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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42200/psn-pdf
    December 18, 2013 - The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. December 18, 2013 Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. J Emerg M…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46417/psn-pdf
    October 11, 2017 - Center for Health Care Human Factors. October 11, 2017 Armstrong Institute for Patient Safety and Quality. https://psnet.ahrq.gov/issue/center-health-care-human-factors Human factors engineering has provided unique insights into designing solutions to address human error and system weaknesses that facilitate mista…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45788/psn-pdf
    March 01, 2017 - Latest Results From the "FIRST" Trial. March 1, 2017 J Am Coll Surg. 2017;224:103-159. https://psnet.ahrq.gov/issue/latest-results-first-trial The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial examined residency program response to duty hour rules. This special issue features studies ex…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72801/psn-pdf
    March 03, 2021 - Teamwork in the time of COVID-19. March 3, 2021 Takizawa PA, Honan L, Brissette D, et al. Teamwork in the time of COVID?19. FASEB Bioadv. 2020;3(3):175-181. doi:10.1096/fba.2020-00093. https://psnet.ahrq.gov/issue/teamwork-time-covid-19 The COVID-19 pandemic has led to wide-ranging changes in the health care syste…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47321/psn-pdf
    June 19, 2019 - Validation of a mobile app for reducing errors of administration of medications in an emergency. June 19, 2019 Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):531-539. doi:10.1007/s10877-018-018…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37555/psn-pdf
    February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient safety. February 14, 2018 ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78- e81. https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety This commentary discusses how sleep deprivation affects…
  7. 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 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849338/psn-pdf
    May 24, 2023 - The impact of language barriers on patient care: a pharmacy perspective. May 24, 2023 Patel J. PM Healthcare Journal. Spring 2023(4):5-18. https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective Language discordance is known to degrade medication safety. The article discusses an exa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47435/psn-pdf
    November 07, 2018 - Cognitive bias in clinical medicine. November 7, 2018 O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225- 232. doi:10.4997/JRCPE.2018.306. https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine Cognitive biases can lead to unnecessary treatment and de…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36946/psn-pdf
    September 09, 2011 - The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. September 9, 2011 Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. Qual Manag Health Care. 2007;16…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42207/psn-pdf
    April 24, 2013 - Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes. April 24, 2013 Teigland CL, Blasiak RC, Wilson LA, et al. Patient safety and quality improvement education: a cross- sectional study of medical students' preferences and attitudes. BMC Med Educ…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42500/psn-pdf
    August 14, 2013 - When should students learn about ethics, professionalism and patient safety? August 14, 2013 Walton M, Jeffery H, Van Staalduinen S, et al. When should students learn about ethics, professionalism and patient safety? Clin Teach. 2013;10(4):224-9. doi:10.1111/tct.12029. https://psnet.ahrq.gov/issue/when-should-stud…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38613/psn-pdf
    May 20, 2009 - Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. May 20, 2009 Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00268-009-9952-2. https://psnet.ahrq.go…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46305/psn-pdf
    September 27, 2017 - Using simulation to improve systems. September 27, 2017 Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. https://psnet.ahrq.gov/issue/using-simulation-improve-systems-0 Simulations in health care can help uncover technical …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44312/psn-pdf
    November 06, 2015 - Beyond the team: understanding interprofessional work in two North American ICUs. November 6, 2015 Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.0000000000001136. https://psnet.ahrq.gov/issue…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60565/psn-pdf
    June 03, 2020 - The public has been forgiving. But hospitals got some things wrong. June 3, 2020 Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. https://psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong The complexity of the COVID-19 crisis cr…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42702/psn-pdf
    January 09, 2014 - Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. January 9, 2014 Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47005/psn-pdf
    June 13, 2018 - "No-go considerations" for in situ simulation safety. June 13, 2018 Bajaj K, Minors A, Walker K, et al. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018;13(3):221-224. doi:10.1097/SIH.0000000000000301. https://psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety Frontline simul…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41279/psn-pdf
    September 19, 2016 - Medical error, incident investigation and the second victim: doing better but feeling worse? September 19, 2016 Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-2011-000605. https://psnet.ahrq.gov/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40487/psn-pdf
    June 01, 2011 - Developing and testing a tool to measure nurse/physician communication in the intensive care unit. June 1, 2011 Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b013e31820dbe02. https://psnet.ahrq.gov…