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psnet.ahrq.gov/node/46901/psn-pdf
May 30, 2018 - Physician resiliency and wellness for transforming a
health system.
May 30, 2018
Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018.
https://psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system
Physician burnout can contribute to medical errors. This article discusses an organizational e…
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psnet.ahrq.gov/node/73579/psn-pdf
August 11, 2021 - A systematic review on pediatric medication errors by
parents or caregivers at home.
August 11, 2021
Lopez-Pineda A, Gonzalez de Dios J, Guilabert Mora M, et al. A systematic review on pediatric medication
errors by parents or caregivers at home. Expert Opin Drug Saf. 2021:1-11.
doi:10.1080/14740338.2021.1950138.
…
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psnet.ahrq.gov/node/35340/psn-pdf
July 10, 2008 - Posthospital medication discrepancies: prevalence and
contributing factors.
July 10, 2008
Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing
factors. Arch Intern Med. 2005;165(16):1842-1847.
https://psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prev…
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psnet.ahrq.gov/node/846460/psn-pdf
March 22, 2023 - I’m an ER doctor: here’s what I found when I asked
ChatGPT to diagnose my patients.
March 22, 2023
Tamayo-Sarver J. Fast Company. March 13, 2023.
https://psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
Artificial intelligence (AI) harbors risks and biases that can mis…
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psnet.ahrq.gov/node/38996/psn-pdf
March 04, 2011 - Overcoming barriers to the implementation of a pharmacy
bar code scanning system for medication dispensing: a
case study.
March 4, 2011
Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code
scanning system for medication dispensing: a case study. J Am Med Inform Assoc. …
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psnet.ahrq.gov/node/35440/psn-pdf
May 27, 2011 - Computerized physician order entry with clinical decision
support in the long-term care setting: insights from the
Baycrest Centre for Geriatric Care.
May 27, 2011
Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the
long-term care setting: insights from the …
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psnet.ahrq.gov/node/837517/psn-pdf
June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post-
pandemic NHS.
June 22, 2022
Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224.
https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…
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psnet.ahrq.gov/node/47473/psn-pdf
December 05, 2018 - Holding out for an apology.
December 5, 2018
Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033.
https://psnet.ahrq.gov/issue/holding-out-apology
Patients who experience care complications are vulnerable to psychological consequences that can affect
their relationship with their clinical teams.…
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psnet.ahrq.gov/node/47641/psn-pdf
March 20, 2019 - Guided reflection interventions show no effect on
diagnostic accuracy in medical students.
March 20, 2019
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in
Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297.
https://psnet.ahrq.gov/issue/gu…
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psnet.ahrq.gov/node/45219/psn-pdf
November 21, 2016 - Patient and Family Engagement in Primary Care: Case
Studies.
November 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-
0035-2-EF.
https://psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
Patient safety in ambulatory care is re…
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psnet.ahrq.gov/node/60626/psn-pdf
June 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going
to die’.
June 24, 2020
Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10.
https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
This feature story describes the COVID-19 experi…
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psnet.ahrq.gov/node/47958/psn-pdf
June 26, 2019 - Patient safety professionals as the third victims of
adverse events.
June 26, 2019
Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk
Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914.
https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…
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psnet.ahrq.gov/node/840163/psn-pdf
November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and
Healthcare.
November 16, 2022
Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare
Racist behavior directed at either patients or clinicians…
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psnet.ahrq.gov/node/44712/psn-pdf
December 09, 2015 - The effect of contact precautions on frequency of hospital
adverse events.
December 9, 2015
Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse
Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/74836/psn-pdf
February 16, 2022 - Outcomes-based nurse staffing during times of crisis and
beyond.
February 16, 2022
Dempsey C, Batten P. Outcomes-based nurse staffing during times of crisis and beyond. J Nurs Adm.
2022;52(2):91-98. doi:10.1097/nna.0000000000001114.
https://psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and…
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psnet.ahrq.gov/node/74204/psn-pdf
January 01, 2022 - Perceptions of nurses who are second victims in a
hospital setting.
December 22, 2021
Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital
setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603.
https://psnet.ahrq.gov/issue/perceptions-nurses-…
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psnet.ahrq.gov/node/866255/psn-pdf
July 10, 2024 - Cyberattack led to harrowing lapses at Ascension
hospitals, clinicians say.
July 10, 2024
Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.
https://psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
Cybersecurity is increasingly see…
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psnet.ahrq.gov/node/851646/psn-pdf
January 01, 2024 - Burden of serious harms from diagnostic error in the
USA.
July 28, 2023
Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the
USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130.
https://psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
…
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psnet.ahrq.gov/node/40101/psn-pdf
January 17, 2012 - Lessons learned from implementation of a computerized
application for pending tests at hospital discharge.
January 17, 2012
Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for
pending tests at hospital discharge. J Hosp Med. 2011;6(1):16-21. doi:10.1002/jhm.794.
…
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psnet.ahrq.gov/node/44918/psn-pdf
April 13, 2016 - National Reporting and Learning System Research and
Development.
April 13, 2016
Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research
Centre; 2016.
https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
Incident reporting has a…