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psnet.ahrq.gov/node/47137/psn-pdf
July 19, 2018 - Physician burnout in the electronic health record era: are
we ignoring the real cause?
July 19, 2018
Downing L, Bates DW, Longhurst CA. Physician Burnout in the Electronic Health Record Era: Are We
Ignoring the Real Cause? Ann Intern Med. 2018;169(1):50-51. doi:10.7326/M18-0139.
https://psnet.ahrq.gov/issue/physic…
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psnet.ahrq.gov/node/46207/psn-pdf
July 19, 2017 - Burnout Among Health Care Professionals. A Call to
Explore and Address This Underrecognized Threat to
Safe, High-Quality Care.
July 19, 2017
Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017.
https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca…
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psnet.ahrq.gov/node/844039/psn-pdf
February 08, 2023 - Using potentially preventable severe maternal morbidity
to monitor hospital performance.
February 8, 2023
Fridman M, Korst LM, Reynen DJ, et al. Using potentially preventable severe maternal morbidity to monitor
hospital performance. Jt Comm J Qual Patient Saf. 2023;49(3):129-137. doi:10.1016/j.jcjq.2022.11.007.
h…
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psnet.ahrq.gov/node/73135/psn-pdf
April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II.
April 14, 2021
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul
(Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
Debriefing is a c…
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psnet.ahrq.gov/node/74092/psn-pdf
November 17, 2021 - Ensuring medication safety for consumers from ethnic
minority backgrounds: the need to address unconscious
bias within health systems.
November 17, 2021
Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the
need to address unconscious bias within health systems. Int …
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psnet.ahrq.gov/node/847539/psn-pdf
April 12, 2023 - Potential uses of AI for perioperative nursing handoffs: a
qualitative study.
April 12, 2023
King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative
study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015.
https://psnet.ahrq.gov/issue/potential-uses-ai-perio…
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psnet.ahrq.gov/node/47657/psn-pdf
April 24, 2019 - Long-term effects of an e-learning course on patient
safety: a controlled longitudinal study with medical
students.
April 24, 2019
Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled
longitudinal study with medical students. PLoS One. 2019;14(1):e0210947.
…
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psnet.ahrq.gov/node/852459/psn-pdf
August 16, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-
Clinician-AI Triad To Improve Diagnostic Safety.
August 16, 2023
James C, Singh K, Valley TS, et al. Rockville, MD; Agency for Healthcare Research and Quality; July 2023.
AHRQ Publication No. 23-0040-4-EF.
https://psnet.ahrq.gov/issue/reimagining-healthcare-tea…
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psnet.ahrq.gov/node/46485/psn-pdf
October 18, 2017 - Medical team training improves team performance: AOA
critical issues.
October 18, 2017
Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA
Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290.
https://psnet.ahrq.gov/issue/medical-team-t…
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psnet.ahrq.gov/node/46353/psn-pdf
August 23, 2017 - Addressing the Opioid Epidemic: Is There a Role for
Physician Education?
August 23, 2017
Schnell M, Currie J. Cambridge, MA: National Bureau of Economic Research; August 2017. Working Paper
No. 23645.
https://psnet.ahrq.gov/issue/addressing-opioid-epidemic-there-role-physician-education
Overprescribing is seen as…
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psnet.ahrq.gov/node/845638/psn-pdf
March 08, 2023 - The (commercialised) experience of operating: embodied
preferences, ambiguous variations and explaining
widespread patient harm.
March 8, 2023
Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences,
ambiguous variations and explaining widespread patient harm. Sociol He…
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psnet.ahrq.gov/node/60349/psn-pdf
May 20, 2020 - Health care provider factors associated with patient-
reported adverse events and harm.
May 20, 2020
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported
adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290.
doi:10.1016/j.jcjq.2020.02.004.
https:…
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psnet.ahrq.gov/node/47761/psn-pdf
May 22, 2019 - Clinicians' perceptions of opioid error–contributing
factors in inpatient palliative care services: a qualitative
study.
May 22, 2019
Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient
palliative care services: A qualitative study. Palliat Med. 2019;33(4…
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psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - Preventable deaths: who, how often, and why?
March 2, 2011
Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9.
https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
One of the first studies to examine the link between quality of care and hospital deat…
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psnet.ahrq.gov/node/45622/psn-pdf
December 07, 2016 - National Partnership for Maternal Safety: Consensus
Bundle on Venous Thromboembolism.
December 7, 2016
D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle
on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-717.
doi:10.1016/j.jogn.2016.07.001.…
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psnet.ahrq.gov/node/73138/psn-pdf
April 14, 2021 - An act of performance: exploring residents' decision-
making processes to seek help.
April 14, 2021
Jansen I, Stalmeijer RE, Silkens MEWM, et al. An act of performance: exploring residents’ decision?
making processes to seek help. Med Educ. 2021;55(6):758-767. doi:10.1111/medu.14465.
https://psnet.ahrq.gov/issue/a…
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psnet.ahrq.gov/node/74155/psn-pdf
December 08, 2021 - "Time is of the essence": relationship between hospital
staff perceptions of time, safety attitudes and staff
wellbeing.
December 8, 2021
Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions
of time, safety attitudes and staff wellbeing. BMC Health Serv Res. …
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psnet.ahrq.gov/node/40693/psn-pdf
January 08, 2016 - A framework for engaging physicians in quality and
safety.
January 8, 2016
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf.
2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
https://psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
Promoti…
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psnet.ahrq.gov/node/41042/psn-pdf
September 29, 2017 - Research in Ambulatory Patient Safety 2000-2010: A 10-
Year Review.
September 29, 2017
Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
https://psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
Although traditionally the majority of patient safe…
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psnet.ahrq.gov/node/44292/psn-pdf
September 01, 2016 - Recommendations to improve the usability of drug–drug
interaction clinical decision support alerts.
September 1, 2016
Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction
clinical decision support alerts. J Am Med Inform Assoc. 2015;22(6):1243-50. doi:10.1093/jamia/o…