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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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psnet.ahrq.gov/node/837739/psn-pdf
July 27, 2022 - Support methods for healthcare professionals who are
second victims: an integrative review.
July 27, 2022
Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.
https://psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-
review
Healthcare workers who ar…
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psnet.ahrq.gov/node/34771/psn-pdf
May 06, 2016 - Managing the Unexpected: Sustained Performance in a
Complex World, Third Edition.
May 6, 2016
Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. ISBN-13: 9781118862414.
https://psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
According to Weick and Sutcliffe, high…
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psnet.ahrq.gov/node/60932/psn-pdf
January 01, 2021 - Retrospective analysis of reported suicide deaths and
attempts on Veterans Health Administration campuses
and inpatient units.
September 23, 2020
Mills PD, Soncrant C, Gunnar W. Retrospective analysis of reported suicide deaths and attempts on
Veterans Health Administration campuses and inpatient units. BMJ Qual S…
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psnet.ahrq.gov/node/838630/psn-pdf
October 19, 2022 - Affective influences on clinical reasoning and diagnosis:
insights from social psychology and new research
opportunities.
October 19, 2022
Liu G, Chimowitz H, Isbell LM. Affective influences on clinical reasoning and diagnosis: insights from social
psychology and new research opportunities. Diagnosis (Berl). 2022;…
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psnet.ahrq.gov/node/851465/psn-pdf
July 19, 2023 - Artificial intelligence in clinical diagnosis: opportunities,
challenges, and hype.
July 19, 2023
Kulkarni PA, Singh H. Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype. JAMA.
2023;330(4):317-318. doi:10.1001/jama.2023.11440.
https://psnet.ahrq.gov/issue/artificial-intelligence-cl…
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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/47290/psn-pdf
December 12, 2018 - Burnout in mental health professionals: a systematic
review and meta-analysis of prevalence and determinants.
December 12, 2018
O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta-
analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74-99.
doi:10.1016/j.…
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psnet.ahrq.gov/node/60283/psn-pdf
April 29, 2020 - Understanding and addressing sources of anxiety among
health care professionals during the COVID-19 pandemic.
April 29, 2020
Shanafelt TD, Ripp JA, Trockel M. Understanding and addressing sources of anxiety among health care
professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133-2134.
doi:10.1001/jama…
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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/60915/psn-pdf
September 16, 2020 - Deprescribing for community-dwelling older adults: a
systematic review and meta-analysis.
September 16, 2020
Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic
review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi:10.1007/s11606-020-06089-2.
h…
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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/44231/psn-pdf
January 22, 2016 - Just-in-time training for high-risk low-volume therapies:
an approach to ensure patient safety.
January 22, 2016
Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An
Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-9.
doi:10.1097/NCQ.0000000000000131.…
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psnet.ahrq.gov/node/44052/psn-pdf
July 16, 2015 - Graphical display of diagnostic test results in electronic
health records: a comparison of 8 systems.
July 16, 2015
Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health
records: a comparison of 8 systems. J Am Med Inform Assoc. 2015;22(4):900-4. doi:10.1093/jamia/…
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psnet.ahrq.gov/node/37924/psn-pdf
December 23, 2016 - Behaviors that undermine a culture of safety.
December 23, 2016
Behaviors that undermine a culture of safety. Sentinel event alert. 2008;(40):1-3.
https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety
The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk…
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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/44597/psn-pdf
October 28, 2015 - Smarter clinical checklists: how to minimize checklist
fatigue and maximize clinician performance.
October 28, 2015
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician
Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352.
https://psnet.ahrq.gov/…
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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/60664/psn-pdf
July 08, 2020 - Applying the Medications at Transitions and Clinical
Handoffs Toolkit in a rural primary care clinic:
implications for nursing, patients, and caregivers.
July 8, 2020
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a
rural primary care clinic: implications for…
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psnet.ahrq.gov/node/845070/psn-pdf
February 22, 2023 - Registered nurses' efforts to ensure safety for home-
dwelling older patients.
February 22, 2023
Lindberg C, Fock J, Nilsen P, et al. Registered nurses' efforts to ensure safety for home?dwelling older
patients. Scand J Caring Sci. 2022. doi:10.1111/scs.13142.
https://psnet.ahrq.gov/issue/registered-nurses-efforts…