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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72796/psn-pdf
    March 03, 2021 - Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. March 3, 2021 Jachan DE, Müller?Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Nurs Open. 2021;8(2):755-765. doi:1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46681/psn-pdf
    April 16, 2018 - Trainee autonomy and patient safety. April 16, 2018 George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety Reduced resident work hours and insufficient senior surgeon…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43022/psn-pdf
    May 29, 2014 - Using simulation to improve root cause analysis of adverse surgical outcomes. May 29, 2014 Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. https://psnet.ahrq.gov/issue/using-sim…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61003/psn-pdf
    October 07, 2020 - Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. October 7, 2020 Manchester, UK: The Parliamentary and Health Service Ombudsman; July 15, 2020. ISBN 9781528620666. https://psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk- gover…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42635/psn-pdf
    December 06, 2013 - Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. December 6, 2013 Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39428/psn-pdf
    April 07, 2010 - Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. April 7, 2010 Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018. h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39062/psn-pdf
    November 11, 2009 - Ensuring patient safety through effective leadership behaviour: a literature review. November 11, 2009 Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004. https://psnet.ahrq.gov/issue/ensuring-patient-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38867/psn-pdf
    March 01, 2011 - Management of anesthesia equipment failure: a simulation-based resident skill assessment. March 1, 2011 Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation- Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2). doi:10.1213/ane.0b013e3181aa3079. https:/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35598/psn-pdf
    July 10, 2008 - Residents report on adverse events and their causes. July 10, 2008 Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13. https://psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes This survey demonstrated that more tha…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43610/psn-pdf
    October 15, 2014 - Preventing medication errors in neonatology: is it a dream? October 15, 2014 Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr. 2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37. https://psnet.ahrq.gov/issue/preventing-medication-errors-neonatology-it-dream Discuss…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860397/psn-pdf
    January 10, 2024 - MRI safety: prepare for new guidance. January 10, 2024 Gilk T. Appl Radiol. 2023;52(6):24-26. https://psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital and ambulatory scanning environments. This article …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43350/psn-pdf
    August 02, 2015 - Clinical questions raised by clinicians at the point of care: a systematic review. August 2, 2015 Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014.368. https://psnet.ahrq.gov/issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46963/psn-pdf
    April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. London, UK: National Health Service; March 15, 2018. https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted as key to improving patient safety, individual behaviors must also be recognized as contributors to ris…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42872/psn-pdf
    December 30, 2014 - Errors in after-hours phone consultations: a simulation study. December 30, 2014 Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243. https://psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43291/psn-pdf
    June 25, 2014 - The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. June 25, 2014 Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. BMJ Qual Saf. 2014;23(7):543-7. doi:10.1136/bmjqs-2…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73539/psn-pdf
    July 28, 2021 - Developing critical thinking skills for delivering optimal care July 28, 2021 Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern Med J. 2021;51(4):488-493. doi:10.1111/imj.15272. https://psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-o…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43740/psn-pdf
    December 10, 2014 - Participation in EHR based simulation improves recognition of patient safety issues. December 10, 2014 Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-224. https://psnet.ahrq.gov/issu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61054/psn-pdf
    October 21, 2020 - The optimal use of telehealth to deliver safe patient care. October 21, 2020 Quick Safety. October 6, 2020;55:1-4. https://psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care Telehealth benefits, barriers, and challenges have become more apparent due to its increased use due to COVID-19 phys…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39042/psn-pdf
    July 13, 2010 - Global oximetry: an international anaesthesia quality improvement project. July 13, 2010 Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x. https://psnet.ahrq.gov/issue/global-oxim…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44107/psn-pdf
    August 15, 2016 - Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. August 15, 2016 Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/1049909115581847. https://psnet.ahrq…