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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74219/psn-pdf
    January 01, 2022 - Race as a social construct in psychiatry research and practice. December 22, 2021 Bryant BE, Jordan A, Clark US. Race as a social construct in psychiatry research and practice. JAMA Psych. 2022;79(2):93-94. doi:10.1001/jamapsychiatry.2021.2877. https://psnet.ahrq.gov/issue/race-social-construct-psychiatry-research…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48004/psn-pdf
    May 08, 2019 - Organizing Patient Safety: Failsafe Fantasies and Pragmatic Practices. May 8, 2019 Pedersen KZ. London, United Kingdom: Palgrave Macmillan; 2018. ISBN: 9781137537850. https://psnet.ahrq.gov/issue/organizing-patient-safety-failsafe-fantasies-and-pragmatic-practices The book suggests that though a systems orientatio…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43967/psn-pdf
    November 16, 2015 - Equipped: overcoming barriers to change to improve quality of care (theories of change). November 16, 2015 Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013- …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73367/psn-pdf
    June 09, 2021 - Ethical challenges in child abuse: what is the harm of a misdiagnosis? June 9, 2021 Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4. https://psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnos…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47021/psn-pdf
    May 02, 2018 - The impact of improving teamwork on patient outcomes in surgery: a systematic review. May 2, 2018 Sun R, Marshall DC, Sykes MC, et al. The impact of improving teamwork on patient outcomes in surgery: A systematic review. Int J Surg. 2018;53:171-177. doi:10.1016/j.ijsu.2018.03.044. https://psnet.ahrq.gov/issue/impa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45369/psn-pdf
    October 29, 2017 - The aging physician and the medical profession: a review. October 29, 2017 Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review. JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342. https://psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47165/psn-pdf
    June 13, 2018 - Changing how we think about healthcare improvement. June 13, 2018 Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement In learning organizations, leadership behavior creates a s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47009/psn-pdf
    December 21, 2018 - Perceptions of rounding checklists in the intensive care unit: a qualitative study. December 21, 2018 Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218. https://psnet.ahrq.gov/issue/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47122/psn-pdf
    June 13, 2018 - Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. June 13, 2018 Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:10.1200/JOP.17.00007. https://psne…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39605/psn-pdf
    December 17, 2010 - The effect of facility complexity on perceptions of safety climate in the operating room: size matters. December 17, 2010 Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25(6):457-61. doi:10.1177/106286061…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42790/psn-pdf
    December 04, 2013 - Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. December 4, 2013 Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patient Saf. 2013;9(4):224-31. doi:10…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43047/psn-pdf
    August 02, 2015 - Hospital readmission after noncardiac surgery: the role of major complications. August 2, 2015 Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45. https://psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46268/psn-pdf
    September 27, 2017 - Learning from incidents in health care: critique from a Safety-II perspective. September 27, 2017 Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121. https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective Studying what works well to design safer systems is gaining tra…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43777/psn-pdf
    January 01, 2015 - Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. December 17, 2014 Johnston MJ, King D, Arora S, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1):45-51. doi:10.1016/j.amjsurg.2014.08.030.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45178/psn-pdf
    December 04, 2016 - Do physicians clean their hands? Insights from a covert observational study. December 4, 2016 Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632. https://psnet.ahrq.gov/issue/do-physicians-c…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61123/psn-pdf
    November 11, 2020 - Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. November 11, 2020 Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2020. https://psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improvin…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60749/psn-pdf
    August 05, 2020 - Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". August 5, 2020 Barth RJ, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". JAMA Surg. 2020;155(7):543-544. doi:10.1001/jamasurg.2020.0432. https://psnet…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46501/psn-pdf
    March 20, 2018 - Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. March 20, 2018 Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104. https://psnet.ahrq.gov/issue/blind…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44890/psn-pdf
    July 11, 2017 - The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. July 11, 2017 Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-33. doi:10.1093/jamia/ocv181. http…