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The things we carry: the scope and impact of second victim syndrome. | PSNet

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November 12, 2014 - Commentary The things we carry: the scope and impact of second victim syndrome. Citation Text: Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. Copy Citation …

Racial and ethnic harm in patient care is a patient safety issue. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue

October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. | PSNet

psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic

September 04, 2013 - Study Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Citation Text: Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units us…

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic

July 19, 2017 - Book/Report First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Citation Text: First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…

Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/medical-costs-alzheimers-disease-misdiagnosis-among-us-medicare-beneficiaries

August 20, 2018 - Study Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Citation Text: Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…

Nursing home patient safety culture perceptions among US and immigrant nurses. | PSNet

psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-us-and-immigrant-nurses

January 14, 2011 - Study Nursing home patient safety culture perceptions among US and immigrant nurses. Citation Text: Wagner LM, Brush BL, Castle NG, et al. Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses. J Patient Saf. 2020;16(3):238-244. doi:10.1097/pts.0000000000000271. …

Sensemaking of patient safety risks and hazards. | PSNet

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March 03, 2011 - Commentary Sensemaking of patient safety risks and hazards. Citation Text: Battles J, Dixon NM, Borotkanics RJ, et al. Sensemaking of patient safety risks and hazards. Health Serv Res. 2006;41(4 Pt 2):1555-1575. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. | PSNet

psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi

July 05, 2017 - Commentary Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. Citation Text: Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Int…

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. | PSNet

psnet.ahrq.gov/issue/medical-surgical-nurse-leaders-experiences-safety-culture-inductive-qualitative-descriptive

August 05, 2020 - Study Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. Citation Text: Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-…

The family's contribution to patient safety. | PSNet

psnet.ahrq.gov/issue/familys-contribution-patient-safety

October 13, 2018 - Study The family's contribution to patient safety. Citation Text: Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep. 2023;13(2):634-643. doi:10.3390/nursrep13020056. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet

psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions

March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

Patient safety and workplace bullying: an integrative review. | PSNet

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March 11, 2020 - Review Patient safety and workplace bullying: an integrative review. Citation Text: Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual. 2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209. Copy Citation Format: DOI Google S…

The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. | PSNet

psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts

June 22, 2022 - Study The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. Citation Text: Oshel RE, Levitt P. The Detection, Analysis, and Significance of Physician Clustering in Medical Malpractice Lawsuit Payouts. J Patient Saf. 2016;16(4):274-278. …

Understanding situation awareness in nursing work: a hybrid concept analysis. | PSNet

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October 20, 2021 - Study Understanding situation awareness in nursing work: a hybrid concept analysis. Citation Text: Sitterding MC, Broome ME, Everett LQ, et al. Understanding situation awareness in nursing work: a hybrid concept analysis. ANS Adv Nurs Sci. 2012;35(1):77-92. doi:10.1097/ANS.0b013e318245…

(How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. | PSNet

psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication

August 30, 2017 - Study (How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. Citation Text: Drach-Zahavy A, Somech A, Admi H, et al. (How) do we learn from errors? A prospective study of the link between the ward's lea…

To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. | PSNet

psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare

January 26, 2022 - Commentary To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. Citation Text: Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…

Promoting health care safety through training high reliability teams. | PSNet

psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams

January 06, 2018 - Commentary Promoting health care safety through training high reliability teams. Citation Text: Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090. Copy Citation Format: …

Optimizing situation awareness to reduce emergency transfers in hospitalized children. | PSNet

psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children

January 19, 2022 - Study Optimizing situation awareness to reduce emergency transfers in hospitalized children. Citation Text: Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…

Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet

psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports

March 16, 2022 - Commentary Qualitative content analysis: a framework for the substantive review of hospital incident reports. Citation Text: Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…

Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. | PSNet

psnet.ahrq.gov/issue/governance-quality-care-qualitative-study-health-service-boards-victoria-australia

February 14, 2017 - Study Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. Citation Text: Bismark M, Studdert DM. Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. BMJ Qual Saf. 2014;23(6):474-82. doi:10.113…

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