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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47978/psn-pdf
    May 01, 2019 - Patient Safety. May 1, 2019 GMS J Med Educ. 2019;36:Doc11-Doc22. https://psnet.ahrq.gov/issue/patient-safety-16 Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education sy…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44139/psn-pdf
    June 10, 2015 - In situ simulated cardiac arrest exercises to detect system vulnerabilities. June 10, 2015 Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000087. https://psnet.ahrq.gov/issue/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42782/psn-pdf
    January 19, 2014 - Developing a medical emergency team running sheet to improve clinical handoff and documentation. January 19, 2014 Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2013;39(12):570-575. https://psnet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73996/psn-pdf
    October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care. October 20, 2021 Patient Safety Movement. October 29, 2021.  https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This webinar …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836934/psn-pdf
    March 12, 2025 - Top 10 Patient Safety Concerns. March 12, 2025 Plymouth Meeting, PA: ECRI; March 2025. https://psnet.ahrq.gov/issue/top-10-patient-safety-concerns This annual consensus report identifies actions harboring risks that contribute to preventable patient harm. The top ten concerns for 2025 include poor response to…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35339/psn-pdf
    April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39586/psn-pdf
    January 09, 2011 - Relationship between systems-level factors and hand hygiene adherence. January 9, 2011 Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71. https://psnet.ahrq.gov/issue/relationship-b…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43659/psn-pdf
    November 05, 2014 - Intraoperative patient information handover between anesthesia providers. November 5, 2014 Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001. https://psnet.ahrq.gov/issue/intraopera…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46272/psn-pdf
    January 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50835/psn-pdf
    January 29, 2020 - Safe work-hour standards for parents of children with medical complexity. January 29, 2020 Schall TE, Foster CC, Feudtner C. Safe Work-Hour Standards for Parents of Children With Medical Complexity. JAMA Pediatr. 2019;174(1):7-8. doi:10.1001/jamapediatrics.2019.4003. https://psnet.ahrq.gov/issue/safe-work-hour-sta…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34922/psn-pdf
    February 25, 2009 - Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. February 25, 2009 Silén-Lipponen M, Tossavainen K, Turunen H, et al. Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. Int …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36576/psn-pdf
    January 14, 2011 - Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. January 14, 2011 Sinha M, Shriki J, Salness R, et al. Need for standardized sign-out in the emergency department: a survey of emergency medicine resid…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847731/psn-pdf
    April 19, 2023 - Lessons from health care leaders: rethinking and reinvesting in patient safety. April 19, 2023 doi:10.1056/CAT.23.0090. https://psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety Progress in patient safety has been disappointingly slow. This commentary shares thoughts from a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44192/psn-pdf
    November 10, 2015 - Hospital ratings: a guide for the perplexed. November 10, 2015 Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269. https://psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed Concerns have been raised about the variability of measures used to rate safety a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43269/psn-pdf
    July 28, 2014 - Restoring trust in VA health care. July 28, 2014 Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852. https://psnet.ahrq.gov/issue/restoring-trust-va-health-care In response to a recent investigation raising concerns about inaccurate reporting of wait-ti…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41453/psn-pdf
    November 26, 2014 - Judging whether a patient is actually improving: more pitfalls from the science of human perception. November 26, 2014 Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9. doi:10.1007/s11606-012-2097-2.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60585/psn-pdf
    June 10, 2020 - Pandemic presents new hurdles, and hope, for people struggling with addiction. June 10, 2020 Feldman N. Kaiser Health News. June 2, 2020. https://psnet.ahrq.gov/issue/pandemic-presents-new-hurdles-and-hope-people-struggling-addiction Physical distancing as a COVID-19 prevention strategy has had a range of unintend…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847550/psn-pdf
    April 12, 2023 - What's changed 1 year after RaDonda Vaught's conviction? April 12, 2023 Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023. https://psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction The RaDonda Vaught conviction reverberated throughout health care and marked weaknesses in systems…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60531/psn-pdf
    May 27, 2020 - Telenursing in incidents and disasters: a systematic review of the literature. May 27, 2020 Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005. https://psnet.ahrq.gov/issue/telenursing-in…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40294/psn-pdf
    September 24, 2016 - Hospital doctors' workflow interruptions and activities: an observation study. September 24, 2016 Weigl M, Müller A, Zupanc A, et al. Hospital doctors' workflow interruptions and activities: an observation study. BMJ Qual Saf. 2011;20(6):491-7. doi:10.1136/bmjqs.2010.043281. https://psnet.ahrq.gov/issue/hospital-d…