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9321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44540/psn-pdf
      September 30, 2015 - The bare minimum: the reality of global anaesthesia and patient safety. September 30, 2015 McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x. https://psnet.ahrq.gov/issue/bare-minimum-realit…

9322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37732/psn-pdf
      May 30, 2008 - Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety. May 30, 2008 Sheridan-Leos N. Oncology care setting design and planning part I: Concepts for the oncology nurse that improve patient safety. Clin J Oncol Nurs. 2008;12(2):361-3. doi:10.1188/08.CJON.361-36…

9323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42199/psn-pdf
      June 12, 2013 - Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. June 12, 2013 McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…

9324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33927/psn-pdf
      June 23, 2015 - Errors, incidents and accidents in anaesthetic practice. June 23, 2015 Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19. https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…

9325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50425/psn-pdf
      September 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper…

9326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46244/psn-pdf
      June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …

9327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40396/psn-pdf
      May 18, 2016 - 2010 John M. Eisenberg Patient Safety and Quality Awards. May 18, 2016 Jt Comm J Qual Patient Saf. 2011;37(5):194-239. https://psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-awards This special issue highlights the efforts of the 2010 Eisenberg Award recipients and their impact on improving…

9328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34770/psn-pdf
      April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela…

9329. 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(…

9330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39227/psn-pdf
      January 13, 2010 - Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. January 13, 2010 Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executive summary of the American College of …

9331. 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…

9332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37398/psn-pdf
      March 28, 2012 - A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. March 28, 2012 Oken A, Rasmussen MD, Slagle JM, et al. A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Anesth…

9333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47951/psn-pdf
      April 24, 2019 - Safe medication management at ambulatory surgery centers. April 24, 2019 Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635. https://psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers Safe medication use can be challengin…

9334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48043/psn-pdf
      October 01, 2023 - Health Services Safety Investigations Body. October 1, 2023 Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA. https://psnet.ahrq.gov/issue/health-services-safety-investigations-body Independent investigations examine system weaknesses in health care to inform improvement, reduce risk, and pr…

9335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73499/psn-pdf
      July 14, 2021 - Ethics & Governance of Artificial Intelligence for Health. July 14, 2021 Health Ethics & Governance, World Health Organization. Geneva, Switzerland: World Health Organization; 2021.  ISBN: 9789240029200 https://psnet.ahrq.gov/issue/ethics-governance-artificial-intelligence-health Advanced computing t…

9336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34778/psn-pdf
      December 23, 2008 - Anesthetic mishaps: breaking the chain of accident evolution. December 23, 2008 Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution A review of anesthesia saf…

9337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43820/psn-pdf
      February 18, 2015 - Care of the clinician after an adverse event. February 18, 2015 Pratt SD, Jachna BR. Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63. doi:10.1016/j.ijoa.2014.10.001. https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event Spotlighting the emotional impact adverse events …

9338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43043/psn-pdf
      September 19, 2016 - "Second victim" casualties and how physician leaders can help. September 19, 2016 MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8- 12. https://psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help Second victims are clinicians who …

9339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867603/psn-pdf
      March 15, 2025 - Request for Information Regarding the Impact of Ageism in Healthcare. January 22, 2025 Request for Information Regarding the Impact of Ageism in Healthcare. Agency for Healthcare Quality and Research. Fed Register. December 27, 2024. 89:105605-105606. https://psnet.ahrq.gov/issue/request-information-regarding-impa…

9340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37809/psn-pdf
      November 21, 2016 - Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. November 21, 2016 Johnson B, Abraham M, Conway J, et al. Bethesda, MD: Institute for Family-Centered Care; April 2008. https://psnet.ahrq.gov/issue/partnering-patients-and-fam…