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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45381/psn-pdf
    July 01, 2017 - Incorporating quality and safety values into a CLABSI simulation experience. July 1, 2017 Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience. Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175. https://psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-c…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42109/psn-pdf
    March 13, 2013 - Nursing crew resource management: a follow-up report from the Veterans Health Administration. March 13, 2013 Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1097/NNA.0b013e318283dafa. https://psnet…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50374/psn-pdf
    September 25, 2019 - Explainable artificial intelligence for safe intraoperative decision support. September 25, 2019 Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821. https://psnet.ahrq.gov/issue/explainable-artificial-int…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40670/psn-pdf
    August 03, 2011 - ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. August 3, 2011 ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. ED management : the monthly update on emergency department management. 2011;23(7):78-80. https://psnet.ahrq.gov/issu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73692/psn-pdf
    September 08, 2021 - Quality and safety in surgery: challenges and opportunities. September 8, 2021 Nasca BJ, Bilimoria KY, Yang AD. Quality and safety in surgery: challenges and opportunities. Jt Comm J Qual Patient Saf. 2021;47(9):604-607. doi:10.1016/j.jcjq.2021.05.003. https://psnet.ahrq.gov/issue/quality-and-safety-surgery-challe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39910/psn-pdf
    July 03, 2014 - An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients. July 3, 2014 Schwartz A, Weiner SJ, Harris IB, et al. An educational intervention for contextualizing patient care and medical students' abilities to probe for contextu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836971/psn-pdf
    April 20, 2022 - Patients should know who's operating, surgeons say. April 20, 2022 Laber-Warren E. MedPage Today. April 5, 2022. https://psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say Resident autonomy is an essential component to medical training, but it is not without patient safety risks. This news artic…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43529/psn-pdf
    October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37847/psn-pdf
    June 18, 2008 - Effect of the 80-hour work week on resident case coverage. June 18, 2008 Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44270/psn-pdf
    July 01, 2015 - Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. July 1, 2015 Chicago, IL: Health Research & Educational Trust; June 2015. https://psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication- teamstepps This guide draws from the experience of organizati…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72787/psn-pdf
    May 01, 2018 - The Caregiver Advise, Record, Enable (CARE) act. May 1, 2018 Anthony M. The Caregiver Advise, Record, Enable (CARE) Act. Home Healthc Now. 2018;36(2):69-70. doi:10.1097/nhh.0000000000000655. https://psnet.ahrq.gov/issue/caregiver-advise-record-enable-care-act Home healthcare is an increasingly viable option for pa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845080/psn-pdf
    February 22, 2023 - A high-reliability organization mindset. February 22, 2023 Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086. https://psnet.ahrq.gov/issue/high-reliability-organization-mindset The goal for health care organiz…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42552/psn-pdf
    January 14, 2014 - Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. January 14, 2014 Paradis E, Leslie M, Gropper MA, et al. Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnog…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47518/psn-pdf
    January 23, 2019 - Evaluation of a measurement system to assess ICU team performance. January 23, 2019 Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. https://psnet.ahrq.gov/issue/evaluation-measurement-s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842778/psn-pdf
    January 18, 2023 - During in-flight emergencies, sometimes airlines’ medical kits fall short. January 18, 2023 Ramachandran V. Kaiser Health News. January 6, 2023. https://psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short Inadequate equipment and personnel training degrade the reliability of i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46730/psn-pdf
    May 03, 2018 - Physician gender and apologies in clinical interactions. May 3, 2018 Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns. 2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005. https://psnet.ahrq.gov/issue/physician-gender-and-apologies-clinical-interactions This si…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44144/psn-pdf
    May 27, 2015 - Maintaining safety in the dialysis facility. May 27, 2015 Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914. https://psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility Failure to consider human factors and poor communication can contri…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74188/psn-pdf
    December 15, 2021 - Semantically ambiguous language in the teaching operating room. December 15, 2021 Liu C, McKenzie A, Sutkin G. Semantically ambiguous language in the teaching operating room. J Surg Edu. 2021;78(6):1938-1947. doi:10.1016/j.jsurg.2021.03.020. https://psnet.ahrq.gov/issue/semantically-ambiguous-language-teaching-ope…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43033/psn-pdf
    March 12, 2014 - Current challenges and future perspectives for patient safety in surgery. March 12, 2014 Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9. https://psnet.ahrq.gov/issue/current-challenges-and-future-pe…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865883/psn-pdf
    May 15, 2024 - Addressing electronic health record contributions to diagnostic error. May 15, 2024 Ratwani RM, Bates DW, Gold J. Health Affairs Forefront. April 25, 2024. https://psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error Design and user issues are persistent detractors from the relia…