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  1. psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-events-late-afternoon-surgeries
    October 19, 2022 - Commentary The increased incidence of anesthetic adverse events in late afternoon surgeries. Citation Text: Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J. 2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020. Copy Citation Format:…
  2. psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
    January 26, 2022 - Study Spike in fatal medication errors at the beginning of each month. Citation Text: Phillips DP, Jarvinen JR, Phillips RR. A spike in fatal medication errors at the beginning of each month. Pharmacotherapy. 2005;25(1):1-9. Copy Citation Format: Google Scholar PubMed BibT…
  3. psnet.ahrq.gov/issue/sleep-science-and-policy-change
    September 21, 2022 - Commentary Sleep, science, and policy change. Citation Text: Wylie D. Sleep, science, and policy change. N Engl J Med. 2005;352(2):196-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…
  4. psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
    November 16, 2022 - Study Listen carefully: the risk of error in spoken medication orders. Citation Text: Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042. Copy Citation Fo…
  5. psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
    December 07, 2016 - Newspaper/Magazine Article Medically Induced Trauma Support Services (MITSS). Citation Text: Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013. Copy Citation Save Save to your library Print Do…
  6. psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
    April 01, 2024 - Multi-use Website The National Healthcare System Action Alliance for Patient and Workforce Safety. Citation Text: The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services. Copy Citation Save Save t…
  7. psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
    November 25, 2009 - Commentary Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative. Citation Text: Sorensen A, Bernard SL. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborati…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43108/psn-pdf
    September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report. September 28, 2023 Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report This annual report summarizes never events in Maryland hospit…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43468/psn-pdf
    December 10, 2014 - Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? December 10, 2014 Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? Eur J Oncol Nurs. 2014;18(5…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34058/psn-pdf
    September 29, 2017 - Research designs for studies evaluating the effectiveness of change and improvement strategies. September 29, 2017 Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of change and improvement strategies. Qual Saf Health Care. 2003;12(1):47-52. https://psnet.ahrq.gov/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47773/psn-pdf
    April 17, 2019 - People, systems and safety: resilience and excellence in healthcare practice. April 17, 2019 Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/anae.14519. https://psnet.ahrq.gov/issue/people-systems-and-safety-resilience…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44581/psn-pdf
    January 20, 2016 - Quality management and perceptions of teamwork and safety climate in European hospitals. January 20, 2016 Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi:10.1093/intqhc/mzv079. https:/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838177/psn-pdf
    September 28, 2022 - Exploring care left undone in pediatric nursing. September 28, 2022 Bagnasco A, Rossi S, Dasso N, et al. Exploring care left undone in pediatric nursing. J Patient Saf. 2022;18(6):e903-e911. doi:10.1097/pts.0000000000001044. https://psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing Care left undone…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838146/psn-pdf
    September 21, 2022 - HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. September 21, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; 2022. https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary- highlights-themes-and Thi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44666/psn-pdf
    August 01, 2017 - Leveraging trainees to improve quality and safety at the point of care: three models for engagement. August 1, 2017 Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. doi:10.1097/ACM.0000000000000975. https…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49546/psn-pdf
    October 17, 2007 - Do Not Disturb! October 1, 2007 Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/do-not-disturb Case Objectives Define professionalism. Discuss behaviors associated with lack of professionalism. Outline steps one should take if a significant breach of professionalism is …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33841/psn-pdf
    September 01, 2017 - In Conversation With… Andrew Gettinger, MD September 1, 2017 In Conversation With… Andrew Gettinger, MD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md Editor's note: Dr. Gettinger is the Chief Medical Information Officer and the Executive Director of the Office of Cli…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33704/psn-pdf
    December 01, 2010 - In Conversation with...Geri Amori, PhD December 1, 2010 In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd Editor's note: Geri Amori, PhD, is Vice President for the Education Center at The Risk Management and Patient Safety Institute, a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46207/psn-pdf
    July 19, 2017 - Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. July 19, 2017 Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017. https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33923/psn-pdf
    June 12, 2018 - The collapse of sensemaking in organizations: the Mann Gulch disaster. June 12, 2018 Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster This artic…

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