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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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 and the risk of post-traumat…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838195/psn-pdf
    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. https://psnet.ahrq.gov/issue/national-plan-health-workforce-well-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42897/psn-pdf
    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 healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgradmedj-2012-131168. https://psnet.a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46984/psn-pdf
    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 Meditation, and Positive Psychology: The 2017 Resident W…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60360/psn-pdf
    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- 02-19-00130. https://psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-…
  7. Psn-Pdf (pdf file)

    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 Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025;34(2):110-118. doi:10.1136/bmjq…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36280/psn-pdf
    May 27, 2011 - Types of unintended consequences related to computerized provider order entry. May 27, 2011 Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56. https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44322/psn-pdf
    June 21, 2016 - Emotional harm from disrespect: the neglected preventable harm. June 21, 2016 Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034. https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45674/psn-pdf
    September 29, 2017 - Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. September 29, 2017 Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse; Health and Medicine Division. Washington, DC: National Academy …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46571/psn-pdf
    October 25, 2017 - Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. October 25, 2017 Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46739/psn-pdf
    January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. January 24, 2019 Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodologica…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47204/psn-pdf
    July 18, 2018 - The burden of opioid-related mortality in the United States. July 18, 2018 Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217. https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851925/psn-pdf
    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. 22-01540-146. https://psnet.ahrq.gov/iss…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866117/psn-pdf
    January 01, 2025 - Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. June 12, 2024 Raffel KE, Gershanik EF, Ranji SR. Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. J Hosp Med. 2025;20(1):71-74. doi:10.1002/jhm.13375. https://psnet.ahrq.gov/issue/…
  18. 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. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60363/psn-pdf
    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…
  20. Psn-Pdf (pdf file)

    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. Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care The National Academy of Me…

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