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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48178/psn-pdf
    January 01, 2020 - ACR guidance document on MR safe practices: updates and critical information 2019. August 14, 2019 ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 2020;51(2):331-338.  https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46980/psn-pdf
    June 19, 2018 - Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning. June 19, 2018 Brown A, Nidumolu A, Stanhope A, et al. Can first-year medical students acquire qual…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43765/psn-pdf
    February 04, 2015 - Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study. February 4, 2015 Simonsen BO, Daehlin GK, Johansson I, et al. Differences in medication knowledge and risk of errors between graduating nursing students and working registere…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42964/psn-pdf
    May 10, 2014 - What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. May 10, 2014 Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96. d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47374/psn-pdf
    April 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61115/psn-pdf
    November 11, 2020 - Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review. November 11, 2020 Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review. J Am Assoc Nurse Prac…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44616/psn-pdf
    November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. November 4, 2015 Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44477/psn-pdf
    October 14, 2015 - Field test of the World Health Organization Multi- professional Patient Safety Curriculum Guide. October 14, 2015 Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1371/journal.pone.0138510. http…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867390/psn-pdf
    December 18, 2024 - Quality of care and quality of life: balancing patient safety and physician burnout. December 18, 2024 Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681. https://psnet.ahrq.go…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34067/psn-pdf
    January 04, 2017 - Does full disclosure of medical errors affect malpractice liability? The jury is still out. January 4, 2017 Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11. https://psnet.ahrq.gov/issue/does…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836760/psn-pdf
    March 16, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. March 16, 2022 Washington, DC: VA Office of the Inspector General;  February 17, 2022. Report No. 21-01506-76. https://psnet.ahrq.gov/issue/comprehensive-healthcare-i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46849/psn-pdf
    May 23, 2018 - 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). May 23, 2018 Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269. doi:10.1016/j.jcjq.2017.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47755/psn-pdf
    July 24, 2019 - Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. July 24, 2019 Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu. 2019;8(2):118-122. doi:10.1007/s…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839310/psn-pdf
    December 01, 2019 - The patient perspective on errors in cancer care: results of a cross-sectional survey. December 1, 2019 Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross- sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.0000000000000368. https://psnet.ahrq…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42400/psn-pdf
    July 10, 2013 - Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. July 10, 2013 Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communication observation tool to quantify…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44864/psn-pdf
    March 23, 2016 - Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. March 23, 2016 Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Acad Med. 2016;91(3):301-4. doi:10.1097…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844047/psn-pdf
    February 08, 2023 - Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. February 8, 2023 Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pediatr. 2023;23(2):489-496. doi:…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45696/psn-pdf
    January 23, 2017 - Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. January 23, 2017 McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Educ Prim Care. 2016;27(6):443-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46550/psn-pdf
    November 15, 2017 - "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. November 15, 2017 Wu MS, Rawal S. "It's the difference between life and death": The views of professional medical interpreters on th…