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psnet.ahrq.gov/node/46851/psn-pdf
January 23, 2019 - To care is human—collectively confronting the clinician-
burnout crisis.
January 23, 2019
Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis.
New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejmp1715127.
https://psnet.ahrq.gov/issue/care-human-collectively-confro…
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psnet.ahrq.gov/node/46923/psn-pdf
August 17, 2018 - What can patients tell us about the quality and safety of
hospital care? Findings from a UK multicentre survey
study.
August 17, 2018
O'Hara JK, Reynolds C, Moore S, et al. What can patients tell us about the quality and safety of hospital
care? Findings from a UK multicentre survey study. BMJ Qual Saf. 2018;27(9)…
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psnet.ahrq.gov/node/42736/psn-pdf
October 31, 2014 - Complications of daytime elective laparoscopic
cholecystectomies performed by surgeons who operated
the night before.
October 31, 2014
Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies
performed by surgeons who operated the night before. JAMA. 2013;310(17):1837-4…
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psnet.ahrq.gov/node/46542/psn-pdf
June 19, 2018 - Improving admission medication reconciliation with
pharmacists or pharmacy technicians in the emergency
department: a randomised controlled trial.
June 19, 2018
Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with
pharmacists or pharmacy technicians in the emergency depar…
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psnet.ahrq.gov/node/42081/psn-pdf
April 09, 2013 - Types and origins of diagnostic errors in primary care
settings.
April 9, 2013
Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings.
JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777.
https://psnet.ahrq.gov/issue/types-and-origins-diagnosti…
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psnet.ahrq.gov/node/45231/psn-pdf
February 14, 2017 - 6-PACK programme to decrease fall injuries in acute
hospitals: cluster randomised controlled trial.
February 14, 2017
Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals:
cluster randomised controlled trial. BMJ. 2016;352:h6781. doi:10.1136/bmj.h6781.
https://psnet.…
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psnet.ahrq.gov/node/38429/psn-pdf
February 03, 2011 - Methicillin-resistant Staphylococcus aureus central
line–associated bloodstream infections in US intensive
care units, 1997-2007.
February 3, 2011
Burton DC, Edwards JR, Horan TC, et al. Methicillin-resistant Staphylococcus aureus central line-
associated bloodstream infections in US intensive care units, 1997-200…
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psnet.ahrq.gov/node/34053/psn-pdf
March 02, 2011 - Prevention of ventilator-associated pneumonia: an
evidence-based systematic review.
March 2, 2011
Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based
systematic review. Ann Intern Med. 2003;138(6):494-501.
https://psnet.ahrq.gov/issue/prevention-ventilator-associated-p…
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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum.
December 7, 2017
Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…
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psnet.ahrq.gov/node/45405/psn-pdf
November 18, 2016 - Relationship between operating room teamwork,
contextual factors, and safety checklist performance.
November 18, 2016
Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors,
and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2.
doi:10.1016/j.jamcollsu…
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psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - The harm susceptibility model: a method to prioritise
risks identified in patient safety reporting systems.
October 30, 2010
Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks
identified in patient safety reporting systems. Qual Saf Health Care. 2010;19(5):440-5.
…
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psnet.ahrq.gov/node/60561/psn-pdf
June 03, 2020 - Not sick enough to worry? "Influenza-like" symptoms and
work-related behavior among healthcare workers and
other professionals: results of a global survey.
June 3, 2020
Tartari E, Saris K, Kenters N, et al. Not sick enough to worry? "Influenza-like" symptoms and work-related
behavior among healthcare workers and o…
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psnet.ahrq.gov/node/46612/psn-pdf
February 22, 2018 - Influencing organisational culture to improve hospital
performance in care of patients with acute myocardial
infarction: a mixed-methods intervention study.
February 22, 2018
Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital
performance in care of patients with acute …
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psnet.ahrq.gov/node/38435/psn-pdf
February 25, 2009 - Prescribing discrepancies likely to cause adverse drug
events after patient transfer.
February 25, 2009
Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after
patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc.2007.025957.
https://psnet.ah…
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psnet.ahrq.gov/node/60562/psn-pdf
June 03, 2020 - A case-controlled study of relatives' complaints
concerning patients who died in hospital: the role of
treatment escalation/limitation planning.
June 3, 2020
Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning
patients who died in hospital: the role of treatment e…
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psnet.ahrq.gov/node/40166/psn-pdf
April 03, 2017 - A strategic approach for managing conflict in hospitals:
responding to The Joint Commission leadership
standard—part 1 and part 2.
April 3, 2017
Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint
Commission leadership standard, Part 1. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/43016/psn-pdf
May 28, 2014 - Identification of serious and reportable events in home
care: a Delphi survey to develop consensus.
May 28, 2014
Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi
survey to develop consensus. Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu00…
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psnet.ahrq.gov/node/45344/psn-pdf
January 23, 2017 - Comparison of accuracy of physical examination findings
in initial progress notes between paper charts and a
newly implemented electronic health record.
January 23, 2017
Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial
progress notes between paper charts and a ne…
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psnet.ahrq.gov/node/38948/psn-pdf
September 16, 2009 - Resident duty hours in surgery for ensuring patient
safety, providing optimum resident education and
training, and promoting resident well-being: a response
from the American College of Surgeons to the Report of
the Institute of Medicine, "Resident Duty Hours:
Enhancing Sleep, Supervision, and Safety."
September …
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psnet.ahrq.gov/node/43486/psn-pdf
September 01, 2016 - Indication alerts intercept drug name confusion errors
during computerized entry of medication orders.
September 1, 2016
Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during
computerized entry of medication orders. PLoS One. 2014;9(7):e101977.
doi:10.1371/journal.pone…