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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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. …
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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;…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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/…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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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