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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36404/psn-pdf
    September 27, 2010 - A model for building a standardized hand-off protocol.  September 27, 2010 Arora V, Johnson J. A model for building a standardized hand-off protocol. Jt Comm J Qual Saf. 2006;32(11):646-655. https://psnet.ahrq.gov/issue/model-building-standardized-hand-protocol The authors describe an educational module to train r…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39012/psn-pdf
    October 14, 2009 - The "July phenomenon": is trauma the exception? October 14, 2009 Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026. https://psnet.ahrq.gov/issue/july-phenomenon-trauma-exception This study failed …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40018/psn-pdf
    November 17, 2010 - Emergency medicine quality improvement and patient safety curriculum. November 17, 2010 Kelly JJ, Thallner E, Broida RI, et al. Emergency Medicine Quality Improvement and Patient Safety Curriculum. Academic Emergency Medicine. 2010;17. doi:10.1111/j.1553-2712.2010.00897.x. https://psnet.ahrq.gov/issue/emergency-me…
  4. psnet.ahrq.gov/web-mm/weak-response
    February 24, 2011 - A "Weak" Response Citation Text: Reisman AB. A "Weak" Response. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  5. psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - Even when I was a resident and a student, I used to really chafe at the way medicine was run. … and the chief resident just looks at me and just shakes his head (the attending couldn't see him), like … But I can still remember that chief resident looking at me just shaking his head almost saying, idiot
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73104/psn-pdf
    January 04, 2021 - facilities vary somewhat from other inpatient facilities given the widespread vulnerabilities of their resident … These include recommendations for establishing spaces for resident isolation, testing of residents and … staff for COVID-19 infection, and resident admission to acute care hospitals. 
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40650/psn-pdf
    July 27, 2011 - Level IV evidence—adverse anecdote and clinical practice. July 27, 2011 Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632. https://psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice This perspective describes ho…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37012/psn-pdf
    February 17, 2011 - Needlestick injuries among surgeons in training. February 17, 2011 Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9. https://psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training This survey revealed that nearly all surgica…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38148/psn-pdf
    October 29, 2008 - Trends in Nursing Home Deficiencies and Complaints. October 29, 2008 Office of the Inspector General. Washington, DC: US Department of Health and Human Services; September 2008. Report No. OEI-02-08-00140. https://psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints This report summarizes 2007 data…
  10. psnet.ahrq.gov/print/pdf/node/73848
    July 01, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Maternal Safety Curated Library Foundations Maternal Safety Marla Shauer, PhD(c), MSN, CNM; Amy Nichols, EdD, RN, CNS, CHSE, ANEF; Audrey Lyndon, RN, PhD, FAAN | January, 31 2024 Pregnancy, childbirth, and the postpartum year present a comp…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37718/psn-pdf
    April 23, 2008 - Mistakes and disclosure. April 23, 2008 Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7. https://psnet.ahrq.gov/issue/mistakes-and-disclosure This article describes a method for teaching residents about safety culture, medical errors, and disclosure by using a movie, magazine article, an…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39200/psn-pdf
    March 28, 2010 - Creating champions for health care quality and safety. March 28, 2010 Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. https://psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety Inte…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50584/psn-pdf
    October 23, 2019 - Unprotected: broken promises in Georgia’s senior care industry. October 23, 2019 Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019. https://psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry Assisted living facilities have challenges that reduce the quality and saf…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36954/psn-pdf
    February 24, 2011 - Patient safety knowledge and its determinants in medical trainees. February 24, 2011 Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4. https://psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-tr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40264/psn-pdf
    December 21, 2014 - Persistent noncompliance with the work-hour regulation. December 21, 2014 Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation. Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337. https://psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36394/psn-pdf
    December 22, 2010 - Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? December 22, 2010 Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76. https://psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurg…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36283/psn-pdf
    April 19, 2011 - The 80-hour duty week: rationale, early attitudes, and future questions. April 19, 2011 Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat Res. 2006;449:138-142. https://psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions T…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37169/psn-pdf
    October 06, 2011 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. October 6, 2011 Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141. doi:10.1097/0b013e31814258db. https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-s…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40432/psn-pdf
    May 04, 2011 - Factors associated with medication errors in the pediatric emergency department. May 4, 2011 Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294. doi:10.1097/PEC.0b013e31821313c2. https:/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41244/psn-pdf
    April 04, 2012 - Medical error disclosure: the gap between attitude and practice. April 4, 2012 Ghalandarpoorattar SM, Kaviani A, Asghari F. Medical error disclosure: the gap between attitude and practice. Postgrad Med J. 2012;88(1037):130-3. doi:10.1136/postgradmedj-2011-130118. https://psnet.ahrq.gov/issue/medical-error-disclosu…

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