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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45677/psn-pdf
    March 08, 2017 - The War on Error: Common Diagnostic Errors. March 8, 2017 Medscape. 2016–2017. https://psnet.ahrq.gov/issue/war-error-common-diagnostic-errors Improving diagnosis has recently been recognized as a primary focus for patient safety. This collection highlights particular clinical areas of concern such as neurology an…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35443/psn-pdf
    September 18, 2009 - The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals. September 18, 2009 Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43433/psn-pdf
    October 01, 2014 - Medical error and systems of signaling: conceptual and linguistic definition. October 1, 2014 Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-1108-1. https://psnet.ahrq.gov/issue/med…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74709/psn-pdf
    November 23, 2024 - Fire safety in the operating room. November 23, 2024 Ehrenwerth J. UptoDate. November 18, 2024. https://psnet.ahrq.gov/issue/fire-safety-operating-room Operating room fires are never events that, while rare, still harbor great potential for harm. This review discusses settings prone to surgical fire events, preven…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37055/psn-pdf
    September 30, 2011 - Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. September 30, 2011 Salas E, Rosen MA, Burke S, et al. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Aviat Space Environ Med. 2007;78(5 Suppl):B77-85. https…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45093/psn-pdf
    September 04, 2016 - Radically redesigning patient safety. September 4, 2016 Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35846/psn-pdf
    July 22, 2010 - Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. July 22, 2010 Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.2.144. https://psnet.ahrq.gov/issue/…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37703/psn-pdf
    February 18, 2011 - Reducing diagnostic errors through effective communication: harnessing the power of information technology. February 18, 2011 Singh H, Naik AD, Rao R, et al. Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology. J Gen Intern Med. 2008;23(4). doi:10.1007/s11606-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36796/psn-pdf
    August 26, 2011 - Patient safety curriculum for surgical residency programs: results of a national consensus conference. August 26, 2011 Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results of a national consensus conference. Surgery. 2007;141(4):427-41. https://psnet.ahrq.go…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851660/psn-pdf
    July 26, 2023 - From aviation to pediatric surgery. July 26, 2023 Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila). 2024;63(4):557-559. doi:10.1177/00099228231176631. https://psnet.ahrq.gov/issue/aviation-pediatric-surgery Human factors strategies are increasingly applied in health …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45649/psn-pdf
    November 30, 2016 - Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy … Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - disclosure of medical errors has been described as both a great idea and an impractical risk management strategy … full-disclosure-and-apology-idea-whose-time-has-come https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - economic-evaluation-pharmacist-led-medication-reviews-residential-aged- care-facilities Pharmacist oversight of medication prescribing is an established safety strategy … inappropriate polypharmacy in aged care facilities and the cost- effectiveness of this risk management strategy

  14. Assessing and monitoring override medications in automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - May 6, 2009 Designing a strategy to promote safe, innovative off-label use of medications … September 29, 2010 Developing a medication patient safety program — infrastructure and strategy … December 30, 2014 A randomized trial of a multifactorial strategy to prevent serious

  15. Team-training in healthcare: a narrative synthesis of the literature. | PSNet

    psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
    July 02, 2014 - Related Resources From the Same Author(s) Promoting a culture of safety as a patient safety strategy … July 2, 2014 Rapid response systems as a patient safety strategy: a systematic review … October 10, 2017 Towards high-reliability organising in healthcare: a strategy for building

  16. Health IT Patient Safety Action and Surveillance Plan. | PSNet

    psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - May 13, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019 FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016 View More Related Resources Strategy on Reducing Regulatory

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - exploring how sleep deprivation affects clinician performance and the impact of work hour limits as a strategy … common-program-requirements-learning-and-working-environment-duty-hours https://psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47582/psn-pdf
    December 12, 2018 - data from chart review and taking ulcer severity into account may yield a more meaningful measurement strategy … success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36814/psn-pdf
    March 28, 2011 - paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy … paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45277/psn-pdf
    July 01, 2017 - really-possible Crew resource management (CRM), a type of team training, is a prime example of an aviation strategy … They propose more widespread implementation of CRM as a strategy to enhance safety culture.
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