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psnet.ahrq.gov/node/47919/psn-pdf
April 03, 2019 - How to Talk About Patient Safety.
April 3, 2019
Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
https://psnet.ahrq.gov/issue/how-talk-about-patient-safety
This report suggests that the field of patient safety needs to be reframed for the public. The report
recommen…
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psnet.ahrq.gov/node/40605/psn-pdf
July 22, 2011 - Work-related critical incidents in hospital-based health
care providers and the risk of post-traumatic stress
symptoms, anxiety, and depression: a meta-analysis.
July 22, 2011
de Boer J, Lok A, Verlaat EV't, et al. Work-related critical incidents in hospital-based health care providers
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September 28, 2022 - National Plan for Health Workforce Well-Being.
September 28, 2022
Dzau VJ, Kirch D, Murthy V, Nasca T, eds; NAM’s Action Collaborative on Clinician Well-Being and
Resilience. Washington DC: The National Academies Press; 2022. ISBN 9780309694674.
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March 12, 2017 - Teams, tribes and patient safety: overcoming barriers to
effective teamwork in healthcare.
March 12, 2017
Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in
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April 04, 2018 - Educator toolkits on second victim syndrome,
mindfulness and meditation, and positive psychology: the
2017 Resident Wellness Consensus Summit.
April 4, 2018
Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and
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May 20, 2020 - Medicare Part D Beneficiaries at Serious Risk of Opioid
Misuse or Overdose: A Closer Look.
May 20, 2020
HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020. Report number OEI-
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psnet.ahrq.gov/node/867232/psn-pdf
January 01, 2025 - Role of remediation in cases of serious misconduct
before UK healthcare regulators: a qualitative study.
December 4, 2024
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healthcare regulators: a qualitative study. BMJ Qual Saf. 2025;34(2):110-118. doi:10.1136/bmjq…
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psnet.ahrq.gov/node/865723/psn-pdf
June 18, 2024 - Using AHRQ’s SOPS Hospital Survey and Workplace
Safety Item Set: Experiences From a State Hospital
Association.
June 18, 2024
Agency for Healthcare Research and Quality. May 23, 2024.
https://psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences-
state-hospital
An unders…
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psnet.ahrq.gov/node/73088/psn-pdf
March 31, 2021 - Nurses’ perspectives on the impact of management
approaches on the blame culture in health-care
organizations.
March 31, 2021
Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-
care organizations. Int J Healthc Manage. 2020;13(sup1):199-205. doi:10.1080/20479700.2…
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May 27, 2011 - Types of unintended consequences related to
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May 27, 2011
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June 21, 2016 - Emotional harm from disrespect: the neglected
preventable harm.
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psnet.ahrq.gov/node/45674/psn-pdf
September 29, 2017 - Pain Management and Prescription Opioid-related Harms:
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Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid
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October 25, 2017 - Incorporating nursing complexity in reimbursement
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January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error
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July 18, 2018 - The burden of opioid-related mortality in the United
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July 18, 2018
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August 02, 2023 - Deficiencies in Emergency Department Care for a Patient
Who Died by Suicide at the John Cochran Division of the
VA St. Louis Health Care System in Missouri.
August 2, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no.
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January 01, 2025 - Diagnostic disparities and strategies for enhancing
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - When the Meds Don’t Reach the Bed
Citation Text:
Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare
Patients With Complex Postdischarge Needs
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-
postdischarge-needs
Summary
Under a program kn…
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psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - Improving Diagnosis in Health Care.
September 23, 2015
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine.
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https://psnet.ahrq.gov/issue/improving-diagnosis-health-care
The National Academy of Me…