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6401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47978/psn-pdf
      May 01, 2019 - Patient Safety. May 1, 2019 GMS J Med Educ. 2019;36:Doc11-Doc22. https://psnet.ahrq.gov/issue/patient-safety-16 Patient safety has been described as an unmet need in physician training. This special issue covers areas of focus for a patient safety curriculum drawn from experience in the German medical education sy…

6402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41421/psn-pdf
      November 26, 2014 - "Learning by Doing"—resident perspectives on developing competency in high-quality discharge care. November 26, 2014 Greysen R, Schiliro D, Curry LA, et al. "Learning by doing"--resident perspectives on developing competency in high-quality discharge care. J Gen Intern Med. 2012;27(9):1188-94. doi:10.1007/s11606- …

6403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44808/psn-pdf
      March 16, 2016 - Interprofessional teamwork and team interventions in chronic care: a systematic review. March 16, 2016 Körner M, Bütof S, Müller C, et al. Interprofessional teamwork and team interventions in chronic care: A systematic review. J Interprof Care. 2016;30(1):15-28. doi:10.3109/13561820.2015.1051616. https://psnet.ahr…

6404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43181/psn-pdf
      May 14, 2014 - Overextended: fighting the fatigue of long shifts. May 14, 2014 Douglass JA. Overextended: Fighting the fatigue of long shifts. Nursing (Brux). 2014;44(3):67-8. doi:10.1097/01.NURSE.0000441895.42899.0c. https://psnet.ahrq.gov/issue/overextended-fighting-fatigue-long-shifts Many studies have demonstrated the link b…

6405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40440/psn-pdf
      July 02, 2014 - Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. July 2, 2014 Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Ac…

6406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35282/psn-pdf
      May 27, 2011 - Comprehensive analysis of a medication dosing error related to CPOE. May 27, 2011 Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. https://psnet.ahrq.gov/issue/comprehensive-analysis-medication-d…

6407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35470/psn-pdf
      July 10, 2008 - Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. July 10, 2008 Ray WA, Taylor JA, Brown AK, et al. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Arch Intern Med. 2005;165(19):2293-8. https://psnet.ahr…

6408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43566/psn-pdf
      December 19, 2014 - Bedside shift reports: what does the evidence say? December 19, 2014 Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. https://psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say Bedside shift report…

6409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837604/psn-pdf
      June 29, 2022 - Diagnostic overshadowing among groups experiencing health disparities. June 29, 2022 Sentinel Event Alert. June 22, 2022;(65):1-7. https://psnet.ahrq.gov/issue/diagnostic-overshadowing-among-groups-experiencing-health-disparities A clinician's knowledge of an existing condition can implicitly affect treatment reco…

6410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43165/psn-pdf
      May 07, 2014 - Disrespectful behaviors—part 1 and part 2. May 7, 2014 ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4. https://psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2 The first article of this series reports the results of a survey investigating disruptive beh…

6411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45492/psn-pdf
      September 28, 2016 - Understanding human over-reliance on technology. September 28, 2016 ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4. https://psnet.ahrq.gov/issue/understanding-human-over-reliance-technology Over-reliance on technology can contribute to error due to user complacency. Reviewing how the ten…

6412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866257/psn-pdf
      July 25, 2024 - Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. July 10, 2024 Agency for Healthcare Research and Quality. July 25, 2024. https://psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action Teamwork in the surgical suite is core to safe care but can be challenging to …

6413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46321/psn-pdf
      August 27, 2017 - Using simulation to improve systems-based practices. August 27, 2017 Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. https://psnet.ahrq.gov/issue/using-simulation-improve-systems-base…

6414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39505/psn-pdf
      November 26, 2014 - Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. November 26, 2014 O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. doi:10.1007/s11606-010-1345-6. h…

6415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866530/psn-pdf
      August 14, 2024 - Healthcare Simulation in Nursing Practice. August 14, 2024 Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510. https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice Simulation is an established method to examine nursing process resilience and develop non-techni…

6416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844542/psn-pdf
      February 15, 2023 - Human factors in anaesthesia: a narrative review. February 15, 2023 Kelly FE, Frerk C, Bailey CR, et al. Human factors in anaesthesia: a narrative review. Anaesthesia. 2023;78(4):479-490. doi:10.1111/anae.15920. https://psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review Human factors science focuses o…

6417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44139/psn-pdf
      June 10, 2015 - In situ simulated cardiac arrest exercises to detect system vulnerabilities. June 10, 2015 Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000087. https://psnet.ahrq.gov/issue/…

6418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43458/psn-pdf
      August 27, 2014 - Validation of a teamwork perceptions measure to increase patient safety. August 27, 2014 Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942. https://psnet.ahrq.gov/issue/validation-teamwork…

6419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42506/psn-pdf
      August 28, 2013 - Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. August 28, 2013 Rogers DA, Lingard LA, Boehler ML, et al. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Am J Surg. 2013;206(3):428-32. doi:10.1016/…

6420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50781/psn-pdf
      January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…