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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60352/psn-pdfJanuary 01, 2021 - Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. May 20, 2020 Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):439-451. doi:10.1037/apl0000507. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46999/psn-pdfJune 27, 2018 - Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. June 27, 2018 Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and- polsts Patient harm associated with adva… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45855/psn-pdfMarch 15, 2017 - The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. March 15, 2017 Clebone A, Burian BK, Watkins SC, et al. The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34767/psn-pdfNovember 28, 2018 - Why Things Bite Back: Technology and the Revenge of Unintended Consequences. November 28, 2018 Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632. https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences Tenner’s discussions of medical and nonmedical examples provide an e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44864/psn-pdfMarch 23, 2016 - Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. March 23, 2016 Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Acad Med. 2016;91(3):301-4. doi:10.1097… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45074/psn-pdfJune 01, 2016 - Post-event debriefings during neonatal care: why are we not doing them, and how can we start? June 1, 2016 Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/jp.2016.42. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45683/psn-pdfJanuary 23, 2017 - Consensus bundle on prevention of surgical site infections after major gynecologic surgery. January 23, 2017 Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. doi:10.1097/AOG.0000000000001751. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36784/psn-pdfFebruary 24, 2011 - The many faces of error disclosure: a common set of elements and a definition. February 24, 2011 Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):755-761. https://psnet.ahrq.gov/issue/many-faces-error-disclosure-co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837899/psn-pdfAugust 24, 2022 - Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. August 24, 2022 Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative stu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852271/psn-pdfAugust 09, 2023 - Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. August 9, 2023 Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43543/psn-pdfNovember 05, 2014 - A patient safety approach to setting pass/fail standards for basic procedural skills checklists. November 5, 2014 Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45152/psn-pdfNovember 18, 2016 - Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. November 18, 2016 Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860728/psn-pdfJanuary 17, 2024 - Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. January 17, 2024 Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44884/psn-pdfFebruary 17, 2016 - Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. February 17, 2016 Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Improve Alarm Fatigue in an Intensi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867011/psn-pdfOctober 23, 2024 - Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. October 23, 2024 Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Patient Saf Risk Manag. 2024;29(5):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864378/psn-pdfMarch 13, 2024 - Investigating workplace support and the importance of psychological safety in general surgery residency training. March 13, 2024 Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. J Surg Educ. 2024;81(4):514-524. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47077/psn-pdfMay 23, 2018 - World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018 Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47508/psn-pdfOctober 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44713/psn-pdfJanuary 20, 2016 - Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States. January 20, 2016 Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to each other or gaming the syste… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45484/psn-pdfDecember 04, 2016 - High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. December 4, 2016 Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
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