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psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus
January 25, 2017 - Commentary
Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report.
Citation Text:
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…
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psnet.ahrq.gov/issue/does-simulator-based-clinical-performance-correlate-actual-hospital-behavior-effect-extended
February 17, 2011 - Study
Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns.
Citation Text:
Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With Ac…
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psnet.ahrq.gov/issue/impact-attending-physician-workload-patient-care-survey-hospitalists
November 26, 2014 - Study
Impact of attending physician workload on patient care: a survey of hospitalists.
Citation Text:
Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternme…
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psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose
January 07, 2011 - Study
Getting doctors to report medical errors: project DISCLOSE.
Citation Text:
King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt Comm J Qual Patient Saf. 2006;32(7):382-392.
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Format:
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psnet.ahrq.gov/issue/graduating-pediatrics-residents-reports-impact-fatigue-over-past-decade-duty-hour-changes
July 21, 2010 - Study
Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes.
Citation Text:
Schumacher DJ, Frintner MP, Winn A, et al. Graduating Pediatrics Residents' Reports on the Impact of Fatigue Over the Past Decade of Duty Hour Changes. Acad P…
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psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center
March 07, 2012 - Study
Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study.
Citation Text:
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…
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psnet.ahrq.gov/issue/safety-inpatient-pediatrics-preventing-medical-errors-and-injuries-among-hospitalized
November 16, 2022 - Review
The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children.
Citation Text:
Landrigan CP. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. Pediatr Clin North Am. 2005;52(4):979-93, …
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psnet.ahrq.gov/node/45611/psn-pdf
July 07, 2021 - Funding Announcement for Projects Targeting the
Reduction of Healthcare-Associated Infections.
July 7, 2021
Rockville, MD: Agency for Healthcare Research and Quality; July 7 2021.
https://psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated-
infections
Health care–associate…
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psnet.ahrq.gov/node/46211/psn-pdf
July 26, 2017 - Double-booked: when surgeons operate on two patients
at once.
July 26, 2017
Boodman SG. Kaiser Health News. July 12, 2017.
https://psnet.ahrq.gov/issue/double-booked-when-surgeons-operate-two-patients-once
Scheduling overlapping surgeries has gained recognition as a controversial practice in surgical care. This
n…
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psnet.ahrq.gov/periodic-issue/periodic-issue-460
October 30, 2024 - October 9, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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psnet.ahrq.gov/node/45026/psn-pdf
April 19, 2016 - Managing the risks of concurrent surgeries.
April 19, 2016
Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4.
doi:10.1001/jama.2016.2305.
https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
Scheduling overlapping surgeries may improve operating room efficie…
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psnet.ahrq.gov/node/837744/psn-pdf
July 27, 2022 - Medication orders with future start dates: how far away is
too far?
July 27, 2022
ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4.
https://psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
Human errors that occur while interacting with electronic health recor…
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psnet.ahrq.gov/node/849608/psn-pdf
May 31, 2023 - Understanding and preventing vaccination errors.
May 31, 2023
Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now.
2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001.
https://psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
Vaccine errors can …
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psnet.ahrq.gov/node/49805/psn-pdf
September 01, 2017 - In this case, a scheduled briefing might have allowed another team member to catch the intern's
lapse
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - On a scheduled return visit the following day, the wound was inspected and sutured again, but no x-rays … For patients who are not hospitalized, this visit can often be scheduled with the patient’s primary care … Third, wounds meeting high risk criteria (as defined above) should be left open and re-examined at a scheduled
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psnet.ahrq.gov/issue/house-overnight-physician-staffing-cross-sectional-survey-canadian-adult-and-pediatric
December 04, 2015 - Study
In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.
Citation Text:
Parshuram CS, Kirpalani H, Mehta S, et al. In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intens…
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.
Citation Text:
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487.
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psnet.ahrq.gov/issue/effects-accreditation-council-graduate-medical-education-duty-hour-limits-sleep-work-hours
March 03, 2011 - Study
Classic
Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.
Citation Text:
Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education…
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psnet.ahrq.gov/issue/implementing-2009-institute-medicine-recommendations-resident-physician-work-hours
September 28, 2010 - Commentary
Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety.
Citation Text:
Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervisi…
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psnet.ahrq.gov/issue/cost-implications-reduced-work-hours-and-workloads-resident-physicians
August 05, 2015 - Study
Cost implications of reduced work hours and workloads for resident physicians.
Citation Text:
Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251…