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psnet.ahrq.gov/node/46629/psn-pdf
November 22, 2017 - A piece of my mind. Despite my best intentions.
November 22, 2017
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
https://psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
End-of-life care can be difficult for patients, families, and the care team. This commentary of…
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psnet.ahrq.gov/node/73568/psn-pdf
August 04, 2021 - Coping strategies in health care providers as second
victims: a systematic review.
August 4, 2021
Kappes M, Romero?García M, Delgado?Hito P. Coping strategies in health care providers as second
victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694.
https://psnet.ahrq.gov/issue/copin…
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psnet.ahrq.gov/node/866585/psn-pdf
August 28, 2024 - Sex bias in pain management decisions.
August 28, 2024
Guzikevits M, Gordon-Hecker T, Rekhtman D, et al. Sex bias in pain management decisions. Proc Natl
Acad Sci U S A. 2024;121(33):e2401331121. doi:10.1073/pnas.2401331121.
https://psnet.ahrq.gov/issue/sex-bias-pain-management-decisions
Bias against women is, unf…
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psnet.ahrq.gov/node/40427/psn-pdf
May 04, 2011 - Development of a tool within the electronic medical
record to facilitate medication reconciliation after hospital
discharge.
May 4, 2011
Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to
facilitate medication reconciliation after hospital discharge. J Am Med Inf…
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psnet.ahrq.gov/node/74233/psn-pdf
January 12, 2022 - Don't go to the hospital alone: ensuring safe, highly
reliable patient visitation.
January 12, 2022
Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual
Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006.
https://psnet.ahrq.gov/issue/dont-go-hospit…
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psnet.ahrq.gov/node/47429/psn-pdf
December 05, 2018 - The Fearless Organization: Creating Psychological Safety
in the Workplace for Learning, Innovation, and Growth.
December 5, 2018
Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266.
https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-
innova…
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psnet.ahrq.gov/node/73611/psn-pdf
August 18, 2021 - Racial disparities in diagnostic delay among women with
breast cancer.
August 18, 2021
Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with
breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019.
https://psnet.ahrq.gov/issue/racial…
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psnet.ahrq.gov/node/60724/psn-pdf
July 29, 2020 - The safety of health care for ethnic minority patients: a
systematic review.
July 29, 2020
Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic
review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2.
https://psnet.ahrq.gov/issue/safety-heal…
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psnet.ahrq.gov/node/866955/psn-pdf
October 16, 2024 - Adverse diagnostic events in hospitalised patients: a
single-centre, retrospective cohort study.
October 16, 2024
Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-
centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. doi:10.1136/bmjqs-2024-017183.
…
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psnet.ahrq.gov/node/848092/psn-pdf
April 26, 2023 - Doctors must stop tuning out Black women. It happened
to me, as a pregnant OB-GYN.
April 26, 2023
Gillispie-Bell V. USA Today. April 14, 2023.
https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
Structural racism and implicit biases can lead to poor quality of care …
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psnet.ahrq.gov/node/60190/psn-pdf
April 01, 2020 - Potentially Preventable Readmissions: Conceptual
Framework To Rethink the Role of Primary Care.
Executive Summary.
April 1, 2020
Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To
Rethink The Role Of Primary Care. Executive Summary. Rockville, MD : Agency for Healthcar…
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psnet.ahrq.gov/node/60888/psn-pdf
January 01, 2021 - Chronic hospital nurse understaffing meets COVID-19: an
observational study.
September 9, 2020
Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an
observational study. BMJ Qual Saf. 2021;8(8):639-647. doi:10.1136/bmjqs-2020-011512.
https://psnet.ahrq.gov/issue/chronic-ho…
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psnet.ahrq.gov/node/866642/psn-pdf
September 04, 2024 - Learning from patient safety incidents: The Green Cross
method.
September 4, 2024
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method.
Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cro…
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psnet.ahrq.gov/node/72580/psn-pdf
December 16, 2020 - Nurses' perceptions of open disclosure processes in
cancer care: a cross-sectional study.
December 16, 2020
Waller A, Hobden B, Bryant J, et al. Nurses’ perceptions of open disclosure processes in cancer care: a
cross-sectional study. Collegian. 2020;27(5):506-511. doi:10.1016/j.colegn.2020.02.001.
https://psnet.a…
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psnet.ahrq.gov/node/866957/psn-pdf
October 16, 2024 - Pharmacy prevalence of second victim syndrome in a
comprehensive cancer center.
October 16, 2024
Johnson TN, Tucker AM. Pharmacy prevalence of second victim syndrome in a comprehensive cancer
center. Am J Health-Syst Pharm. 2024;Epub Sep 13. doi:10.1093/ajhp/zxae267.
https://psnet.ahrq.gov/issue/pharmacy-prevalenc…
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psnet.ahrq.gov/node/864371/psn-pdf
March 13, 2024 - The ritualisation of the surgical safety checklist and its
decoupling from patient safety goals.
March 13, 2024
Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its
decoupling from patient safety goals. Sociol Health Illn. 2024;46(6):1100-1118. doi:10.1111/1467-
…
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psnet.ahrq.gov/node/43962/psn-pdf
December 04, 2015 - Undergraduate baccalaureate nursing students' self-
reported confidence in learning about patient safety in the
classroom and clinical settings: an annual cross-
sectional study (2010–2013).
December 4, 2015
Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing students' self-reported
confide…
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psnet.ahrq.gov/node/853235/psn-pdf
September 06, 2023 - When the lights go down in the delivery room: lessons
from a ransomware attack.
September 6, 2023
Gabbay?Benziv R, Ben?Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons
from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002/ijgo.14687.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/40049/psn-pdf
April 12, 2011 - Field test results of a new ambulatory care Medication
Error and Adverse Drug Event Reporting
System—MEADERS.
April 12, 2011
Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and
Adverse Drug Event Reporting System--MEADERS. Ann Fam Med. 2010;8(6):517-25.
doi:10.1370/…
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psnet.ahrq.gov/node/72609/psn-pdf
December 23, 2020 - Covid-19 surge could lead to another drop in patient
visits, doctors fear—and more missed pediatric cancers.
December 23, 2020
Cooney E. StatNews. December 10, 2020.
https://psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-
missed-pediatric
Timely and proactive…