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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…
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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…
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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-
…
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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…
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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…
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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
…
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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…
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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/…
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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…
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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…
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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…
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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-…
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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…
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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…
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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.…
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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…
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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…
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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…
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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…
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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.
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