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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - its sepsis-related comorbidities, epidemiology, and outcomes, the pediatric community has long been working
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psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
May 26, 2021 - He cited future-orientation including enjoying working in a hotel.
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - And it appears to be working: the rate of computerization in American hospitals and clinics is now up
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psnet.ahrq.gov/issue/case-shook-medicine
October 24, 2012 - Newspaper/Magazine Article
A case that shook medicine.
Citation Text:
A case that shook medicine. Lerner BH.
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psnet.ahrq.gov/issue/burnout-healthcare
July 31, 2019 - Special or Theme Issue
Burnout in Healthcare.
Citation Text:
Burnout in Healthcare. Laschinger H, Montgomery A, eds. Burnout Res. 2014;1:57-102.
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psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and-polsts
July 18, 2018 - Newspaper/Magazine Article
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.
Citation Text:
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15…
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-policy-part-2-3
January 13, 2016 - Book/Report
Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3).
Citation Text:
Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3). American Society of Healthcare Risk Management; ASHRM
C…
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psnet.ahrq.gov/issue/enhancing-surgical-systems
April 12, 2017 - Special or Theme Issue
Enhancing Surgical Systems.
Citation Text:
Enhancing Surgical Systems. Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.
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psnet.ahrq.gov/issue/symposium-patient-safety-collaboration-communication-and-physician-leadership
April 19, 2011 - Special or Theme Issue
Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership.
Citation Text:
Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership. Herndon JH, ed. Clin Orthop Relat Res. 2015;473:1544-1551;1566-1597;1600-1608;1612-1…
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psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine
January 20, 2021 - Study
Blame culture and defensive medicine.
Citation Text:
Catino M. Blame culture and defensive medicine. Cognition, Technology & Work. 2009;11(4). doi:10.1007/s10111-009-0130-y.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
May 27, 2020 - Book/Report
Safer Together Annual Report.
Citation Text:
Safer Together Annual Report. Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
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psnet.ahrq.gov/issue/safety-nicu-preventing-medication-errors-computerized-provider-order-entry
March 08, 2017 - Commentary
Safety in the NICU: preventing medication errors with computerized provider order entry.
Citation Text:
Safety in the NICU: preventing medication errors with computerized provider order entry. Donze A; Wolf M.
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-general-surgery-patient-outcomes-and
September 09, 2015 - Study
Classic
Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance.
Citation Text:
Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform wi…
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psnet.ahrq.gov/issue/effect-protected-sleep-period-hours-slept-during-extended-overnight-hospital-duty-hours-among
August 20, 2018 - Study
Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial.
Citation Text:
Volpp KG, Shea JA, Small DS, et al. Effect of a protected sleep period on hours slept during extended overnight in-hospital…
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psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - Study
National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.
Citation Text:
Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…
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psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture
February 01, 2023 - Study
Classic
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.
Citation Text:
Sexton B, Adair KC, Leonard MW, et al. Providing feedback following Leadership WalkRou…
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psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
September 09, 2015 - Study
Classic
National cluster-randomized trial of duty-hour flexibility in surgical training.
Citation Text:
Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…
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psnet.ahrq.gov/node/40599/psn-pdf
November 23, 2011 - Organizational climate determinants of resident safety
culture in nursing homes.
November 23, 2011
Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture
in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053.
https://psnet.ahrq.gov/issue/or…
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psnet.ahrq.gov/node/845654/psn-pdf
March 08, 2023 - NHS staff cried in safety interviews, says watchdog.
March 8, 2023
Reed J. BBC. February 27, 2023.
https://psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
Stressful and caustic work environments are known to compromise health care safety and teamwork. This
news story discusses an ongoing inves…
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psnet.ahrq.gov/node/37555/psn-pdf
February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient
safety.
February 14, 2018
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-
e81.
https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
This commentary discusses how sleep deprivation affects…