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psnet.ahrq.gov/node/60039/psn-pdf
March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER.
She's not the only one who saw delays.
March 11, 2020
Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020.
https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-
delays
Delays in emergency r…
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psnet.ahrq.gov/node/46840/psn-pdf
June 20, 2018 - Interventions to improve employee health and well-being
within health care organizations: a systematic review.
June 20, 2018
Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within
health care organizations: A systematic review. J Healthc Risk Manag. 2018;37(4):25-51…
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psnet.ahrq.gov/node/844770/psn-pdf
September 11, 2019 - Use of "Doctor" badges for physician role identification
during clinical training.
September 11, 2019
Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During
Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/43634/psn-pdf
November 05, 2014 - Safety in numbers: lack of evidence to indicate the
number of physicians needed to provide safe acute
medical care.
November 5, 2014
Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of
physicians needed to provide safe acute medical care. Clin Med (Lond). 2014;14(5):4…
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psnet.ahrq.gov/node/50798/psn-pdf
January 15, 2020 - Testing alertness of emergency physicians: a novel
quantitative measure of alertness and implications for
worker and patient care.
January 15, 2020
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel
Quantitative Measure of Alertness and Implications for Worker and Patien…
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psnet.ahrq.gov/node/45617/psn-pdf
November 30, 2016 - Walking a tightrope: balancing the risk of diagnostic error
in inpatient pediatrics.
November 30, 2016
Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in
Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043.
https://psnet.ahrq.gov/issue/walk…
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psnet.ahrq.gov/node/72625/psn-pdf
January 13, 2021 - US clinicians' experiences and perspectives on resource
limitation and patient care during the COVID-19 pandemic.
January 13, 2021
Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource
limitation and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020;3(11):e20…
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psnet.ahrq.gov/node/851056/psn-pdf
June 28, 2023 - Introducing second-year medical students to diagnostic
reasoning concepts and skills via a virtual curriculum.
June 28, 2023
Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning
concepts and skills via a virtual curriculum. Diagnosis (Berl). 2023;10(2):105-109. doi:1…
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional
Education and Health Care.
January 16, 2019
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of
Medicine; 2019.
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
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psnet.ahrq.gov/node/47030/psn-pdf
June 06, 2018 - Creating a safer operating room: groups, team dynamics
and crew resource management principles.
June 6, 2018
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource
management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008.
https://p…
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood.
January 27, 2019
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med.
2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
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psnet.ahrq.gov/node/837664/psn-pdf
July 13, 2022 - Cognitive and implicit biases in nurses' judgment and
decision-making: a scoping review.
July 13, 2022
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-
making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284.
https://psn…
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psnet.ahrq.gov/node/47568/psn-pdf
March 06, 2019 - Trends in anesthesia-related liability and lessons learned.
March 6, 2019
Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned.
Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009.
https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…
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psnet.ahrq.gov/node/60334/psn-pdf
May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and
Challenges–Proceedings of a Workshop.
May 13, 2020
National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies
Press: 2020. ISBN 9780309676250.
https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
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psnet.ahrq.gov/node/837332/psn-pdf
June 08, 2022 - Influence of psychological safety and organizational
support on the impact of humiliation on trainee well-
being.
June 8, 2022
Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support
on the impact of humiliation on trainee well-being. J Patient Saf. 2022;18(4):370-37…
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psnet.ahrq.gov/node/838136/psn-pdf
September 21, 2022 - Exploration of a rapid response team model of care: a
descriptive dual methods study.
September 21, 2022
Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual
methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294.
https://psnet.a…
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psnet.ahrq.gov/node/837765/psn-pdf
August 03, 2022 - Pediatric musculoskeletal radiographs: anatomy and
fractures prone to diagnostic error among emergency
physicians.
August 3, 2022
Li W, Stimec J, Camp M, et al. Pediatric musculoskeletal radiographs: anatomy and fractures prone to
diagnostic error among emergency physicians. J Emerg Med. 2022;62(4):524-533.
doi:1…
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psnet.ahrq.gov/node/46601/psn-pdf
January 25, 2018 - Night-time communication at Stanford University
Hospital: perceptions, reality and solutions.
January 25, 2018
Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality
and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727.
https://psnet.ah…
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psnet.ahrq.gov/node/43774/psn-pdf
March 06, 2015 - A prospective cohort study of medication reconciliation
using pharmacy technicians in the emergency department
to reduce medication errors among admitted patients.
March 6, 2015
Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using
pharmacy technicians in the emergency d…
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psnet.ahrq.gov/node/46132/psn-pdf
September 24, 2017 - The "Quality Minute"—a new, brief, and structured
technique for quality improvement education during the
morbidity and mortality conference.
September 24, 2017
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality
Improvement Education During the Morbidity and Mort…