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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38480/psn-pdf
    July 15, 2013 - Creative education for rapid response team implementation. July 15, 2013 Johnson AL. Creative education for rapid response team implementation. J Contin Educ Nurs. 2009;40(1):38-42. https://psnet.ahrq.gov/issue/creative-education-rapid-response-team-implementation This article describes how one community hospital…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33599/psn-pdf
    August 30, 2023 - Simplifying information with plain language and visual cues, such as models, pictures, or videos.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49491/psn-pdf
    September 01, 2005 - references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#videos
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844792/psn-pdf
    January 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851455/psn-pdf
    July 19, 2023 - Student mistakes and teacher reactions in bedside teaching. July 19, 2023 Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y. https://psnet.ahrq.gov/issue/student-mistakes-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50374/psn-pdf
    September 25, 2019 - Explainable artificial intelligence for safe intraoperative decision support. September 25, 2019 Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821. https://psnet.ahrq.gov/issue/explainable-artificial-int…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41469/psn-pdf
    October 19, 2012 - Deconstructing intraoperative communication failures. October 19, 2012 Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029. https://psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures Video reco…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867748/psn-pdf
    March 12, 2025 - Adverse events involving telehealth in the Veterans Health Administration. March 12, 2025 Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. https://psnet.ahrq.gov/issue/adverse-even…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846162/psn-pdf
    July 01, 2020 - The effect of virtual nursing and missed nursing care. July 1, 2020 Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care The COVID-19…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43739/psn-pdf
    December 03, 2014 - Joshua’s Story. December 3, 2014 Anderson-Wallace M, Denning R. Leeds, UK: Patient Stories; October 18, 2014. https://psnet.ahrq.gov/issue/joshuas-story Patient stories are a growing component of understanding the impact of medical errors on patients and uncovering underlying causes. This video features an in-dept…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42005/psn-pdf
    January 30, 2013 - Infusing fun into quality and safety initiatives. January 30, 2013 Foulk KC, Tocydlowski P, Snow TM, et al. Infusing fun into quality and safety initiatives. Nursing (Brux). 2012;42(11):14-16. doi:10.1097/01.NURSE.0000421386.36112.a9. https://psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives Nursing…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42403/psn-pdf
    August 02, 2015 - Encouraging patients to ask questions: how to overcome "white-coat silence." August 2, 2015 Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797. https://psnet.ahrq.gov/issue/encouraging-patients-ask-quest…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849339/psn-pdf
    May 24, 2023 - Just a Cup of Tea – an Introduction to the SEIPS Framework. May 24, 2023 Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023. https://psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework The Systems Engineering Initiative for Patient Safety (SEIPS) framework …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41277/psn-pdf
    November 28, 2012 - AHRQ 2012 Annual Conference. November 28, 2012 Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel & Conference Center, Bethesda, MD. https://psnet.ahrq.gov/issue/ahrq-2012-annual-conference The Agency for Healthcare Research and Quality's 2012 conference, "Moving Ahead:…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38084/psn-pdf
    September 24, 2008 - How patients perceive a doctor's caring attitude. September 24, 2008 Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns. 2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022. https://psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude This study co…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37858/psn-pdf
    June 25, 2008 - Measuring team performance in healthcare: review of research and implications for patient safety. June 25, 2008 Jeffcott SA, Mackenzie CF. Measuring team performance in healthcare: review of research and implications for patient safety. J Crit Care. 2008;23(2):188-96. doi:10.1016/j.jcrc.2007.12.005. https://psnet.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50744/psn-pdf
    December 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50936/psn-pdf
    February 26, 2020 - Sitters as a patient safety strategy to reduce hospital falls: a systematic review. February 26, 2020 Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47237/psn-pdf
    January 01, 2020 - First-year analysis of the Operating Room Black Box study. July 25, 2018 Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study An…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45049/psn-pdf
    April 20, 2016 - Medical errors: disclosure styles, interpersonal forgiveness, and outcomes. April 20, 2016 Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026. https://psnet.ahrq.gov/issue/medical-errors…

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