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psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
November 29, 2023 - Book/Report
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia.
Citation Text:
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …
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psnet.ahrq.gov/issue/factors-associated-intern-fatigue
October 28, 2009 - Study
Factors associated with intern fatigue.
Citation Text:
Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3.
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psnet.ahrq.gov/issue/raising-barcode-improving-medication-safety-behaviours-through-behavioural-science-informed
November 01, 2023 - Study
Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis.
Citation Text:
Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving med…
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psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
November 14, 2018 - Study
Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study.
Citation Text:
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hosp…
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psnet.ahrq.gov/issue/what-extent-are-patients-involved-researching-safety-acute-mental-healthcare
August 18, 2021 - Review
To what extent are patients involved in researching safety in acute mental healthcare?
Citation Text:
Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s4…
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psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy
December 08, 2021 - Study
Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.
Citation Text:
Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…
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psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety
June 01, 2022 - Study
Is it time for the mental health field to consider unplanned discharge a key metric of patient safety?
Citation Text:
Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 202…
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psnet.ahrq.gov/issue/changes-perceptions-antibiotic-stewardship-among-neonatal-intensive-care-unit-providers-over
September 29, 2021 - Study
Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation.
Citation Text:
Qureshi N, Kroger J, Zangwill KM, et al. Changes in perceptions of antibioti…
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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - Why hospitals don't learn from failures: organizational and psychological
dynamics that inhibit system
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psnet.ahrq.gov/node/866370/psn-pdf
July 31, 2024 - When the patient suffers awareness and feels severe pain while unable to move, the psychological effects … Cardiovascular surgery patients tend to have
fewer psychological sequelae because they are usually treated … Anesthesia awareness: narrative review of psychological
sequelae, treatment, and incidence.
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - When the patient suffers awareness and feels severe pain while unable to move, the psychological effects … Cardiovascular surgery patients tend to have fewer psychological sequelae because they are usually treated … Anesthesia awareness: narrative review of psychological sequelae, treatment, and incidence.
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psnet.ahrq.gov/classics
August 01, 2023 - Radiology
(1)
Pulmonary Complications
(1)
Overtreatment
(16)
Psychological … Unanticipated adverse events harm not only patients, but also have the potential to cause psychological
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psnet.ahrq.gov/issue/improving-safety-efficiencies-and-reducing-waste-ready-administer-iv-medications-roadmap
January 24, 2024 - International Meeting/Conference
Improving Safety, Efficiencies, and Reducing Waste with Ready-to-Administer IV Medications: A Roadmap to Success.
Citation Text:
Institute for Safe Medication Practices. February 6, 2024, 1:00-2:00 PM (eastern).
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psnet.ahrq.gov/periodic-issue/periodic-issue-443
May 29, 2024 - workplace and patient safety culture interrelate to reinforce organizational safety culture, such as psychological
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psnet.ahrq.gov/issue/cleveland-clinic-cases-highlight-flaws-safety-oversight
May 20, 2015 - April 1, 2015
Psychological safety and error reporting within Veterans Health Administration
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
March 01, 2015 - Wrong-site surgery is a sentinel event—an unexpected occurrence involving death or serious physical or psychological
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psnet.ahrq.gov/home
August 04, 2021 - Promoting Patient Safety.
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AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits , opportunities for free CME and trainings . The p…
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psnet.ahrq.gov/issue/justifying-patient-risks-associated-medical-education
December 08, 2021 - Commentary
Justifying patient risks associated with medical education.
Citation Text:
Chiong W. Justifying patient risks associated with medical education. JAMA. 2007;298(9):1046-8.
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psnet.ahrq.gov/issue/critical-role-health-information-technology-safe-integration-behavioral-health-and-primary
February 22, 2023 - Commentary
The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care.
Citation Text:
Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe integration of behav…
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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
August 14, 2019 - Study
Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).
Citation Text:
Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…