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psnet.ahrq.gov/node/60256/psn-pdf
April 22, 2020 - A critical review: moral injury in nurses in the aftermath of
a patient safety incident.
April 22, 2020
Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety
incident. J Nurs Scholarsh. 2020;52(3):320-328. doi:10.1111/jnu.12551.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/866105/psn-pdf
June 12, 2024 - Collective intelligence increases diagnostic accuracy in a
general practice setting.
June 12, 2024
Blanchard MD, Herzog SM, Kämmer JE, et al. Collective intelligence increases diagnostic accuracy in a
general practice setting. Med Decis Making. 2024;44(4):451-462. doi:10.1177/0272989x241241001.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/39277/psn-pdf
August 22, 2018 - Preventing maternal death.
August 22, 2018
Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4.
https://psnet.ahrq.gov/issue/preventing-maternal-death
The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid
adoption of risk reduction strategies. Adher…
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psnet.ahrq.gov/node/848365/psn-pdf
May 03, 2023 - Value of improving patient safety: health economic
considerations for rapid response systems-a rapid review
of the literature and expert round table.
May 3, 2023
Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations
for rapid response systems–a rapid review of the l…
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psnet.ahrq.gov/node/73487/psn-pdf
July 14, 2021 - The July Effect in podiatric medicine and surgery
residency.
July 14, 2021
Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot
Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020.
https://psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-sur…
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psnet.ahrq.gov/node/74856/psn-pdf
February 23, 2022 - The secondary use of data to support medication safety
in the hospital setting: a systematic review and narrative
synthesis.
February 23, 2022
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in
the hospital setting: a systematic review and narrative synthesis. Ph…
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psnet.ahrq.gov/node/41606/psn-pdf
February 01, 2019 - Safe use of opioids in hospitals.
December 23, 2016
Sentinel Event Alert. 2012;49:1-5.
https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals
Opioid pain medications are considered high-risk medications due to the potential for respiratory
depression and other adverse effects. Because these medications are freque…
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psnet.ahrq.gov/node/50378/psn-pdf
September 25, 2019 - Evaluating horizontal violence and bullying in the nursing
workforce of an oncology academic medical center.
September 25, 2019
Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing
workforce of an oncology academic medical center. J Nurs Manag. 2019;27(5):1005-1010.…
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psnet.ahrq.gov/node/73568/psn-pdf
August 04, 2021 - Coping strategies in health care providers as second
victims: a systematic review.
August 4, 2021
Kappes M, Romero?García M, Delgado?Hito P. Coping strategies in health care providers as second
victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694.
https://psnet.ahrq.gov/issue/copin…
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psnet.ahrq.gov/node/837860/psn-pdf
August 17, 2022 - Alcoholism and American healthcare: the case for a
patient safety approach.
August 17, 2022
Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach.
J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952.
https://psnet.ahrq.gov/issue/alcoholism-a…
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psnet.ahrq.gov/node/44335/psn-pdf
July 16, 2015 - Near-misses are an opportunity to improve patient safety:
adapting strategies of high reliability organizations to
healthcare.
July 16, 2015
Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting
strategies of high reliability organizations to healthcare. Curr Opin …
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy
Helak about Application of Safety-II Principles
August 28, 2024
In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-an…
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - School of Nursing Co-Editor-in-Chief, AHRQ's Patient Safety Network (PSNet) dbakerjian@ucdavis.edu References … PubMedId RIS
Download Citation
Sections
Background Summary
Conclusion
References
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - PSNet)
Professor
Department of Surgery, Division of Trauma
UC Davis Health
ghutter@ucdavis.edu
References
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psnet.ahrq.gov/node/60970/psn-pdf
September 30, 2020 - Deficiencies in Care, Care Coordination, and Facility
Response to a Patient Who Died by Suicide, Memphis VA
Medical Center in Tennessee.
September 30, 2020
Washington, DC: Department of Veterans Affairs, Office of Inspector General; September 3, 2020. Report
No 19-09493-249.
https://psnet.ahrq.gov/issue/deficienc…
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psnet.ahrq.gov/node/73681/psn-pdf
September 08, 2021 - Medical errors during training: how do residents cope?: a
descriptive study.
September 8, 2021
Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a
descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1.
https://psnet.ahrq.gov/issue/medical-erro…
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psnet.ahrq.gov/node/851456/psn-pdf
July 19, 2023 - Nurses and nursing students as second victims: a
scoping review.
July 19, 2023
Sahay A, McKenna L. Nurses and nursing students as second victims: a scoping review. Nurs Outlook.
2023;71(4):101992. doi:10.1016/j.outlook.2023.101992.
https://psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-rev…
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psnet.ahrq.gov/node/838913/psn-pdf
October 26, 2022 - Communication during interhospital transfers of
emergency general surgery patients: a qualitative study
of challenges and opportunities.
October 26, 2022
Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general
surgery patients: a qualitative study of challenges and op…
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psnet.ahrq.gov/node/847725/psn-pdf
April 19, 2023 - A scoping review of the hidden curriculum in pharmacy
education.
April 19, 2023
Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy
education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999.
https://psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy…
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psnet.ahrq.gov/node/43098/psn-pdf
August 25, 2015 - Who do hospital physicians and nurses go to for advice
about medications? A social network analysis and
examination of prescribing error rates.
August 25, 2015
Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A
Social Network Analysis and Examination of Prescribin…