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9621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867845/psn-pdf
      February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary February 26, 2025 https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation- summary Summary This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…

9622. Opioid Safety | PSNet
      psnet.ahrq.gov/primer/opioid-safety
      December 15, 2024 - Opioid Safety Citation Text: Opioid Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

9623. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
      February 26, 2025 - enacted through talk involves basic, everyday personal practices like active listening, being more open, sharing

9624. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
      February 26, 2025 - enacted through talk involves basic, everyday personal practices like active listening, being more open, sharing

9625. In Conversation with…Janet Corrigan, PhD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
      April 01, 2010 - In Conversation with…Janet Corrigan, PhD, MBA April 1, 2010  Also Read an Essay Citation Text: In Conversation with…Janet Corrigan, PhD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

9626. Medicaid markets and pediatric patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
      August 02, 2012 - Study Medicaid markets and pediatric patient safety in hospitals. Citation Text: Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health Serv Res. 2007;42(5):1981-98. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

9627. Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. | PSNet
      psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors
      January 27, 2021 - Study Classic Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. Citation Text: Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAM…

9628. Opioid abuse in chronic pain—misconceptions and mitigation strategies. | PSNet
      psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies
      November 18, 2016 - Review Opioid abuse in chronic pain—misconceptions and mitigation strategies. Citation Text: Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771. Copy Citation Format: …

9629. Surgeons' disclosures of clinical adverse events. | PSNet
      psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
      August 18, 2021 - Study Surgeons' disclosures of clinical adverse events. Citation Text: Elwy R, Itani KMF, Bokhour BG, et al. Surgeons' Disclosures of Clinical Adverse Events. JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787. Copy Citation Format: DOI Google Scholar PubMed …

9630. Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. | PSNet
      psnet.ahrq.gov/issue/tragedy-policy-quantitative-study-nurses-attitudes-toward-patient-advocacy-activities
      June 01, 2011 - Study Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. Citation Text: Black LM. Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. Am J Nurs. 2011;111(6):26-37. doi:10.1097/01.NAJ.0000398537…

9631. Crises in clinical care: an approach to management. | PSNet
      psnet.ahrq.gov/issue/crises-clinical-care-approach-management
      March 23, 2011 - Commentary Crises in clinical care: an approach to management. Citation Text: Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856. Copy Citation Format: DOI Google Scholar BibTeX EndN…

9632. 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/2012-user-comparative-database-report-medical-office-survey-patient-safety-culture
      November 30, 2016 - Book/Report 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Citation Text: 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healt…

9633. Neonatal near-miss audits: a systematic review and a call to action. | PSNet
      psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
      August 04, 2021 - Review Neonatal near-miss audits: a systematic review and a call to action. Citation Text: Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. Copy Citation Format…

9634. Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation. | PSNet
      psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context
      September 20, 2017 - Study Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation. Citation Text: Jomaa C, Dubois C‐A, Caron I, et al. Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context o…

9635. Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. | PSNet
      psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
      March 16, 2022 - Book/Report Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Citation Text: Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Washington, DC: VA Office o…

9636. Responding to medical errors — implementing the modern ethical paradigm. | PSNet
      psnet.ahrq.gov/issue/responding-medical-errors-implementing-modern-ethical-paradigm
      August 18, 2021 - Commentary Responding to medical errors — implementing the modern ethical paradigm. Citation Text: Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554. Copy Citation Format:…

9637. Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet
      psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall
      December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…

9638. Opportunities to mine EHRs for malpractice risk management and patient safety. | PSNet
      psnet.ahrq.gov/issue/opportunities-mine-ehrs-malpractice-risk-management-and-patient-safety
      October 28, 2020 - Commentary Opportunities to mine EHRs for malpractice risk management and patient safety. Citation Text: Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/251604…

9639. Training Program for Nurses on Shift Work and Long Work Hours. | PSNet
      psnet.ahrq.gov/issue/training-program-nurses-shift-work-and-long-work-hours
      October 28, 2020 - Audiovisual Training Program for Nurses on Shift Work and Long Work Hours. Citation Text: Training Program for Nurses on Shift Work and Long Work Hours. Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health…

9640. Effect of genetic diagnosis on patients with previously undiagnosed disease. | PSNet
      psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
      October 19, 2022 - Study Effect of genetic diagnosis on patients with previously undiagnosed disease. Citation Text: Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458. Copy…