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psnet.ahrq.gov/node/38022/psn-pdf
August 27, 2008 - Hospitals try to calm doctors' outbursts: medical road
rage affecting patient safety, group says.
August 27, 2008
Kowalczyk L.
https://psnet.ahrq.gov/issue/hospitals-try-calm-doctors-outbursts-medical-road-rage-affecting-patient-
safety-group-says
This article describes how physician outbursts can affect patient …
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psnet.ahrq.gov/node/37835/psn-pdf
July 31, 2008 - Medical students' experiences with medical errors: an
analysis of medical student essays.
July 31, 2008
Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student
essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x.
https://psnet.ahrq.gov/issue/medical…
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psnet.ahrq.gov/node/43684/psn-pdf
November 26, 2014 - Rapid response systems.
November 26, 2014
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
https://psnet.ahrq.gov/issue/rapid-response-systems
Rapid response systems have been widely accepted as a method to improve outcomes of hospitalized
patients demonstrating signs of rapid d…
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psnet.ahrq.gov/node/45747/psn-pdf
December 21, 2016 - Implementing No Interruption Zones in the perioperative
environment.
December 21, 2016
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-
540. doi:10.1016/j.aorn.2016.09.018.
https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
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psnet.ahrq.gov/node/836754/psn-pdf
March 16, 2022 - State of science: evolving perspectives on ‘human error’.
March 16, 2022
Read GJM, Shorrock S, Walker GH, et al. State of science: evolving perspectives on ‘human error’.
Ergonomics. 2021;64(9):1091-1114. doi:10.1080/00140139.2021.1953615.
https://psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error…
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psnet.ahrq.gov/node/45968/psn-pdf
October 24, 2024 - State of Care.
October 24, 2024
Newcastle Upon Tyne, UK: Care Quality Commission; October 2024.
https://psnet.ahrq.gov/issue/state-care
This website provides access to an annual report that summarizes National Health Service hospital and
social care performance across a range of care quality metrics at both the tr…
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psnet.ahrq.gov/node/47050/psn-pdf
April 18, 2018 - Improving Physician Well-Being, Restoring Meaning in
Medicine.
April 18, 2018
Accreditation Council for Graduate Medical Education.
https://psnet.ahrq.gov/issue/physician-well-being
Physician and resident well-being is receiving increased attention as an area of focus of the clinical
learning environment. This we…
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psnet.ahrq.gov/node/40183/psn-pdf
February 02, 2011 - Nurses' work schedule characteristics, nurse staffing, and
patient mortality.
February 2, 2011
Trinkoff AM, Johantgen M, Storr CL, et al. Nurses' work schedule characteristics, nurse staffing, and patient
mortality. Nurs Res. 2011;60(1):1-8. doi:10.1097/NNR.0b013e3181fff15d.
https://psnet.ahrq.gov/issue/nurses-wor…
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psnet.ahrq.gov/node/40407/psn-pdf
October 04, 2011 - Insights into the climate of safety towards the prevention
of falls among hospital staff.
October 4, 2011
Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls
among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.1111/j.1365-2702.2010.03535.x.
https:…
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psnet.ahrq.gov/node/41818/psn-pdf
July 02, 2014 - Perspective: a business school view of medical
interprofessional rounds: transforming rounding groups
into rounding teams.
July 2, 2014
Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional
rounds: transforming rounding groups into rounding teams. Acad Med. 2012;87(1…
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psnet.ahrq.gov/node/39622/psn-pdf
June 23, 2010 - Safety concerns of hospital-based new-to-practice
registered nurses and their preceptors.
June 23, 2010
Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and
their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928/00220124-20100326-02.
https://psnet…
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psnet.ahrq.gov/node/43646/psn-pdf
January 01, 2021 - Patient Safety Systems Chapter.
January 1, 2021
In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint
Commission; January 2021:PS1-PS46.
https://psnet.ahrq.gov/issue/patient-safety-systems-chapter
This chapter provides information about how organizations can re-design existin…
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psnet.ahrq.gov/node/41901/psn-pdf
December 05, 2012 - Patient safety culture in home care: experiences of home-
care nurses.
December 5, 2012
Berland A, Holm AL, Gundersen D, et al. Patient safety culture in home care: experiences of home-care
nurses. J Nurs Manag. 2012;20(6):794-801. doi:10.1111/j.1365-2834.2012.01461.x.
https://psnet.ahrq.gov/issue/patient-safety-c…
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psnet.ahrq.gov/node/40583/psn-pdf
August 01, 2011 - Effective physician–nurse communication: a patient
safety essential for labor and delivery.
August 1, 2011
Lyndon A, Zlatnik MG, Wachter R. Effective physician-nurse communication: a patient safety essential for
labor and delivery. Am J Obstet Gynecol. 2011;205(2):91-6. doi:10.1016/j.ajog.2011.04.021.
https://psne…
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psnet.ahrq.gov/node/45353/psn-pdf
July 20, 2016 - Using the web or an app instead of seeing a doctor?
Caution is advised.
July 20, 2016
Frakt A. New York Times. July 11, 2016.
https://psnet.ahrq.gov/issue/using-web-or-app-instead-seeing-doctor-caution-advised
Patients are increasingly using online symptom checkers for medical information and health care
recommen…
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psnet.ahrq.gov/node/36498/psn-pdf
January 07, 2011 - Recommendations from the British Committee for
Standards in Haematology and National Patient Safety
Agency.
January 7, 2011
Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant
care: [corrected] Recommendations from the British Committee for Standards in Haemat…
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psnet.ahrq.gov/node/40080/psn-pdf
December 15, 2010 - Injection practices among clinicians in United States
health care settings.
December 15, 2010
Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care
settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.003.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/36525/psn-pdf
January 07, 2011 - Hallmarks of quality and patient safety recommended
baccalaureate competencies and curricular guidelines to
ensure high-quality and safe patient care.
January 7, 2011
Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricular
guidelines to ensure high-quality and safe patient ca…
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psnet.ahrq.gov/node/44240/psn-pdf
June 23, 2015 - Risks are high at low-volume hospitals.
June 23, 2015
Sternberg S; Dougherty G.
https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
This news article reports an independent analysis of patient risk at hospitals that provide surgeries they
infrequently perform, highlighting how high procedure volume an…
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psnet.ahrq.gov/node/37332/psn-pdf
November 14, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy
Health Literacy Assessment Tool User's Guide.
November 14, 2007
Jacobson KL, Gazmararian JA, Kripalani S, et al. Rockville, MD: Agency for Healthcare Research and
Quality. October 2007. AHRQ Publication No. 07-0051.
https://psnet.ahrq.gov/issue/our-pharmacy-meeti…