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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39478/psn-pdf
    March 23, 2011 - Teamwork on inpatient medical units: assessing attitudes and barriers. March 23, 2011 O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795. https://psnet.ahrq.gov/issue/teamwork-inpatien…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72484/psn-pdf
    November 18, 2020 - Management of Operating Room Critical Events. November 18, 2020 Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922. https://psnet.ahrq.gov/issue/management-operating-room-critical-events Anesthesiology critical events are uncommon, and yet they have great potential for harm. This special issue focuses on mana…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50422/psn-pdf
    September 04, 2019 - Perceived bullying among internal medicine residents. September 4, 2019 Ayyala MS, Rios R, Wright SM. Perceived Bullying Among Internal Medicine Residents. JAMA. 2019;322(6):576-578. doi:10.1001/jama.2019.8616. https://psnet.ahrq.gov/issue/perceived-bullying-among-internal-medicine-residents Nearly 1 in 7 internal…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48117/psn-pdf
    July 10, 2019 - Miro's dots and lines. July 10, 2019 Taran S, Detsky AS. Miro’s Dots and Lines. JAMA Intern Med. 2019;179(8):1019–1020. doi:10.1001/jamainternmed.2019.1922. https://psnet.ahrq.gov/issue/miros-dots-and-lines This commentary draws parallels between experiences in viewing and exploring meaning in modern art to the c…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43152/psn-pdf
    May 07, 2014 - The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014 Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. https://psnet.ahrq.gov/issue/trainees-voice-recog…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41705/psn-pdf
    September 26, 2012 - Teamwork errors in trauma resuscitation. September 26, 2012 Sarcevic A, Marsic I, Burd RS. Teamwork Errors in Trauma Resuscitation. ACM Trans Comput Hum Interact. 2012;19(2):13:1-13:30. doi:10.1145/2240156.2240161. https://psnet.ahrq.gov/issue/teamwork-errors-trauma-resuscitation This study examines the nature of …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44383/psn-pdf
    January 05, 2017 - Field Guide to Collaborative Care: Implementing the Future of Health Care. January 5, 2017 Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290. https://psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care This online resource provides instructio…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73897/psn-pdf
    September 29, 2021 - Peer Support Toolkit. September 29, 2021 Betsy Lehman Center for Patient Safety. September 2021. https://psnet.ahrq.gov/issue/peer-support-toolkit Clinicians involved in adverse events that harm patients can struggle to come to terms with error. This toolkit is designed to assist organizations in the development o…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73401/psn-pdf
    June 16, 2021 - Second victim: a traumatic experience. June 16, 2021 Wands B. AANA J. 2021;89(2):168-174. https://psnet.ahrq.gov/issue/second-victim-traumatic-experience Healthcare professionals who experience emotional consequences after adverse events are often referred to as “second victims.” Targeted towards certified registe…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41083/psn-pdf
    December 12, 2012 - Teams under pressure in the emergency department: an interview study. December 12, 2012 Flowerdew L, Brown R, Russ S, et al. Teams under pressure in the emergency department: an interview study. Emerg Med J. 2012;29(12):e2. doi:10.1136/emermed-2011-200084. https://psnet.ahrq.gov/issue/teams-under-pressure-emergenc…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41790/psn-pdf
    December 12, 2012 - Assessment of teamwork during structured interdisciplinary rounds on medical units. December 12, 2012 O'Leary KJ, Boudreau YN, Creden AJ, et al. Assessment of teamwork during structured interdisciplinary rounds on medical units. J Hosp Med. 2012;7(9):679-83. doi:10.1002/jhm.1970. https://psnet.ahrq.gov/issue/asses…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43315/psn-pdf
    May 10, 2016 - Chief resident for quality improvement and patient safety: a description. May 10, 2016 Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034. https://psnet.ahrq.gov/issue/chief-resident-quality-…

  13. Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-7.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introdu…

  14. Figure 5: Screenshot 1: Medication Management Essentials | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 5: Screenshot 1: Medication Management Essentials Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduct…

  15. Figure 6: Screenshot 2: Nursing—Medication Reconciliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-6.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 6: Screenshot 2: Nursing—Medication Reconciliation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduc…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41710/psn-pdf
    November 08, 2012 - Improving teamwork on general medical units: when teams do not work face-to-face. November 8, 2012 McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478. https://psnet.ahrq.gov/issue/improving-tea…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37816/psn-pdf
    April 27, 2010 - In situ simulation: a method of experiential learning to promote safety and team behavior. April 27, 2010 Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-113. doi:10.1097/01.JPN.0000319096.97790.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838184/psn-pdf
    September 28, 2022 - The hidden risk of wheelchair use. September 28, 2022 Quesenberry M. The hidden risk of wheelchair use. Patient Safety. 2022;4(3):6-9. doi:10.33940/alert/2022.9.1. https://psnet.ahrq.gov/issue/hidden-risk-wheelchair-use Medical devices intended to improve patient safety can unintentionally lead to patient harm. Th…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45742/psn-pdf
    January 18, 2017 - War games and diagnostic errors. January 18, 2017 Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342. doi:10.1136/bmj.i6342. https://psnet.ahrq.gov/issue/war-games-and-diagnostic-errors This commentary draws parallels between a misinterpreted military training exercise with diagno…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45265/psn-pdf
    July 13, 2016 - Tackling disrespectful, unprofessional provider behaviors. July 13, 2016 Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4. https://psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors Disrespectful conduct among health care providers can hinder safe ca…
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