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psnet.ahrq.gov/node/45411/psn-pdf
August 31, 2016 - Burnout in the nursing home health care aide: a
systematic review.
August 31, 2016
Cooper SL, Carleton HL, Chamberlain SA, et al. Burnout in the nursing home health care aide: A
systematic review. Burn Res. 2016;3(3):76-87. doi:10.1016/j.burn.2016.06.003.
https://psnet.ahrq.gov/issue/burnout-nursing-home-health-ca…
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psnet.ahrq.gov/node/47569/psn-pdf
April 10, 2019 - The computerized ECG: friend and foe.
April 10, 2019
Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160.
doi:10.1016/j.amjmed.2018.08.025.
https://psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe
Misinterpretations of critical tests can lead to diagnostic delays and patient harm. Th…
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psnet.ahrq.gov/node/45808/psn-pdf
December 19, 2017 - A concept analysis of systems thinking.
December 19, 2017
Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum.
2017;52(4):323-330. doi:10.1111/nuf.12196.
https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
Systems thinking focuses on enabling an organization t…
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psnet.ahrq.gov/node/43059/psn-pdf
April 16, 2014 - Caregivers' perception of drug administration safety for
pediatric oncology patients.
April 16, 2014
Harris N, Badr LK, Saab R, et al. Caregivers' perception of drug administration safety for pediatric oncology
patients. J Pediatr Oncol Nurs. 2014;31(2):95-103. doi:10.1177/1043454213517749.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/35482/psn-pdf
May 27, 2011 - The introduction of computerized physician order entry
and change management in a tertiary pediatric hospital.
May 27, 2011
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change
management in a tertiary pediatric hospital. Pediatrics. 2005;116(5):e634-42.
https:/…
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psnet.ahrq.gov/node/45379/psn-pdf
August 17, 2016 - A piece of my mind. How many have you done?
August 17, 2016
Reisman A. A PIECE OF MY MIND. How Many Have You Done? JAMA. 2016;316(5):491.
doi:10.1001/jama.2016.1996.
https://psnet.ahrq.gov/issue/piece-my-mind-how-many-have-you-done
This commentary explores transparency in response to patient and family inquiry reg…
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psnet.ahrq.gov/node/72801/psn-pdf
March 03, 2021 - Teamwork in the time of COVID-19.
March 3, 2021
Takizawa PA, Honan L, Brissette D, et al. Teamwork in the time of COVID?19. FASEB Bioadv.
2020;3(3):175-181. doi:10.1096/fba.2020-00093.
https://psnet.ahrq.gov/issue/teamwork-time-covid-19
The COVID-19 pandemic has led to wide-ranging changes in the health care syste…
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psnet.ahrq.gov/node/43844/psn-pdf
January 21, 2015 - Unintended side effects: arbitration and the deterrence of
medical error.
January 21, 2015
Shieh D. N Y Univ Law Rev. 2014;89:1806-1835.
https://psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error
This commentary explores the role of medical malpractice arbitration as a deterrent …
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psnet.ahrq.gov/node/863766/psn-pdf
March 06, 2024 - Legacy: a Black Physician Reckons with Racism in
Medicine.
March 6, 2024
Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287.
https://psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
The history of systemic racism is emerging to motivate health care equity and safety efforts. This memo…
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psnet.ahrq.gov/node/38627/psn-pdf
May 13, 2009 - Evaluation of contextual influences on the medication
administration practice of paediatric nurses.
May 13, 2009
Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration
practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. doi:10.1111/j.1365-2648.2009.04990.x.
…
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psnet.ahrq.gov/node/38460/psn-pdf
February 16, 2011 - Intern to attending: assessing stress among physicians.
February 16, 2011
Stucky E, Dresselhaus TR, Dollarhide A, et al. Intern to attending: assessing stress among physicians.
Acad Med. 2009;84(2):251-7. doi:10.1097/ACM.0b013e3181938aad.
https://psnet.ahrq.gov/issue/intern-attending-assessing-stress-among-physicia…
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psnet.ahrq.gov/node/37121/psn-pdf
March 09, 2009 - An innovative mobile approach for patient safety
services: the case of a Taiwan health care provider.
March 9, 2009
Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of
a Taiwan health care provider. Technovation. 2007;27(6-7). doi:10.1016/j.technovation.2006.12.00…
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psnet.ahrq.gov/node/39712/psn-pdf
July 02, 2014 - Swapping horses midstream: factors related to
physicians' changing their minds about a diagnosis.
July 2, 2014
Eva KW, Link CL, Lutfey KE, et al. Swapping horses midstream: factors related to physicians' changing
their minds about a diagnosis. Acad Med. 2010;85(7):1112-7. doi:10.1097/ACM.0b013e3181e16103.
https://…
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psnet.ahrq.gov/node/863220/psn-pdf
February 28, 2024 - Second-victim phenomenon.
February 28, 2024
New L, Lambeth T. Second-victim phenomenon. Nurs Clin North Am. 2024;59(1):141-152.
doi:10.1016/j.cnur.2023.11.011.
https://psnet.ahrq.gov/issue/second-victim-phenomenon
The second victim phenomenon (SVP) refers to clinicians who experience continued psychological harm
…
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psnet.ahrq.gov/node/37652/psn-pdf
September 24, 2010 - Case study: getting boards on board at Allen Memorial
Hospital, Iowa Health System.
September 24, 2010
Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital,
Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227.
https://psnet.ahrq.gov/issue/case-study-get…
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psnet.ahrq.gov/node/36547/psn-pdf
January 10, 2011 - The power of collaboration with patient safety programs:
building safe passage for patients, nurses, and clinical
staff.
January 10, 2011
Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building
safe passage for patients, nurses, and clinical staff. J Nurs Adm. 200…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/42018/psn-pdf
February 27, 2013 - Scale, nature, preventability and causes of adverse
events in hospitalised older patients.
February 27, 2013
Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in
hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/ageing/afs153.
https://psnet.ahr…
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psnet.ahrq.gov/node/47164/psn-pdf
January 01, 2022 - Quality Improvement Series.
February 25, 2019
British Medical Journal. 2022.
https://psnet.ahrq.gov/issue/quality-improvement-series
Efforts to enhance safety and quality are integrated into daily work in health care, but improvements are not
being realized as quickly as desired. This compiled series of articles h…
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psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Deploying and measuring a risk and patient safety
program.
February 1, 2017
Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J
Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266.
https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…