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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43456/psn-pdf
    October 03, 2017 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. October 3, 2017 HR 3230, 113th Congress: 2014. https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act- 2014 The Veterans Affairs (VA) health system has both achieved success and str…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44171/psn-pdf
    May 27, 2015 - Aiming higher to enhance professionalism: beyond accreditation and certification. May 27, 2015 Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818. https://psnet.ahrq.gov/issue/aiming-higher-enhance-profession…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73332/psn-pdf
    May 26, 2021 - An evolving hospital quality star rating system from CMS: aligning the stars. May 26, 2021 Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946. https://psnet.ahrq.gov/issue/evolving-hospital-quality-star-rat…
  4. psnet.ahrq.gov/taxonomy/term/3440
    September 01, 2025 - Situational Awareness Situational awareness refers to the degree to which one's perception of a situation matches reality. In the context of crisis management, where the phrase is most often used, situational awareness includes awareness of fatigue and stress among team members (including oneself), environmental thre…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47615/psn-pdf
    January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute; 2019. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46988/psn-pdf
    April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852460/psn-pdf
    August 16, 2023 - Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. August 16, 2023 Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage Obstetric hemorrhage and severe high blood pressure during pregna…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837733/psn-pdf
    July 27, 2022 - From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? July 27, 2022 De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9:901788. doi:10.3389/fmed.2022.901788. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45728/psn-pdf
    January 23, 2017 - Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. January 23, 2017 Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout. Mayo Clin Proc. 2017;92(1):12…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47290/psn-pdf
    December 12, 2018 - Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants. December 12, 2018 O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta- analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74-99. doi:10.1016/j.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866440/psn-pdf
    August 07, 2024 - Fixing patient safety: are we nearly there yet? August 7, 2024 McCulloch P. Fixing patient safety: are we nearly there yet? BMJ Qual Saf. 2024;33(8):539-542. doi:10.1136/bmjqs-2023-016589. https://psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet Human factors and ergonomics are widely used in hig…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47167/psn-pdf
    May 30, 2018 - AHRQ Health Information Technology Division's 2017 Annual Report. May 30, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028- EF. https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report Health care has worked to enhance use…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45016/psn-pdf
    April 27, 2016 - Medication safety systems and the important role of pharmacists. April 27, 2016 Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. https://psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists Preventin…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847536/psn-pdf
    April 12, 2023 - Racism and electronic health records (EHRs): perspectives for research and practice. April 12, 2023 Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jamia/ocad023. https://psnet.ahrq.gov/issu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60840/psn-pdf
    August 26, 2020 - Role of artificial intelligence in patient safety outcomes: systematic literature review. August 26, 2020 Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review. JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599. https://psnet.ahrq.gov/issue/role-artificial…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47724/psn-pdf
    March 20, 2019 - Understanding patient safety and quality outcome data. March 20, 2019 Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse. 2018;38(6):58-66. doi:10.4037/ccn2018979. https://psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data Public reporting of safet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43623/psn-pdf
    September 29, 2017 - Intolerance of error and culture of blame drive medical excess. September 29, 2017 Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702. https://psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess Lack of a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45736/psn-pdf
    February 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73150/psn-pdf
    April 14, 2021 - Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being. April 14, 2021 Chicago, IL: Accreditation Council for Graduate Medical Education; March 2021. https://psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46114/psn-pdf
    June 07, 2017 - Standardizing concentrations of adult drug infusions in Indiana. June 7, 2017 Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…

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