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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43556/psn-pdf
    December 19, 2014 - Establishing a safe container for learning in simulation: the role of the presimulation briefing. December 19, 2014 Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-49. doi:10.1097/SIH.0000000000000047. htt…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72582/psn-pdf
    December 16, 2020 - Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. December 16, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Report No 19-08542-11. https://psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died I…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43365/psn-pdf
    November 19, 2016 - Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. November 19, 2016 Dieckmann P, Clemmensen MH, Sørensen TK, et al. Identifying Facilitators and Barriers for Patient Safety in a Medicine Label Design System Using Patient Simulation a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837904/psn-pdf
    August 24, 2022 - A state-of-the-art review of speaking up in healthcare. August 24, 2022 Violato E. A state-of-the-art review of speaking up in healthcare. Adv Health Sci Educ Theory Pract. 2022;27(4):1177-1194. doi:10.1007/s10459-022-10124-8. https://psnet.ahrq.gov/issue/state-art-review-speaking-healthcare Speaking up behaviors …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44386/psn-pdf
    August 12, 2015 - Using simulation to improve systems. August 12, 2015 Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885- 92. doi:10.1016/j.suc.2015.04.007. https://psnet.ahrq.gov/issue/using-simulation-improve-systems Safety approaches from aviation that can be applied to health c…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38735/psn-pdf
    June 24, 2009 - Reflection and analysis of how pharmacy students learn to communicate about medication errors. June 24, 2009 Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399. https://psnet.ahrq.gov/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44318/psn-pdf
    December 04, 2016 - At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. December 4, 2016 J Med Toxicol. 2015;11(2):165-166, 252-273. https://psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and- medication-safety This special issue hi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35356/psn-pdf
    May 27, 2011 - Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. May 27, 2011 Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412 https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73392/psn-pdf
    June 16, 2021 - AI for radiographic COVID-19 detection selects shortcuts over signal. June 16, 2021 DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal. Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7. https://psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43030/psn-pdf
    March 26, 2014 - Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. March 26, 2014 ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.   https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based- causes-vaccine-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74722/psn-pdf
    February 02, 2022 - Preventing and mitigating radiology system failures: a guide to disaster planning. February 2, 2022 Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083. https://psnet.ahrq.gov/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850927/psn-pdf
    June 21, 2023 - Room of horrors simulation in healthcare education: a systematic review. June 21, 2023 Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824. https://psnet.ahrq.gov/issue/room-horrors-simulation-he…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866411/psn-pdf
    July 31, 2024 - Simulation to Improve Patient Safety: Getting Started. July 31, 2024 Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055. https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46457/psn-pdf
    December 20, 2017 - Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. December 20, 2017 Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010. https://psnet.ah…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47641/psn-pdf
    March 20, 2019 - Guided reflection interventions show no effect on diagnostic accuracy in medical students. March 20, 2019 Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297. https://psnet.ahrq.gov/issue/gu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60669/psn-pdf
    July 08, 2020 - Participation in a system-thinking simulation experience changes adverse event reporting. July 8, 2020 Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473. https://psnet.ahrq.gov/issue/parti…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45181/psn-pdf
    June 22, 2016 - Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. June 22, 2016 Kristensen S, Christensen KB, Jaquet A, et al. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. BMJ Open…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46352/psn-pdf
    October 15, 2018 - Optimal Resources for Surgical Quality and Safety. October 15, 2018 Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety Surgery is complex and involves a wide range of possibilities for error that can r…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39109/psn-pdf
    November 18, 2009 - Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare. November 18, 2009 Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for simulation in healthcare. Simul Healthc. 2009;4(3):143-148. doi:10.1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47656/psn-pdf
    March 13, 2019 - Sleep and alertness in a duty-hour flexibility trial in internal medicine. March 13, 2019 Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:915-923. https://psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine This cluster-randomized trial compared…