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psnet.ahrq.gov/node/46609/psn-pdf
January 01, 2020 - The impact of adverse events on clinicians: what's in a
name?
April 3, 2019
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J
Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
https://psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
…
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psnet.ahrq.gov/node/73569/psn-pdf
August 04, 2021 - Enabling a learning healthcare system with automated
computer protocols that produce replicable and
personalized clinician actions.
August 4, 2021
Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer
protocols that produce replicable and personalized clinician actions.…
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psnet.ahrq.gov/node/34982/psn-pdf
July 14, 2010 - Development of the ICU safety reporting system.
July 14, 2010
Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system
This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting
system. T…
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psnet.ahrq.gov/node/45358/psn-pdf
August 24, 2016 - Healthcare staff wellbeing, burnout, and patient safety: a
systematic review.
August 24, 2016
Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic
Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015.
https://psnet.ahrq.gov/issue/healthcare-sta…
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psnet.ahrq.gov/node/73075/psn-pdf
March 24, 2021 - Analysis of transdermal medication patch errors
uncovers a “patchwork” of safety challenges.
March 24, 2021
ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6.
https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-
challenges
Skin patches are a conveni…
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psnet.ahrq.gov/node/34740/psn-pdf
November 29, 2017 - Through the Patient’s Eyes: Understanding and
Promoting Patient-Centered Care.
November 29, 2017
Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Bass; 1993. ISBN: 9781555425449
https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
Authored by severa…
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psnet.ahrq.gov/node/848383/psn-pdf
May 03, 2023 - Burnout in Primary Care: Assessing and Addressing It in
Your Practice.
May 3, 2023
Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality;
February 2023. AHRQ Publication No. 23-0025.
https://psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-pr…
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psnet.ahrq.gov/node/34873/psn-pdf
February 18, 2011 - Nurse-staffing levels and the quality of care in hospitals.
February 18, 2011
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl
J Med. 2002;346(22):1715-22.
https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
The relationship betw…
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psnet.ahrq.gov/node/34062/psn-pdf
February 18, 2011 - Adverse drug events in ambulatory care.
February 18, 2011
Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med.
2003;348(16):1556-1564.
https://psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
This prospective cohort study evaluated more than 1200 outpatient prescr…
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psnet.ahrq.gov/node/46695/psn-pdf
January 10, 2018 - Predicting the future—big data, machine learning, and
clinical medicine.
January 10, 2018
Obermeyer Z, Emanuel EJ. Predicting the future—big data, machine learning, and clinical medicine. N Engl
J Med. 2016;375(13):1216-1219. doi:10.1056/nejmp1606181.
https://psnet.ahrq.gov/issue/predicting-future-big-data-machine…
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psnet.ahrq.gov/node/43633/psn-pdf
November 05, 2014 - An integrative review: fatigue among nurses in acute care
settings.
November 5, 2014
Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care
settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104.
https://psnet.ahrq.gov/issue/integrative-review-fa…
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psnet.ahrq.gov/node/43078/psn-pdf
June 03, 2014 - The value of autopsies in the era of high-tech medicine:
discrepant findings persist.
June 3, 2014
Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech
medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136/jclinpath-2013-202122.
https://psn…
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psnet.ahrq.gov/node/43417/psn-pdf
March 09, 2016 - Operating room clinicians' attitudes and perceptions of a
pediatric surgical safety checklist at 1 institution.
March 9, 2016
Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric
Surgical Safety Checklist at 1 Institution. J Patient Saf. 2016;12(1):44-50.
doi:1…
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psnet.ahrq.gov/node/46278/psn-pdf
July 19, 2017 - The opioid epidemic: what can surgeons do about it?
July 19, 2017
Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18.
https://psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
Surgeons often prescribe opioids for patients after procedures, so they are in a key position to ass…
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psnet.ahrq.gov/node/47459/psn-pdf
October 10, 2018 - People, processes, health IT and accurate patient
identification.
October 10, 2018
Quick Safety. October 1, 2018;(45):1-2.
https://psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
This newsletter article reviews common problems related to patient identification and recommends
st…
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psnet.ahrq.gov/node/845345/psn-pdf
March 01, 2023 - The role of language barriers on efficacy of rapid
response teams.
March 1, 2023
Raff L, Moore C, Raff E. The role of language barriers on efficacy of rapid response teams. Hosp Pract
(1995). 2023;51(1):29-34. doi:10.1080/21548331.2022.2150416.
https://psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-res…
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psnet.ahrq.gov/node/43858/psn-pdf
February 18, 2015 - Hospital system barriers to rapid response team
activation: a cognitive work analysis.
February 18, 2015
Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive
work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.NAJ.0000460672.74447.4a.
https…
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psnet.ahrq.gov/node/40942/psn-pdf
November 23, 2011 - Vital signs: overdoses of prescription opioid pain
relievers- United States, 1999-2008.
November 23, 2011
Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--
2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92.
https://psnet.ahrq.gov/issue/vital-signs-over…
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psnet.ahrq.gov/node/46517/psn-pdf
November 01, 2017 - Joy in medical practice: clinician satisfaction in the
Healthy Work Place trial.
November 1, 2017
Linzer M, Sinsky CA, Poplau S, et al. Joy In Medical Practice: Clinician Satisfaction In The Healthy Work
Place Trial. Health Aff (Millwood). 2017;36(10):1808-1814. doi:10.1377/hlthaff.2017.0790.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/40654/psn-pdf
January 01, 2012 - The computerized rounding report: implementation of a
model system to support transitions of care.
December 15, 2011
Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model
system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015.
…