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psnet.ahrq.gov/node/40942/psn-pdf
November 23, 2011 - Vital signs: overdoses of prescription opioid pain
relievers- United States, 1999-2008.
November 23, 2011
Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--
2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92.
https://psnet.ahrq.gov/issue/vital-signs-over…
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psnet.ahrq.gov/node/850911/psn-pdf
June 21, 2023 - International perspectives on modifications to the
surgical safety checklist.
June 21, 2023
Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist.
JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183.
https://psnet.ahrq.gov/issue/internatio…
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psnet.ahrq.gov/node/60852/psn-pdf
August 26, 2020 - Nurses and doctors sick with COVID feel pressured to get
back to work.
August 26, 2020
Huetteman E. Nurses and doctors sick with COVID feel pressured to get back to work. Kaiser Health News.
2020;August 12.
https://psnet.ahrq.gov/issue/nurses-and-doctors-sick-covid-feel-pressured-get-back-work
Health care workers…
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psnet.ahrq.gov/node/853436/psn-pdf
September 13, 2023 - Long-term sustainability and adaptation of I-PASS
handovers.
September 13, 2023
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J
Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
https://psnet.ahrq.gov/issue/long-term-sustainability-and-ada…
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psnet.ahrq.gov/node/43456/psn-pdf
October 03, 2017 - Veterans' Access to Care through Choice, Accountability,
and Transparency Act of 2014.
October 3, 2017
HR 3230, 113th Congress: 2014.
https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-
2014
The Veterans Affairs (VA) health system has both achieved success and str…
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psnet.ahrq.gov/node/41239/psn-pdf
March 21, 2012 - Emotional impact of patient safety incidents on family
physicians and their office staff.
March 21, 2012
O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family
physicians and their office staff. J Am Board Fam Med. 2012;25(2):177-83.
doi:10.3122/jabfm.2012.02.…
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psnet.ahrq.gov/node/43686/psn-pdf
November 26, 2014 - Tools for primary care patient safety: a narrative review.
November 26, 2014
Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract.
2014;15:166. doi:10.1186/1471-2296-15-166.
https://psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
Proven methods to …
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psnet.ahrq.gov/node/44330/psn-pdf
September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop
Summary.
September 2, 2015
Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of
Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN:
9780309371544.
https://psnet.…
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psnet.ahrq.gov/node/46449/psn-pdf
September 27, 2017 - VA hospitals flooded with complaints about care.
September 27, 2017
Estes A. Boston Globe. September 16, 2017.
https://psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
Psychological safety can empower staff to communicate concerns that affect patient safety. This
newspaper article reports on Veteran…
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psnet.ahrq.gov/node/44557/psn-pdf
November 20, 2015 - Reforming the Veterans Health Administration—beyond
palliation of symptoms.
November 20, 2015
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N
Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…
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psnet.ahrq.gov/node/42085/psn-pdf
March 13, 2013 - In-facility delirium programs as a patient safety strategy:
a systematic review.
March 13, 2013
Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic
review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158-5-201303051-00003.
https://psnet.ah…
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psnet.ahrq.gov/node/50891/psn-pdf
February 12, 2020 - Nurses as antimicrobial stewards: recognition,
confidence, and organizational factors across nine
hospitals.
February 12, 2020
Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence,
and organizational factors across nine hospitals. Am J Infect Control. 2020. doi:10.1…
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psnet.ahrq.gov/node/74730/psn-pdf
February 02, 2022 - Unintended consequences of online consultations: a
qualitative study in UK primary care.
February 2, 2022
Turner A, Morris R, Rakhra D, et al. Unintended consequences of online consultations: a qualitative study
in UK primary care. Br J Gen Pract. 2021;72(715):e128-e137. doi:10.3399/bjgp.2021.0426.
https://psnet.a…
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psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - Reducing Adverse Drug Events Related to Opioids
Implementation Guide.
January 27, 2016
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk medication…
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psnet.ahrq.gov/node/36511/psn-pdf
January 07, 2011 - Facing ambiguous threats.
January 7, 2011
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13,
157.
https://psnet.ahrq.gov/issue/facing-ambiguous-threats
This study describes how organizations respond to signs that may or may not portend future
catastrophes. The authors…
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psnet.ahrq.gov/node/860386/psn-pdf
January 10, 2024 - Conceptualising learning from resilient performance: a
scoping literature review.
January 10, 2024
Degerman H, Wallo A. Conceptualising learning from resilient performance: a scoping literature review.
Appl Ergon. 2024;115:104165. doi:10.1016/j.apergo.2023.104165.
https://psnet.ahrq.gov/issue/conceptualising-learn…
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psnet.ahrq.gov/node/840163/psn-pdf
November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and
Healthcare.
November 16, 2022
Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare
Racist behavior directed at either patients or clinicians…
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psnet.ahrq.gov/node/44024/psn-pdf
October 13, 2015 - Cultivating a culture of medication safety in prelicensure
nursing students.
October 13, 2015
Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure
Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148.
https://psnet.ahrq.gov/issue/cultivatin…
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psnet.ahrq.gov/node/47544/psn-pdf
December 12, 2018 - Using good catches to promote a just culture and
perioperative patient safety.
December 12, 2018
Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J.
2018;108(5):548-552. doi:10.1002/aorn.12394.
https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-p…
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psnet.ahrq.gov/node/60963/psn-pdf
September 30, 2020 - Organisation and characteristics of out-of-hours primary
care during a COVID-19 outbreak: a real-time
observational study.
September 30, 2020
Morreel S, Philips H, Verhoeven V. Organisation and characteristics of out-of-hours primary care during a
COVID-19 outbreak: a real-time observational study. PLoS One. 2020;…