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psnet.ahrq.gov/node/837300/psn-pdf
June 01, 2022 - Surgery is in itself a risk factor for the patient.
June 1, 2022
Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk
factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761.
https://psnet.ahrq.gov/issue/surgery-itself…
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psnet.ahrq.gov/node/46936/psn-pdf
April 11, 2018 - You've detailed your last wishes, but doctors may not see
them.
April 11, 2018
Lamas D.
https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them
Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread.
Reporting on a physician's experienc…
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psnet.ahrq.gov/node/44425/psn-pdf
February 24, 2016 - Dangerous doses.
February 24, 2016
Roe S, King K. Chicago Tribune. February 10–13, 2016.
https://psnet.ahrq.gov/issue/dangerous-doses
Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age
and use of medications for chronic conditions. This series of news reports d…
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psnet.ahrq.gov/node/37993/psn-pdf
August 20, 2008 - Peer support: healthcare professionals supporting each
other after adverse medical events.
August 20, 2008
van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events.
Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536.
https://psnet.ahrq.gov/issue/peer-…
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psnet.ahrq.gov/node/43620/psn-pdf
October 29, 2014 - Error in intensive care: psychological repercussions and
defense mechanisms among health professionals.
October 29, 2014
Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense
mechanisms among health professionals. Crit Care Med. 2014;42(11):2370-8.
doi:10.1097/CC…
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psnet.ahrq.gov/node/47843/psn-pdf
March 06, 2019 - Structural iatrogenesis—a 43-year-old man with "opioid
misuse."
March 6, 2019
Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med.
2019;380(8):701-704. doi:10.1056/NEJMp1811473.
https://psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
The…
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psnet.ahrq.gov/node/34786/psn-pdf
March 28, 2005 - Errors in drug computations during newborn intensive
care.
March 28, 2005
Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch
Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006.
https://psnet.ahrq.gov/issue/errors-drug-computatio…
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psnet.ahrq.gov/node/44627/psn-pdf
May 30, 2016 - Exploring attitudes and opinions of pharmacists toward
delivering prescribing error feedback: a qualitative case
study using focus group interviews.
May 30, 2016
Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering
prescribing error feedback: A qualitative case …
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psnet.ahrq.gov/node/867749/psn-pdf
March 12, 2025 - How unprofessional behaviours between healthcare staff
threaten patient care and safety.
March 12, 2025
Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten
patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan 30.
doi:10.1080/14737167.2025.2460518…
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD
July 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…
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psnet.ahrq.gov/node/863227/psn-pdf
February 28, 2024 - What Do You Do If You Think You Have Been Harmed By
Your Healthcare.
February 28, 2024
Seattle, WA: Collaborative for Accountability and Improvement; 2023.
https://psnet.ahrq.gov/issue/what-do-you-do-if-you-think-you-have-been-harmed-your-healthcare
There is a need for patients and families to understand effective…
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psnet.ahrq.gov/node/854386/psn-pdf
January 01, 2024 - Caregivers' perspectives on ethical challenges and
patient safety in tele-palliative care: an integrative review.
October 11, 2023
Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-
palliative care: an integrative review. J Hosp Palliat Nurs. 2024;26(1):e1-e12.
doi…
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psnet.ahrq.gov/node/47770/psn-pdf
February 13, 2019 - Patient participation in patient safety—an exploration of
promoting factors.
February 13, 2019
Sahlström M, Partanen P, Azimirad M, et al. Patient participation in patient safety-An exploration of
promoting factors. J Nurs Manag. 2019;27(1):84-92. doi:10.1111/jonm.12651.
https://psnet.ahrq.gov/issue/patient-partic…
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psnet.ahrq.gov/node/44212/psn-pdf
September 19, 2016 - Assessing the perceived level of institutional support for
the second victim after a patient safety event.
September 19, 2016
Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for
the second victim after a patient safety event. J Patient Saf. 2015;11(2):73-78.
do…
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psnet.ahrq.gov/node/44856/psn-pdf
September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical
Playbook.
September 29, 2017
National Quality Partners. Washington, DC: National Quality Forum; 2016.
https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
Antimicrobial stewardship has been promoted as a strategy to improve patient safe…
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psnet.ahrq.gov/node/866083/psn-pdf
June 05, 2024 - An invisible disability: communication, patient safety and
dual sensory impairment in older persons.
June 5, 2024
Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual
sensory impairment in older persons. J Adv Nurs. 2024;Epub Mar 22. doi:10.1111/jan.16159.
https://p…
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psnet.ahrq.gov/node/837739/psn-pdf
July 27, 2022 - Support methods for healthcare professionals who are
second victims: an integrative review.
July 27, 2022
Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.
https://psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-
review
Healthcare workers who ar…
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psnet.ahrq.gov/node/34771/psn-pdf
May 06, 2016 - Managing the Unexpected: Sustained Performance in a
Complex World, Third Edition.
May 6, 2016
Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. ISBN-13: 9781118862414.
https://psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
According to Weick and Sutcliffe, high…
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psnet.ahrq.gov/node/841767/psn-pdf
December 21, 2022 - Structural racism and adverse maternal health outcomes:
a systematic review.
December 21, 2022
Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a
systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923.
https://psnet.ahrq.gov/issue/stru…
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psnet.ahrq.gov/node/46328/psn-pdf
August 09, 2017 - Critical incident stress debriefing after adverse patient
safety events.
August 9, 2017
Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual.
2017;23(5):310-312.
https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events…