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psnet.ahrq.gov/node/46207/psn-pdf
July 19, 2017 - Burnout Among Health Care Professionals. A Call to
Explore and Address This Underrecognized Threat to
Safe, High-Quality Care.
July 19, 2017
Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017.
https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca…
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psnet.ahrq.gov/node/45129/psn-pdf
August 03, 2016 - Sleep and circadian misalignment for the hospitalist: a
review.
August 3, 2016
Schaefer EW, Williams M, Zee PC. Sleep and circadian misalignment for the hospitalist: a review. J Hosp
Med. 2012;7(6):489-96. doi:10.1002/jhm.1903.
https://psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review
Given…
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psnet.ahrq.gov/node/37294/psn-pdf
May 21, 2013 - Improving Hand-Off Communication.
May 21, 2013
Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
https://psnet.ahrq.gov/issue/improving-hand-communication
The process of transferring primary responsibility for patient care is commonly referred to as a handoff.
Handoffs are inherently dange…
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psnet.ahrq.gov/node/60303/psn-pdf
May 06, 2020 - Using safety culture results to guide the merger of four
general practices in the UK.
May 6, 2020
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general
practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/44716/psn-pdf
April 15, 2016 - An integrative review of patient safety in studies on the
care and safety of patients with communication
disabilities in hospital.
April 15, 2016
Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and
safety of patients with communication disabilities in hospital. …
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psnet.ahrq.gov/node/848378/psn-pdf
May 04, 2023 - Ensuring competency and safety when onboarding newly
hired professional staff.
May 3, 2023
ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3.
https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-
staff
Psychological sa…
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psnet.ahrq.gov/node/45743/psn-pdf
June 21, 2017 - Strategies for improving the value of the radiology report:
a retrospective analysis of errors in formally over-read
studies.
June 21, 2017
Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis
of errors in formally over-read studies. J Am Coll Radiol. 2017;1…
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psnet.ahrq.gov/node/44589/psn-pdf
January 01, 2016 - Observation for assessment of clinician performance: a
narrative review.
December 16, 2015
Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a
narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171.
https://psnet.ahrq.gov/issue/observation-asse…
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psnet.ahrq.gov/node/866354/psn-pdf
July 24, 2024 - Partnership as a pathway to diagnostic excellence: the
challenges and successes of implementing the Safer Dx
Learning Lab.
July 24, 2024
Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges
and successes of implementing the Safer Dx Learning Lab. Jt Comm J Qual P…
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psnet.ahrq.gov/node/43867/psn-pdf
March 11, 2015 - Applying fault tree analysis to the prevention of wrong-
site surgery.
March 11, 2015
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site
surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
https://psnet.ahrq.gov/issue/applying-fault-tree-analy…
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psnet.ahrq.gov/node/61101/psn-pdf
November 04, 2020 - Investigation into Management of Venous
Thromboembolism Risk in Patients Following
Thrombolysis for an Acute Stroke.
November 4, 2020
Farnborough, UK; Healthcare Safety Investigation Branch. October 2020
https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-
thrombol…
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psnet.ahrq.gov/node/73895/psn-pdf
September 29, 2021 - Open Notes shines light on errors in patient medical
records — will the new rule lead to a flood of correction
requests?
September 29, 2021
Clark C. MedPage Today. September 14, 2021.
https://psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-
flood-correctio…
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psnet.ahrq.gov/node/46793/psn-pdf
February 28, 2018 - Patient safety movement: history and future directions.
February 28, 2018
Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg
Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006.
https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
The pati…
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psnet.ahrq.gov/node/838009/psn-pdf
September 07, 2022 - High-risk medication in home care nursing: a Delphi
study.
September 7, 2022
Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study.
J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023.
https://psnet.ahrq.gov/issue/high-risk-medication-home-care-nu…
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psnet.ahrq.gov/node/73675/psn-pdf
September 08, 2021 - A system-wide hospital child maltreatment patient safety
program.
September 8, 2021
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program.
Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
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psnet.ahrq.gov/node/44973/psn-pdf
April 06, 2016 - Competencies for patient safety and quality improvement:
a synthesis of recommendations in influential position
papers.
April 6, 2016
Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis
of Recommendations in Influential Position Papers. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/851356/psn-pdf
July 12, 2023 - Leveraging the science of teamwork to sustain handoff
improvements in cardiovascular surgery.
July 12, 2023
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in
cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…
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psnet.ahrq.gov/node/36588/psn-pdf
March 03, 2011 - Oral chemotherapy safety practices at US cancer centres:
questionnaire survey.
March 3, 2011
Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres:
questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55.
https://psnet.ahrq.gov/issue/oral-chemotherapy-…
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psnet.ahrq.gov/node/47895/psn-pdf
March 27, 2019 - Death by 1,000 clicks: where electronic health records
went wrong.
March 27, 2019
Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019.
https://psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
Despite years of investment and government support, electronic health r…
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psnet.ahrq.gov/node/43966/psn-pdf
April 03, 2017 - TRIAD VII: do prehospital providers understand Physician
Orders for Life-Sustaining Treatment documents?
April 3, 2017
Mirarchi FL, Cammarata C, Zerkle SW, et al. TRIAD VII: do prehospital providers understand Physician
Orders for Life-Sustaining Treatment documents? J Patient Saf. 2015;11(1):9-17.
doi:10.1097/PTS…