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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46207/psn-pdf
    July 19, 2017 - Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. July 19, 2017 Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017. https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72479/psn-pdf
    November 18, 2020 - Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. November 18, 2020 Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46589/psn-pdf
    April 12, 2019 - Patient perceptions of receiving test results via online portals: a mixed-methods study. April 12, 2019 Giardina TD, Baldwin J, Nystrom DT, et al. Patient perceptions of receiving test results via online portals: a mixed-methods study. J Am Med Inform Assoc. 2018;25(4):440-446. doi:10.1093/jamia/ocx140. https://ps…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47426/psn-pdf
    October 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45245/psn-pdf
    June 27, 2018 - Medication Without Harm: WHO's Third Global Patient Safety Challenge. June 27, 2018 Geneva, Switzerland: World Health Association; 2017. https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge Adverse drug events are likely the most common source of preventable harm in both …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38290/psn-pdf
    February 17, 2011 - Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. February 17, 2011 Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. https://psnet.ahrq.gov/issue/revisitin…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838136/psn-pdf
    September 21, 2022 - Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294. https://psnet.a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43681/psn-pdf
    June 03, 2016 - Learning from failure: the need for independent safety investigation in healthcare. June 3, 2016 Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. https://psnet.ahrq.gov/issue/learning-failure-n…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37912/psn-pdf
    September 25, 2008 - Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. September 25, 2008 Bonis PA, Pickens GT, Rind DM, et al. Association of a clinical knowledge support system wi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34736/psn-pdf
    October 24, 2017 - Medical Problem Solving: An Analysis of Clinical Reasoning. October 24, 2017 Elstein AS, ed. Cambridge, MA: Harvard University Press; 1978. ISBN: 9780674561250. https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning Clinical reasoning lies at the heart of formulating diagnoses and selecti…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47109/psn-pdf
    June 06, 2018 - Principles of automation for patient safety in intensive care: learning from aviation. June 6, 2018 Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008. https://psnet.ahrq.gov/i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47589/psn-pdf
    January 09, 2019 - Framework for Effective Board Governance of Health System Quality. January 9, 2019 Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality The role of hospital boards i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45963/psn-pdf
    March 22, 2017 - Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response. March 22, 2017 Boston, MA: National Patient Safety Foundation; March 2017. https://psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866813/psn-pdf
    September 25, 2024 - Peer support to promote surgeon well-being: the APSA program experience. September 25, 2024 Fall F, Hu YY, Walker S, et al. Peer support to promote surgeon well-being: the APSA program experience. J Pediatr Surg. 2024;59(9):1665-1671. doi:10.1016/j.jpedsurg.2023.12.022. https://psnet.ahrq.gov/issue/peer-support-pr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60303/psn-pdf
    May 06, 2020 - Using safety culture results to guide the merger of four general practices in the UK. May 6, 2020 Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860. https://psnet.ahrq.gov/issue…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47761/psn-pdf
    May 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. May 22, 2019 Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualitative study. Palliat Med. 2019;33(4…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866825/psn-pdf
    September 25, 2024 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. September 25, 2024 Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. 24-0084 https://psnet.ahrq.gov/issu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46190/psn-pdf
    August 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. August 17, 2017 Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:10.1097/CCM.0000000000002556. ht…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43933/psn-pdf
    March 04, 2015 - How informatics nurses use bar code technology to reduce medication errors. March 4, 2015 Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. https://psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-t…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45041/psn-pdf
    September 28, 2016 - Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: a systematic review and suggested taxonomy. September 28, 2016 Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: A systematic review and suggested …

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