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psnet.ahrq.gov/node/50799/psn-pdf
January 15, 2020 - The role of organizational and professional cultures in
medication safety: a scoping review of the literature.
January 15, 2020
Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety:
a scoping review of the literature. Int J Health Care Qual. 2019;31(10):g146-g…
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psnet.ahrq.gov/node/839329/psn-pdf
November 02, 2022 - Eight human factors and ergonomics principles for
healthcare artificial intelligence.
November 2, 2022
Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial
intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-2021-100516.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46328/psn-pdf
August 09, 2017 - Critical incident stress debriefing after adverse patient
safety events.
August 9, 2017
Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual.
2017;23(5):310-312.
https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events…
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psnet.ahrq.gov/node/46383/psn-pdf
September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and
Evidence.
September 20, 2017
Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
Health care has been exploring a variety of strategies to mitigate the opioid ep…
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psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - IHI Framework for Improving Joy in Work.
August 9, 2017
Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…
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psnet.ahrq.gov/node/46741/psn-pdf
June 07, 2018 - Suffering in silence: medical error and its impact on
health care providers.
June 7, 2018
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J
Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
https://psnet.ahrq.gov/issue/suffering-silence-medical-error-and-…
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psnet.ahrq.gov/node/39309/psn-pdf
December 09, 2014 - Patient Safety in Emergency Medicine.
December 9, 2014
Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins;
2009. ISBN: 9780781777278.
https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine
The pace, diversity, and scope of an emergency department (ED) cre…
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psnet.ahrq.gov/node/47274/psn-pdf
November 21, 2018 - Developing a hospital-wide quality and safety dashboard:
a qualitative research study.
November 21, 2018
Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety
dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. doi:10.1136/bmjqs-2018-
007784.
…
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psnet.ahrq.gov/node/841766/psn-pdf
December 21, 2022 - Accuracy in patient understanding of common medical
phrases.
December 21, 2022
Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in patient understanding of common medical
phrases. JAMA Netw Open. 2022;5(11):e2242972. doi:10.1001/jamanetworkopen.2022.42972.
https://psnet.ahrq.gov/issue/accuracy-patient-understa…
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psnet.ahrq.gov/node/41678/psn-pdf
June 03, 2013 - Improving resident engagement in quality improvement
and patient safety initiatives at the bedside: the Advocate
for Clinical Education (ACE).
June 3, 2013
Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and
patient safety initiatives at the bedside: the Advocate for …
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psnet.ahrq.gov/node/46217/psn-pdf
January 30, 2018 - Safer and more appropriate opioid prescribing: a large
healthcare system's comprehensive approach.
January 30, 2018
Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare
system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1173-1179. doi:10.1111/jep.12756.…
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psnet.ahrq.gov/node/43425/psn-pdf
July 03, 2016 - Graduate medical education's new focus on resident
engagement in quality and safety: will it transform the
culture of teaching hospitals?
July 3, 2016
Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and
Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
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psnet.ahrq.gov/node/39870/psn-pdf
September 22, 2010 - Is it time to pull the plug on 12-hour shifts?: Part 3. Harm
Reduction Strategies if Keeping 12-Hour Shifts.
September 22, 2010
Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies
if keeping 12-hour shifts. J Nurs Adm. 2010;40(9):357-9. doi:10.1097/NNA.0b013…
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psnet.ahrq.gov/node/46801/psn-pdf
July 22, 2019 - Promising roles for pharmacists in addressing the U.S.
opioid crisis.
July 22, 2019
Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid
crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009.
https://psnet.ahrq.gov/issue/promising-roles-…
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psnet.ahrq.gov/node/46482/psn-pdf
October 11, 2017 - What can physicians do to help curb the opioid crisis?
October 11, 2017
Bendix J.
https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
The persistent problem of opioid-related harm calls for changes in pain management practices and system
processes in all care settings. This magazine article…
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psnet.ahrq.gov/node/61075/psn-pdf
October 28, 2020 - FDA advises health care professionals and patients about
insulin pen packaging and dispensing.
October 28, 2020
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 13, 2020.
https://psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-
packag…
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psnet.ahrq.gov/node/838927/psn-pdf
October 26, 2022 - Survey results from pharmacists provide support to
enhance the organizational response to codes.
October 26, 2022
ISMP Medication Safety Alert! Acute care edition. October 6, 2022;27(20):1-5.
https://psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-
codes
Patient res…
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psnet.ahrq.gov/node/44739/psn-pdf
January 13, 2016 - Missed opportunities for diagnosis: lessons learned from
diagnostic errors in primary care.
January 13, 2016
Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from
diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. doi:10.3399/bjgp15X687889.
https…
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psnet.ahrq.gov/node/72528/psn-pdf
December 02, 2020 - Impact of remote consultations on antibiotic prescribing
in primary healthcare: systematic review.
December 2, 2020
Han SM, Greenfield G, Majeed A, et al. Impact of remote consultations on antibiotic prescribing in primary
healthcare: systematic review. J Med Internet Res. 2020;22(11):e23482. doi:10.2196/23482.
ht…
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psnet.ahrq.gov/node/853072/psn-pdf
September 01, 2014 - Compendium of Strategies to Prevent HAIs in Acute Care
Hospitals 2014.
September 1, 2014
Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014
Preventing healthcare-acquired infections (HAIs) remains a p…