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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44148/psn-pdf
    November 06, 2015 - Role of cognition in generating and mitigating clinical errors. November 6, 2015 Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. https://psnet.ahrq.gov/issue/role-cognition-generating-and-miti…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35726/psn-pdf
    February 09, 2011 - Sleep deprivation and clinical performance. February 9, 2011 Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7. https://psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance This review discusses evidence for the role sleep deprivation plays on performance in…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60583/psn-pdf
    June 10, 2020 - Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. June 10, 2020 Wee LE, Fua T?P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. Acad Emerg Med. 2020;27(5):379…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50451/psn-pdf
    October 09, 2019 - Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation October 9, 2019 Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation. Br J Clin Pharm…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45396/psn-pdf
    August 10, 2016 - Examining the July Effect: a national survey of academic leaders in medicine. August 10, 2016 Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001. https://psnet.ahrq.gov/issue/examining-july-e…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39638/psn-pdf
    July 02, 2014 - Teaching quality improvement and patient safety to trainees: a systematic review. July 2, 2014 Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6. https://psnet.ahrq.gov/issue/teaching…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46132/psn-pdf
    September 24, 2017 - The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. September 24, 2017 Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Education During the Morbidity and Mort…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72547/psn-pdf
    December 09, 2020 - The effects of rudeness, experience, and perspective- taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial. December 9, 2020 Avesar M, Erez A, Essakow J, et al. The effects of rudeness, experience, and perspective…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50798/psn-pdf
    January 15, 2020 - Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. January 15, 2020 Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Implications for Worker and Patien…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854988/psn-pdf
    November 01, 2023 - Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. November 1, 2023 Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72775/psn-pdf
    February 24, 2021 - Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non- randomized controlled study. February 24, 2021 Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes via s…
  13. psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
    March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015  View more articles from the same authors. Citation Text: Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33697/psn-pdf
    June 01, 2010 - What Do We Know About Emergency Department Safety? June 1, 2010 Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety Perspective Emergency medicine has evolved from a location, with var…
  15. psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
    September 27, 2017 - especially at the level of the most immediate caregivers (bedside nurses) and those placing orders (resident
  16. psnet.ahrq.gov/web-mm/dual-therapy-debacle
    February 01, 2007 - March 18, 2009 Implementation of resident work hour restrictions is associated with a
  17. psnet.ahrq.gov/web-mm/outbreak
    January 29, 2015 - Department of Emergency Medicine Johns Hopkins University School of Medicine Sahael Stapleton, MD Resident
  18. psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
    June 01, 2014 - The resident used the codes on each pill to identify them and discovered that one bottle labeled as "
  19. psnet.ahrq.gov/web-mm/flying-object-hits-mri
    September 01, 2005 - Root cause analysis and actions for the prevention of medical errors: quality improvement and resident
  20. psnet.ahrq.gov/web-mm/making-do
    September 05, 2018 - Cervical Spine Surgery February 28, 2024 Department of Veterans Affairs Chief Resident

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