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psnet.ahrq.gov/node/45144/psn-pdf
November 23, 2016 - Strategies for flipping the script on opioid
overprescribing.
November 23, 2016
Wright AP, Becker WC, Schiff G. Strategies for Flipping the Script on Opioid Overprescribing. JAMA Intern
Med. 2016;176(1):7-8. doi:10.1001/jamainternmed.2015.5946.
https://psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overpre…
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psnet.ahrq.gov/node/47158/psn-pdf
August 15, 2018 - A standardized handoff simulation promotes recovery
from auditory distractions in resident physicians.
August 15, 2018
Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From
Auditory Distractions in Resident Physicians. Simul Healthc. 2018;13(4):233-238.
doi:10.1097/SIH.00…
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psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - The incorporation of patient safety into board certification
examinations.
August 4, 2009
Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification
examinations. Acad Med. 2006;81(4):317-25.
https://psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-ex…
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psnet.ahrq.gov/node/34677/psn-pdf
February 09, 2011 - Patients' and physicians' attitudes regarding the
disclosure of medical errors.
February 9, 2011
Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure
of medical errors. JAMA. 2003;289(8):1001-7.
https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…
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psnet.ahrq.gov/node/36088/psn-pdf
September 28, 2010 - Impact and implications of disruptive behavior in the
perioperative arena.
September 28, 2010
Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am
Coll Surg. 2006;203(1):96-105.
https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat…
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psnet.ahrq.gov/node/72672/psn-pdf
January 27, 2021 - Use of simulation to measure the effects of just-in-time
information to prevent nursing medication errors: a
randomized controlled study.
January 27, 2021
Berg TA, Hebert SH, Chyka D, et al. Use of Simulation to Measure the Effects of Just-in-Time Information
to Prevent Nursing Medication Errors. Simul Healthc. 20…
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psnet.ahrq.gov/node/60152/psn-pdf
March 25, 2020 - Errors during resuscitation: the impact of perceived
authority on delivery of care.
March 25, 2020
Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on
delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/45704/psn-pdf
December 14, 2016 - National Report of Findings 2016: Issue Brief No. 2:
Patient Safety.
December 14, 2016
Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education;
2016.
https://psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
Integrating patient safet…
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psnet.ahrq.gov/node/43039/psn-pdf
August 24, 2016 - How Doctors Think.
August 24, 2016
Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030.
https://psnet.ahrq.gov/issue/how-doctors-think
In this book, the author presents several stories that illustrate the forces that shape physician decision-
making and may lead to diagnostic mistakes. Borrowing from …
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psnet.ahrq.gov/node/73343/psn-pdf
June 02, 2021 - Hospital surveys by the Centers for Medicare and
Medicaid Services: an analysis of more than 34,000
deficiencies.
June 2, 2021
Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more
than 34,000 deficiencies. J Patient Saf. 2021;17(4):e274-e279. doi:10.1097/pts.0000000…
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psnet.ahrq.gov/node/861280/psn-pdf
January 24, 2024 - Factors influencing diagnostic accuracy among intensive
care unit clinicians - an observational study.
January 24, 2024
Bergl PA, Shukla N, Shah J, et al. Factors influencing diagnostic accuracy among intensive care unit
clinicians – an observational study. Diagnosis (Berl). 2024;11(1):31-39. doi:10.1515/dx-2023-00…
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psnet.ahrq.gov/node/47013/psn-pdf
April 07, 2019 - An electronic intervention to improve safety for pain
patients co-prescribed chronic opioids and
benzodiazepines.
April 7, 2019
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-
prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448.
doi:…
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psnet.ahrq.gov/node/44937/psn-pdf
September 29, 2017 - Effect of behavioral interventions on inappropriate
antibiotic prescribing among primary care practices: a
randomized clinical trial.
September 29, 2017
Meeker D, Linder JA, Fox CR, et al. Effect of Behavioral Interventions on Inappropriate Antibiotic
Prescribing Among Primary Care Practices: A Randomized Clinical…
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psnet.ahrq.gov/node/50621/psn-pdf
November 06, 2019 - Team-based intervention to reduce the impact of
nonactionable alarms in an adult intensive care unit.
November 6, 2019
Yeh J, Wilson R, Young L, et al. Team-Based Intervention to Reduce the Impact of Nonactionable Alarms
in an Adult Intensive Care Unit. J Nurs Care Qual. 2019;35(2):115-122.
doi:10.1097/ncq.0000000…
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psnet.ahrq.gov/node/44947/psn-pdf
November 18, 2016 - Impact of the 2011 ACGME resident duty hour reform on
hospital patient experience and processes-of-care.
November 18, 2016
Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital
patient experience and processes-of-care. BMJ Qual Saf. 2016;25(12):962-970. doi:10.1136/bmj…
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psnet.ahrq.gov/node/43511/psn-pdf
September 10, 2014 - Re-finding the 'human side' of human factors in nursing:
helping student nurses to combine person-centred care
with the rigours of patient safety.
September 10, 2014
Fawcett TJN, Rhynas SJ. Re-finding the 'human side' of human factors in nursing: helping student nurses
to combine person-centred care with the rigou…
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psnet.ahrq.gov/node/46629/psn-pdf
November 22, 2017 - A piece of my mind. Despite my best intentions.
November 22, 2017
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
https://psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
End-of-life care can be difficult for patients, families, and the care team. This commentary of…
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psnet.ahrq.gov/node/50658/psn-pdf
November 13, 2019 - Thresholds, rules and defensive strategies: how
physicians learn from their prior diagnosis-related
experiences.
November 13, 2019
Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians
learn from their prior diagnosis-related experiences. Diagnosis (Berl). 2019;7(2…
-
psnet.ahrq.gov/node/860384/psn-pdf
January 10, 2024 - Aging stigma and the health of US adults over 65: what do
we know?
January 10, 2024
Allen J, Sikora N. Aging stigma and the health of US adults over 65: what do we know? Clin Interv Aging.
2023;18:2093-2116. doi:10.2147/cia.s396833.
https://psnet.ahrq.gov/issue/aging-stigma-and-health-us-adults-over-65-what-do-we-…
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psnet.ahrq.gov/node/46227/psn-pdf
October 30, 2017 - Patient engagement with surgical site infection
prevention: an expert panel perspective.
October 30, 2017
Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an
expert panel perspective. Antimicrob Resist Infect Control. 2017;6:45. doi:10.1186/s13756-017-0202-3.
…