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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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.…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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.…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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