governance on ECRI's new list. February 21, 2024 Miliard M. Healthcare IT News. February 1, 2024. https://psnet.ahrq.gov/issue/health-tech-hazards-home-medical-devices-ai-governance-ecris-new-list Technologies provide improvements and introduce unique problems to ca…

9129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43515/psn-pdf
      July 03, 2016 - Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. July 3, 2016 Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical educ…

9130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38326/psn-pdf
      January 14, 2009 - Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. January 14, 2009 Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hosp Med. 2008;3(6). doi:10.1002/jhm.370.…

9131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46326/psn-pdf
      October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd…

9132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44074/psn-pdf
      November 16, 2015 - Investigating Clinical Incidents in the NHS. November 16, 2015 Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886. https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs Applying evidence ge…

9133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36242/psn-pdf
      March 06, 2019 - Your attention please... designing effective warnings. March 6, 2019 ISMP Medication Safety Alert! Acute care edition. February 28, 2019. https://psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings Medication warnings inform providers and patients about risks associated with medication use. As w…

9134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42698/psn-pdf
      December 04, 2013 - A structured judgement method to enhance mortality case note review: development and evaluation. December 4, 2013 Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). doi:10.1136/bmjqs-2013-001839. htt…

9135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46963/psn-pdf
      April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. London, UK: National Health Service; March 15, 2018. https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted as key to improving patient safety, individual behaviors must also be recognized as contributors to ris…

9136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41644/psn-pdf
      September 12, 2012 - The cost of harm and savings through safety: using simulated patients for leadership decision support. September 12, 2012 Denham CR, Guilloteau FR. The cost of harm and savings through safety: using simulated patients for leadership decision support. J Patient Saf. 2012;8(3):89-96. doi:10.1097/PTS.0b013e318258cb25.…

9137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43166/psn-pdf
      May 07, 2014 - Are med school grads prepared to practice medicine? May 7, 2014 Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A national survey of internal medicine residency program directors. Academic medicine : journal of the Association of American Medical Colleges. 2014;89(…

9138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44389/psn-pdf
      August 19, 2015 - A method of addressing proprietary name similarity for US prescription drugs. August 19, 2015 Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. https://psnet.ahrq.gov/issue/method-addressing-propri…

9139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40195/psn-pdf
      February 02, 2011 - Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... February 2, 2011 Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 2010;257(3):836-45. doi:10.1148/radiol.…

9140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47381/psn-pdf
      April 03, 2019 - The role of the patient in patient safety: what can we learn from healthcare's history? April 3, 2019 Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516043518791051. https://psnet.ahrq.gov/is…