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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/60712/psn-pdf
July 22, 2020 - Patient safety and quality improvement: ethical principles
for a regulatory approach to bias in healthcare machine
learning.
July 22, 2020
McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical principles for
a regulatory approach to bias in healthcare machine learning. J Am Med…
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psnet.ahrq.gov/node/47913/psn-pdf
April 10, 2019 - Improving standardization of paging communication
using quality improvement methodology.
April 10, 2019
Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using
Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1362.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/837733/psn-pdf
July 27, 2022 - From COVID-19 pandemic to patient safety: a new
"spring" for telemedicine or a boomerang effect?
July 27, 2022
De Micco F, Fineschi V, Banfi G, et al. From COVID-19 pandemic to patient safety: a new "spring" for
telemedicine or a boomerang effect? Front Med (Lausanne). 2022;9:901788.
doi:10.3389/fmed.2022.901788.
…
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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/39859/psn-pdf
November 21, 2016 - Experience with family activation of rapid response
teams.
November 21, 2016
Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg
Nurs. 2010;19(4):215-22; quiz 223.
https://psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
The central tenet behi…
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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/46383/psn-pdf
September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and
Evidence.
September 20, 2017
Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
Health care has been exploring a variety of strategies to mitigate the opioid ep…
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psnet.ahrq.gov/node/38801/psn-pdf
March 04, 2011 - Computerized clinical decision support during medication
ordering for long-term care residents with renal
insufficiency.
March 4, 2011
Field T, Rochon P, Lee M, et al. Computerized clinical decision support during medication ordering for long-
term care residents with renal insufficiency. J Am Med Inform Assoc. 20…
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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/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/73478/psn-pdf
July 07, 2021 - Medical malpractice claims by members of the uniformed
services.
July 7, 2021
Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17,
2021:32194-32215.
https://psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
Organizations with safety culture…
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psnet.ahrq.gov/node/46597/psn-pdf
November 01, 2017 - A novel process audit for standardized perioperative
handoff protocols.
November 1, 2017
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative
Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011.
https://psnet.ahrq.gov/issue…
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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/851657/psn-pdf
July 26, 2023 - Weight stigma and barriers to effective obesity care.
July 26, 2023
Puhl RM. Weight stigma and barriers to effective obesity care. Gastroenterol Clin North Am.
2023;52(2):417-428. doi:10.1016/j.gtc.2023.02.002.
https://psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care
Implicit biases and stigm…
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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/851913/psn-pdf
August 02, 2023 - Meta-analysis of medication administration errors in
African hospitals.
August 2, 2023
Alemu W, Cimiotti JP. Meta-analysis of medication administration errors in African hospitals. J Healthc
Qual. 2023;45(4):233-241. doi:10.1097/jhq.0000000000000396.
https://psnet.ahrq.gov/issue/meta-analysis-medication-administra…
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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…