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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41815/psn-pdf
    July 02, 2014 - Examining the diagnostic justification abilities of fourth- year medical students. July 2, 2014 Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students. Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff. https://psnet.ahrq.gov/issue/examining-diagnostic…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40017/psn-pdf
    December 14, 2016 - Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. December 14, 2016 Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W299-301. doi:10.2214/AJR.09.3938. htt…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39989/psn-pdf
    December 21, 2014 - The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. December 21, 2014 Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/archinternmed.2010.373. https://p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37881/psn-pdf
    July 02, 2008 - Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. July 2, 2008 Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885-900. https://psnet.ahrq.gov/issue/si…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764408/psn-pdf
    March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43457/psn-pdf
    August 02, 2015 - A human factors subsystems approach to trauma care. August 2, 2015 Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8. https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care Human factors analysis led to five system changes i…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73098/psn-pdf
    September 07, 2021 - Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. September 7, 2021 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2021. https://psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascula…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44472/psn-pdf
    January 22, 2016 - Understanding medical errors and adverse events in ICU patients. January 22, 2016 Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. https://psnet.ahrq.gov/issue/understanding-medical-errors…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45229/psn-pdf
    July 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40542/psn-pdf
    August 25, 2011 - Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. August 25, 2011 Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Postgrad Med J. 2011;87(1030):524-8. doi:10.1136/pgmj…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42190/psn-pdf
    July 01, 2013 - Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. July 1, 2013 Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. BMJ Qual Saf. 2013;22(7):563-70. doi:10.113…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837774/psn-pdf
    August 03, 2022 - Preventing retained surgical items. August 3, 2022 Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575. doi:10.1002/aorn.13697. https://psnet.ahrq.gov/issue/preventing-retained-surgical-items Unintentionally retained foreign objects can be exacerbated by fatigue, distractions, and c…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48136/psn-pdf
    August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health IT. August 7, 2019 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it Inconsistent checking for and consideration of drug allergy alerts can d…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44100/psn-pdf
    June 10, 2015 - Residency training in handoffs: a survey of program directors in psychiatry. June 10, 2015 Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. https://psnet.ahrq.gov/issue/residency-trainin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42481/psn-pdf
    August 14, 2013 - Drug administration errors in hospital inpatients: a systematic review. August 14, 2013 Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. https://psnet.ahrq.gov/issue/drug-administration-err…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43477/psn-pdf
    May 19, 2015 - Adverse events in healthcare: learning from mistakes. May 19, 2015 Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. https://psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes This review discusses chart revie…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856641/psn-pdf
    January 01, 2009 - WebAIRS Anesthesia Incident Reporting System. January 1, 2009 Australian and New Zealand Tripartite Anaesthetic Data Committee. https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website serves …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38592/psn-pdf
    April 29, 2009 - The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. April 29, 2009 Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43020/psn-pdf
    May 29, 2014 - Handoff practices in undergraduate medical education. May 29, 2014 Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0. https://psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education This su…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38630/psn-pdf
    May 13, 2009 - Seasoned surgeons assessed in a laparoscopic surgical crisis. May 13, 2009 Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. https://psnet.ahrq.gov/issue/seasoned-surgeons-assessed-lapa…