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7541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46052/psn-pdf
      December 19, 2017 - Correlates of the third victim phenomenon. December 19, 2017 Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1. https://psnet.ahrq.gov/issue/correlates-third-victim-phenomenon A sentinel event affects patients, their families, clinicians involved, an…

7542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43948/psn-pdf
      May 20, 2015 - Human factors engineering: its place and potential in OR safety. May 20, 2015 Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety Human fa…

7543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40430/psn-pdf
      October 18, 2011 - Eliminating CLABSI: A National Patient Safety Imperative. October 18, 2011 Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11- 0037-1-EF. https://psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative This publication reports the impact hospital p…

7544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39161/psn-pdf
      December 09, 2009 - Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. December 9, 2009 Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. A…

7545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39254/psn-pdf
      January 27, 2010 - Practical challenges of introducing WHO surgical checklist: UK pilot experience. January 27, 2010 Vats A, Vincent CA, Nagpal K, et al. Practical challenges of introducing WHO surgical checklist: UK pilot experience. BMJ. 2010;340(jan13 2). doi:10.1136/bmj.b5433. https://psnet.ahrq.gov/issue/practical-challenges-in…

7546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35193/psn-pdf
      July 10, 2008 - Diagnostic error in internal medicine. July 10, 2008 Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. https://psnet.ahrq.gov/issue/diagnostic-error-internal-medicine This study identified 100 cases of diagnostic error in internal medicine and conducte…

7547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865881/psn-pdf
      May 15, 2024 - Stranded in the ER, seniors await hospital care and suffer avoidable harm. May 15, 2024 Graham J. KFF Health News. May 6, 2024. https://psnet.ahrq.gov/issue/stranded-er-seniors-await-hospital-care-and-suffer-avoidable-harm The boarding of patients that present with emergent needs reduces safety and access to care …

7548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46469/psn-pdf
      October 25, 2017 - RxAwareness. October 25, 2017 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/rxawareness The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to raise awareness of the addictive nature of the medication. This national campaign enlists…

7549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40558/psn-pdf
      May 20, 2019 - Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. May 20, 2019 Eunice Kennedy Shriver National Institute of Child Health and Human Development; NICHD; National Institutes of Health; NIH. https://psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care This dual-com…

7550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46718/psn-pdf
      August 08, 2018 - Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations. August 8, 2018 Joint Commission. https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare- organizations Workplace violence in health care can affect the safety of both staff and p…

7551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47765/psn-pdf
      February 20, 2019 - Negative behaviours in health care: prevalence and strategies. February 20, 2019 Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. https://psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-an…

7552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47196/psn-pdf
      October 17, 2018 - Adaptive expertise in medical decision making. October 17, 2018 Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898. https://psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making Clinical reasoning is a complex process that can be i…

7553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43734/psn-pdf
      January 21, 2015 - Explicit and Standardized Prescription Medicine Instructions. January 21, 2015 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions Standardization has been embraced as a strategy to improve health litera…

7554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60569/psn-pdf
      June 10, 2020 - Workplace team resilience: a systematic review and conceptual development. June 10, 2020 Hartwig A, Clarke S, Johnson S, et al. Workplace team resilience: s systematic review and conceptual development. Org Psychol Rev. 2020;10(3-4):169-200. doi:10.1177/2041386620919476. https://psnet.ahrq.gov/issue/workplace-team…

7555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60024/psn-pdf
      March 11, 2020 - Artificial intelligence and surgical decision-making. March 11, 2020 Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg. 2019;155(2):148-158. doi:10.1001/jamasurg.2019.4917. https://psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making Arti…

7556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866696/psn-pdf
      September 11, 2024 - The Impact of Complications on Surgeons. September 11, 2024 The Impact of Complications on Surgeons. Modi PK, Singer EA, eds. Urol Oncol. 2024;42(10):295-320. doi:10.1016/j.urolonc.2024.05.016. https://psnet.ahrq.gov/issue/impact-complications-surgeons Complications and medical errors can result in psychological d…

7557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72514/psn-pdf
      November 25, 2020 - AI is wrestling with a replication crisis. November 25, 2020 Heaven WD. MIT Technology Review. November 12, 2020. https://psnet.ahrq.gov/issue/ai-wrestling-replication-crisis Lack of transparency of research and development processes are thought to undermine the value of artificial intelligence (AI) and trust in i…

7558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38213/psn-pdf
      November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…

7559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45835/psn-pdf
      February 01, 2017 - Deploying and measuring a risk and patient safety program. February 1, 2017 Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266. https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…

7560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41598/psn-pdf
      August 15, 2012 - Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? August 15, 2012 Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifesty…