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psnet.ahrq.gov/node/838195/psn-pdf
September 28, 2022 - National Plan for Health Workforce Well-Being.
September 28, 2022
Dzau VJ, Kirch D, Murthy V, Nasca T, eds; NAM’s Action Collaborative on Clinician Well-Being and
Resilience. Washington DC: The National Academies Press; 2022. ISBN 9780309694674.
https://psnet.ahrq.gov/issue/national-plan-health-workforce-well-…
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psnet.ahrq.gov/node/854251/psn-pdf
October 04, 2023 - A scoping review exploring the confidence of healthcare
professionals in assessing all skin tones.
October 4, 2023
Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin
tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.2023.9.8.2.18.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/34789/psn-pdf
December 23, 2008 - Medication error prevention by pharmacists.
December 23, 2008
Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm.
1988;45(9):1902-3.
https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
This study investigated the impact of hospital pharmacists in preve…
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psnet.ahrq.gov/node/36525/psn-pdf
January 07, 2011 - Hallmarks of quality and patient safety recommended
baccalaureate competencies and curricular guidelines to
ensure high-quality and safe patient care.
January 7, 2011
Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricular
guidelines to ensure high-quality and safe patient ca…
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psnet.ahrq.gov/node/40467/psn-pdf
May 25, 2011 - Time trends in pulmonary embolism in the United States:
evidence of overdiagnosis.
May 25, 2011
Wiener RS, Schwartz LM, Woloshin S. Time trends in pulmonary embolism in the United States: evidence
of overdiagnosis. Arch Intern Med. 2011;171(9):831-7. doi:10.1001/archinternmed.2011.178.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/852272/psn-pdf
January 01, 2024 - Investigating racial and ethnic disparities in maternal care
at the system level using patient safety incident reports.
August 9, 2023
Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the
system level using patient safety incident reports. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
Editor’s note: Jeffrey Shuren, MD, JD is the Director of the Center for Devices and Radiological Health at
the Food…
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psnet.ahrq.gov/node/841202/psn-pdf
December 18, 2024 - Updated Results for the AHRQ Surveys on Patient Safety
Culture Workplace Safety Supplemental Item Set for
Hospitals.
December 18, 2024
Tyler ER, Yalden O, Fan L, et al. Results For The Ahrq Surveys On Patient Safety Culture (Sops)
Workplace Safety Supplemental Item Set For Hospitals. Agency for Healthcare Research…
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psnet.ahrq.gov/node/34701/psn-pdf
January 04, 2017 - Making the business case for patient safety.
January 4, 2017
Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4,
1.
https://psnet.ahrq.gov/issue/making-business-case-patient-safety
While the costs of medical error to patients are well appreciated, the direct costs…
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psnet.ahrq.gov/node/35415/psn-pdf
December 21, 2008 - Acting Locally: Working in Clinical Microsystems CD-
ROM.
December 21, 2008
Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865.
https://psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
This resource represents a collection of special articles published in the Joint …
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psnet.ahrq.gov/node/45654/psn-pdf
July 11, 2017 - Hospital prescribing of opioids to Medicare beneficiaries.
July 11, 2017
Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA
Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737.
https://psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-benefic…
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psnet.ahrq.gov/node/35385/psn-pdf
January 02, 2017 - El Camino Hospital: using health information technology
to promote patient safety.
January 2, 2017
Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote
Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:10.1016/s1553-7250(05)31073-7.
https://psn…
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psnet.ahrq.gov/node/45637/psn-pdf
February 17, 2017 - Opportunities to enhance laboratory professionals' role
on the diagnostic team.
February 17, 2017
Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the
diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048.
https://psnet.ahrq.gov/issue/opportuniti…
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psnet.ahrq.gov/node/47788/psn-pdf
March 06, 2019 - Medical device-related pressure ulcers: a systematic
review and meta-analysis.
March 6, 2019
Jackson D, Sarki AM, Betteridge R, et al. Medical device-related pressure ulcers: A systematic review and
meta-analysis. Int J Nurs Stud. 2019;92:109-120. doi:10.1016/j.ijnurstu.2019.02.006.
https://psnet.ahrq.gov/issue/me…
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psnet.ahrq.gov/node/46701/psn-pdf
December 20, 2017 - The other big drug problem: older people taking too many
pills.
December 20, 2017
Boodman SG. Washington Post. December 9, 2017.
https://psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills
The prevalence of polypharmacy among older patients represents an important concern for health care…
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psnet.ahrq.gov/node/41649/psn-pdf
December 21, 2014 - Last orders: follow-up of tests ordered on the day of
hospital discharge.
December 21, 2014
Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital
Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836.
https://psnet.ahrq.gov/issue/last-orde…
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psnet.ahrq.gov/node/46726/psn-pdf
January 31, 2018 - Toolkit to Promote Safe Surgery.
January 31, 2018
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
Preventing surgical complications including surgical site infections are a worldwide target for improvement.
This toolkit builds on t…
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psnet.ahrq.gov/node/34625/psn-pdf
July 22, 2013 - National Center for Patient Safety (NCPS).
July 22, 2013
Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI
48106-0486. Phone: (734) 930-5890.
https://psnet.ahrq.gov/issue/national-center-patient-safety-ncps
The NCPS represents a unified and cohesive patient safe…
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psnet.ahrq.gov/node/34744/psn-pdf
January 07, 2019 - Judgment under Uncertainty: Heuristics and Biases.
January 7, 2019
Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press;
1982. ISBN: 0521284147.
https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
Judgement is an inherently human activity tha…
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psnet.ahrq.gov/node/34994/psn-pdf
September 29, 2017 - Advances in Patient Safety: From Research to
Implementation.
September 29, 2017
Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality
(US); 2005.
https://psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
With 4 volumes and 140 articles (all of …