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psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - IHI Framework for Improving Joy in Work.
August 9, 2017
Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…
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psnet.ahrq.gov/node/865926/psn-pdf
May 22, 2024 - Critical care nurses' role in rapid response teams: a
qualitative systematic review.
May 22, 2024
Holtsmark C, Larsen MH, Steindal SA, et al. Critical care nurses' role in rapid response teams: a qualitative
systematic review. J Clin Nurs. 2024;33(10):3831-3843. doi:10.1111/jocn.17196.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46741/psn-pdf
June 07, 2018 - Suffering in silence: medical error and its impact on
health care providers.
June 7, 2018
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J
Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
https://psnet.ahrq.gov/issue/suffering-silence-medical-error-and-…
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psnet.ahrq.gov/node/44231/psn-pdf
January 22, 2016 - Just-in-time training for high-risk low-volume therapies:
an approach to ensure patient safety.
January 22, 2016
Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An
Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-9.
doi:10.1097/NCQ.0000000000000131.…
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psnet.ahrq.gov/node/45736/psn-pdf
February 01, 2017 - Disruptive behaviour in the perioperative setting: a
contemporary review.
February 1, 2017
Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary
review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x.
https://psnet.ahrq.gov/issue/disruptive…
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psnet.ahrq.gov/node/43109/psn-pdf
December 10, 2014 - Creating a physician-led quality imperative.
December 10, 2014
Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med
Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683.
https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative
This commentary relates one…
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psnet.ahrq.gov/node/850912/psn-pdf
June 21, 2023 - Racial, Ethnic, and Payer Disparities in Adverse Safety
Events: Are there Differences across Leapfrog Hospital
Safety Grades?
June 21, 2023
Gangopadhyaya A, Pugazhendhi A, Austin M et al. Washington DC: Leapfrog Group; 2023.
https://psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are…
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psnet.ahrq.gov/node/47350/psn-pdf
November 29, 2018 - Do crowdsourced hospital ratings coincide with Hospital
Compare measures of clinical and nonclinical quality?
November 29, 2018
Perez V, Freedman S. Do Crowdsourced Hospital Ratings Coincide with Hospital Compare Measures of
Clinical and Nonclinical Quality? Health Serv Res. 2018;53(6):4491-4506. doi:10.1111/1475-6…
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psnet.ahrq.gov/node/41020/psn-pdf
January 04, 2012 - A 'Communication and Patient Safety' training programme
for all healthcare staff: can it make a difference?
January 4, 2012
Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff:
can it make a difference? BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000297.
ht…
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January 13, 2016 - Post event debriefs: a commitment to learning how to
better care for patients and staff.
January 13, 2016
Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care
for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47.
https://psnet.ahrq.gov/issue/post-eve…
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psnet.ahrq.gov/node/44371/psn-pdf
September 09, 2015 - Acute stroke chameleons in a university hospital: risk
factors, circumstances, and outcomes.
September 9, 2015
Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors,
circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0000000000001830.
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psnet.ahrq.gov/node/44662/psn-pdf
January 25, 2016 - The stories clinicians tell: achieving high reliability and
improving patient safety.
January 25, 2016
Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety.
Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039.
https://psnet.ahrq.gov/issue/stories-clinicians-tell-a…
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psnet.ahrq.gov/node/45009/psn-pdf
March 30, 2016 - Fatal mistakes.
March 30, 2016
Kliff S. Vox Media. March 15, 2016.
https://psnet.ahrq.gov/issue/fatal-mistakes
Health professionals involved in medical errors experience psychological stress, which can have serious
consequences if they are unable to cope with their mistake. Reporting on the second victim phenomeno…
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psnet.ahrq.gov/node/60959/psn-pdf
September 30, 2020 - Institutional COVID-19 protocols: focused on preparation,
safety, and care consolidation.
September 30, 2020
DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and
care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10.1097/cnq.0000000000000327.
https:…
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June 18, 2014 - Activation of a medical emergency team using an
electronic medical recording–based screening system.
June 18, 2014
Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical
recording-based screening system*. Crit Care Med. 2014;42(4):801-8.
doi:10.1097/CCM.0000000000000031.
…
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psnet.ahrq.gov/node/35265/psn-pdf
February 03, 2011 - A 38-year-old woman with fetal loss and hysterectomy.
February 3, 2011
Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840.
doi:10.1001/jama.294.7.833.
https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
Part of a series in JAMA entitled Clinical Crossro…
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psnet.ahrq.gov/node/44548/psn-pdf
November 20, 2015 - Safety-II and resilience: the way ahead in patient safety in
anaesthesiology.
November 20, 2015
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin
Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
https://psnet.ahrq.gov/issue/safety-ii-and-resilience…
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psnet.ahrq.gov/node/846761/psn-pdf
September 29, 2018 - Using clinical simulation to study how to improve quality
and safety in healthcare.
September 29, 2018
Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in
healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370.
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psnet.ahrq.gov/node/852801/psn-pdf
August 23, 2023 - Nearly all hospital pharmacists say drug shortages are
negatively impacting care; a third say impacts are
‘critical.’
August 23, 2023
McPhillips D. CNN. August 10, 2023.
https://psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting-
care-third-say
Drug shortages present…
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psnet.ahrq.gov/node/74138/psn-pdf
January 01, 2022 - The combined effect of psychological and social capital in
registered nurses experiencing second victimization: a
structural equation model.
December 1, 2021
Hinkley T?L. The combined effect of psychological and social capital in registered nurses experiencing
second victimization: a structural equation model. J N…