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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…
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psnet.ahrq.gov/node/45854/psn-pdf
July 12, 2017 - The second victim phenomenon after a clinical error: the
design and evaluation of a website to reduce caregivers'
emotional responses after a clinical error.
July 12, 2017
Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design
and Evaluation of a Website to Reduce …
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psnet.ahrq.gov/node/46934/psn-pdf
March 14, 2018 - Engaging the front line: tapping into hospital-wide quality
and safety initiatives.
March 14, 2018
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality
and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038.
https://psn…
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psnet.ahrq.gov/node/45713/psn-pdf
November 22, 2017 - Assigning responsibility to close the loop on radiology
test results.
November 22, 2017
Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl).
2017;4(3):173-177. doi:10.1515/dx-2017-0019.
https://psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-t…
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psnet.ahrq.gov/node/43159/psn-pdf
May 07, 2014 - Mandatory presuit mediation: 5-year results of a medical
malpractice resolution program.
May 7, 2014
Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical
malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/jhrm.21138.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/60056/psn-pdf
March 18, 2020 - Overprescribing of opioids to adults by dentists in the
U.S., 2011-2015.
March 18, 2020
Suda KJ, Zhou J, Rowan SA, et al. Overprescribing of opioids to adults by dentists in the U.S., 2011-2015.
Am J Prev Med. 2020;58(4):473-486. doi:10.1016/j.amepre.2019.11.006.
https://psnet.ahrq.gov/issue/overprescribing-opioid…
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psnet.ahrq.gov/node/47419/psn-pdf
January 22, 2019 - Implementing safety hotlines: Stamford Health's
experience and future opportunities.
January 22, 2019
Cardiello R, Johnston S, Kiely S. Implementing safety hotlines: Stamford Health's experience and future
opportunities. J Healthc Risk Manag. 2019;38(3):24-31. doi:10.1002/jhrm.21347.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/47237/psn-pdf
January 01, 2020 - First-year analysis of the Operating Room Black Box
study.
July 25, 2018
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg.
2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
An…
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psnet.ahrq.gov/node/860733/psn-pdf
January 17, 2024 - Staff warned about the lack of psychiatric care at a VA
clinic. They couldn’t prevent tragedy.
January 17, 2024
McGrory K, Bedi N. ProPublica, January 6, 2024.
https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
Stories of mental health system failure provid…
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psnet.ahrq.gov/node/46694/psn-pdf
December 20, 2017 - False dawns and new horizons in patient safety research
and practice.
December 20, 2017
Mannion R, Braithwaite J. False Dawns and New Horizons in Patient Safety Research and Practice. Int J
Health Policy Manag. 2017;6(12). doi:10.15171/ijhpm.2017.115.
https://psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patie…
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psnet.ahrq.gov/node/862993/psn-pdf
February 21, 2024 - Disparities in diagnostic timeliness and outcomes of
pediatric appendicitis.
February 21, 2024
Michelson KA, Bachur RG, Rangel SJ, et al. Disparities in diagnostic timeliness and outcomes of pediatric
appendicitis. JAMA Netw Open. 2024;7(1):e2353667. doi:10.1001/jamanetworkopen.2023.53667.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/838016/psn-pdf
January 02, 2021 - Racism as a Root Cause approach: a new framework.
January 2, 2021
Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics.
2021;147(1):e2020015602. doi:10.1542/peds.2020-015602.
https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
Structural racism, which manife…
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psnet.ahrq.gov/node/38782/psn-pdf
August 01, 2009 - A multidisciplinary approach to adverse drug events in
pediatric trauma patients in an adult trauma center.
August 1, 2009
Kalina M, Tinkoff G, Gleason W, et al. A multidisciplinary approach to adverse drug events in pediatric
trauma patients in an adult trauma center. Ped Emerg Care. 2009;25(7):444-446.
doi:10.10…
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psnet.ahrq.gov/node/844042/psn-pdf
February 08, 2023 - ‘Ladder’-based safety culture assessments inversely
predict safety outcomes.
February 8, 2023
Boskeljon?Horst L, Sillem S, Dekker SWA. ‘Ladder’?based safety culture assessments inversely predict
safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-5973.12445.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/47697/psn-pdf
April 03, 2019 - Engineering a foundation for partnership to improve
medication safety during care transitions.
April 3, 2019
Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety
during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. doi:10.1177/2516043518821497.
https://p…
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psnet.ahrq.gov/node/43854/psn-pdf
February 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals
Used in Hospitals.
February 11, 2015
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; January 2015. Report No. OEI-01-13-00400.
https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use…
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psnet.ahrq.gov/node/50656/psn-pdf
November 13, 2019 - Whistleblowing over patient safety and care quality: a
review of the literature.
November 13, 2019
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review
of the literature. J Health Org Manag. 2019;33(6):737-756. doi:10.1108/JHOM-12-2018-0363.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/41845/psn-pdf
October 08, 2013 - Attitude is everything?: The impact of workload, safety
climate, and safety tools on medical errors: a study of
intensive care units.
October 8, 2013
Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and
safety tools on medical errors: a study of intensive ca…
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care.
March 4, 2011
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical
care. BMJ. 2005;330(7500):1139-42.
https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
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psnet.ahrq.gov/node/50571/psn-pdf
October 23, 2019 - Medication errors in the context of hematopoietic stem
cell transplantation: a systematic review.
October 23, 2019
Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell
Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-372.
doi:10.1097/NCC.000000000000…