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psnet.ahrq.gov/node/74238/psn-pdf
January 12, 2022 - Program access, depressive symptoms, and medical
errors among resident physicians with disability.
January 12, 2022
Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors
among resident physicians with disability. JAMA Netw Open. 2021;4(12):e2141511.
doi:10.1001/jamanetwo…
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psnet.ahrq.gov/node/36917/psn-pdf
September 01, 2011 - Analysis of deaths related to anesthesia in the period
1996-2004 from closed claims registered by the Danish
Patient Insurance Association.
September 1, 2011
Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-
2004 from closed claims registered by the Danish…
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psnet.ahrq.gov/node/837605/psn-pdf
June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American
Lives and on the Health of our Nation.
June 29, 2022
Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.
https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation
Health inequities are receiving increased …
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psnet.ahrq.gov/node/74014/psn-pdf
October 27, 2021 - Adopting system models for multiple incident analysis:
utility and usability.
October 27, 2021
Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual
Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135.
https://psnet.ahrq.gov/issue/adopting-system-model…
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psnet.ahrq.gov/node/44469/psn-pdf
September 16, 2015 - Unexpected Death of a Patient During Treatment With
Multiple Medications, Tomah VA Medical Center, Tomah,
Wisconsin.
September 16, 2015
Washington, DC: VA Office of Inspector General. August 6, 2015. Report No. 15-02131-471.
https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medication…
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psnet.ahrq.gov/node/45621/psn-pdf
November 09, 2016 - Impact of age on anaesthesiologists' competence: a
narrative review.
November 9, 2016
Giacalone M, Zaouter C, Mion S, et al. Impact of age on anaesthesiologists' competence: A narrative
review. Eur J Anaesthesiol. 2016;33(11):787-793.
https://psnet.ahrq.gov/issue/impact-age-anaesthesiologists-competence-narrative-…
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psnet.ahrq.gov/node/44251/psn-pdf
January 13, 2016 - Early impact of the 2011 ACGME duty hour regulations on
surgical outcomes.
January 13, 2016
Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical
outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002.
https://psnet.ahrq.gov/issue/early-impact-2011-a…
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psnet.ahrq.gov/node/61073/psn-pdf
October 28, 2020 - Doctors' unconscious bias affects quality of health care
services, research shows.
October 28, 2020
Dembosky A. All Things Considered. National Public Radio. October 15, 2020.
https://psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
Physician implicit bias is g…
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psnet.ahrq.gov/node/42324/psn-pdf
July 16, 2013 - Reducing risk in maternity by optimising teamwork and
leadership: an evidence-based approach to save mothers
and babies.
July 16, 2013
Cornthwaite K, Edwards S, Siassakos D. Reducing risk in maternity by optimising teamwork and
leadership: an evidence-based approach to save mothers and babies. Best Pract Res Clin …
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psnet.ahrq.gov/node/46628/psn-pdf
December 18, 2017 - Residency evaluations—where is the patient voice?
December 18, 2017
Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med.
2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029.
https://psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice
Residents rarely receive feedba…
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psnet.ahrq.gov/node/42661/psn-pdf
October 16, 2013 - Utility and assessment of non-technical skills for rapid
response systems and medical emergency teams.
October 16, 2013
Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and
medical emergency teams. Intern Med J. 2013;43(9):962-9. doi:10.1111/imj.12172.
https://psne…
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psnet.ahrq.gov/node/60555/psn-pdf
January 01, 2021 - Putting the patient in patient safety investigations:
barriers and strategies for involvement.
June 3, 2020
Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for
involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pts.0000000000000699.
https://psnet.ah…
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psnet.ahrq.gov/node/46023/psn-pdf
May 03, 2017 - Patient safety and leadership: do you walk the walk?
May 3, 2017
Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92.
doi:10.1097/JHM-D-17-00005.
https://psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
Hospital leaders are increasingly encouraged t…
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psnet.ahrq.gov/node/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review.
March 20, 2019
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175.
…
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psnet.ahrq.gov/node/38942/psn-pdf
November 25, 2009 - Using in situ simulation to identify and resolve latent
environmental threats to patient safety: case study
involving a labor and delivery ward.
November 25, 2009
Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. Using in situ simulation to identify and resolve latent
environmental threats to patient safety: case …
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psnet.ahrq.gov/node/43994/psn-pdf
August 02, 2015 - Using simulation to improve patient safety: dawn of a new
era.
August 2, 2015
Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA
Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817.
https://psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-daw…
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psnet.ahrq.gov/node/43019/psn-pdf
March 05, 2014 - Augmenting health care failure modes and effects
analysis with simulation.
March 5, 2014
Nielsen DS, Dieckmann P, Mohr M, et al. Augmenting health care failure modes and effects analysis with
simulation. Simul Healthc. 2014;9(1):48-55. doi:10.1097/SIH.0b013e3182a3defd.
https://psnet.ahrq.gov/issue/augmenting-healt…
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psnet.ahrq.gov/node/43733/psn-pdf
March 14, 2016 - The effect of an electronic checklist on critical care
provider workload, errors, and performance.
March 14, 2016
Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care
Provider Workload, Errors, and Performance. J Intensive Care Med. 2016;31(3):205-12.
doi:10.1177/08…
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psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - Nontechnical skills in pediatric surgery: factors
influencing operative performance.
April 20, 2016
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J
Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
https://psnet.ahrq.gov/issue/nontechnical-skil…
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psnet.ahrq.gov/node/44782/psn-pdf
January 13, 2016 - The Swiss cheese model of adverse event
occurrence—closing the holes.
January 13, 2016
Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr
Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003.
https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event…