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psnet.ahrq.gov/node/848383/psn-pdf
May 03, 2023 - Burnout in Primary Care: Assessing and Addressing It in
Your Practice.
May 3, 2023
Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality;
February 2023. AHRQ Publication No. 23-0025.
https://psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-pr…
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psnet.ahrq.gov/node/34873/psn-pdf
February 18, 2011 - Nurse-staffing levels and the quality of care in hospitals.
February 18, 2011
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl
J Med. 2002;346(22):1715-22.
https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
The relationship betw…
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psnet.ahrq.gov/node/854993/psn-pdf
November 01, 2023 - Building cultures of high reliability: lessons from the high
reliability organization paradigm.
November 1, 2023
Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm.
Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2023.03.012.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45234/psn-pdf
November 18, 2016 - Recommended responsibilities for management of MR
safety.
November 18, 2016
Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J
Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282.
https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…
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psnet.ahrq.gov/node/47611/psn-pdf
January 23, 2019 - Drug and opioid-involved overdose deaths- United States,
2013-2017.
January 23, 2019
Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017.
MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1.
https://psnet.ahrq.gov/issue/drug-and-opioi…
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psnet.ahrq.gov/node/47241/psn-pdf
October 10, 2018 - Impact of high-reliability education on adverse event
reporting by registered nurses.
October 10, 2018
McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by
Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/46278/psn-pdf
July 19, 2017 - The opioid epidemic: what can surgeons do about it?
July 19, 2017
Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18.
https://psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
Surgeons often prescribe opioids for patients after procedures, so they are in a key position to ass…
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psnet.ahrq.gov/node/43749/psn-pdf
December 10, 2014 - Alarm management: first things first: using reliable data
to eliminate unnecessary alarms.
December 10, 2014
Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45.
https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-
alarms
Spotlightin…
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psnet.ahrq.gov/node/41341/psn-pdf
June 01, 2012 - A systematic proactive risk assessment of hazards in
surgical wards: a quantitative study.
June 1, 2012
Anderson O, Brodie A, Vincent CA, et al. A systematic proactive risk assessment of hazards in surgical
wards: a quantitative study. Ann Surg. 2012;255(6):1086-92. doi:10.1097/SLA.0b013e31824f5f36.
https://psnet.…
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psnet.ahrq.gov/node/47032/psn-pdf
May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic
errors and how to avoid them.
May 23, 2018
Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic
Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037.
https://psnet.ahrq.g…
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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/34652/psn-pdf
March 04, 2011 - Epidemiology of medical error.
March 4, 2011
Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7.
https://psnet.ahrq.gov/issue/epidemiology-medical-error
This article summarizes the epidemiology of medical errors. The authors provide findings from benchmark
studies to…
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psnet.ahrq.gov/node/46733/psn-pdf
February 14, 2018 - Randomized controlled evaluation of an insulin pen
storage policy.
February 14, 2018
Gibbs HG, McLernon T, Call R, et al. Randomized controlled evaluation of an insulin pen storage policy.
Am J Health Syst Pharm. 2017;74(24):2054-2059. doi:10.2146/ajhp160348.
https://psnet.ahrq.gov/issue/randomized-controlled-eval…
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psnet.ahrq.gov/node/44140/psn-pdf
July 15, 2015 - Openness and Honesty When Things Go Wrong: the
Professional Duty of Candour.
July 15, 2015
London, UK: General Medical Council and the Nursing and Midwifery Council; June 29, 2015.
https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
Open and honest discussion with patie…
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psnet.ahrq.gov/node/46764/psn-pdf
March 28, 2018 - The Report of the Short Life Working Group on Reducing
Medication-related Harm.
March 28, 2018
Department of Health and Social Care. London, England: Crown Publishing; February 2018.
https://psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
Medication errors are a prominent chal…
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psnet.ahrq.gov/node/38060/psn-pdf
April 11, 2011 - Iatrogenesis in neonatal intensive care units:
observational and interventional, prospective, multicenter
study.
April 11, 2011
Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units:
observational and interventional, prospective, multicenter study. Pediatrics. 2008;122(3):55…
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psnet.ahrq.gov/node/37255/psn-pdf
December 19, 2011 - Communicating in the "gray zone": perceptions about
emergency physician-hospitalist handoffs and patient
safety.
December 19, 2011
Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician
hospitalist handoffs and patient safety. Acad Emerg Med. 2007;14(10):884-94.
htt…
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psnet.ahrq.gov/node/34797/psn-pdf
October 06, 2015 - Adapting to new technologies in the operating room.
October 6, 2015
Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-
613. doi:10.1518/001872096778827224.
https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
New technology continues to offer great ad…
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psnet.ahrq.gov/node/44702/psn-pdf
December 16, 2015 - Alarm fatigue: impacts on patient safety.
December 16, 2015
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol.
2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
https://psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
Alarm fatigue is a recognized safety conce…