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Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

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April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

Conducting safety research safely: a policy-based approach for conducting research with peer review protected material. | PSNet

psnet.ahrq.gov/issue/conducting-safety-research-safely-policy-based-approach-conducting-research-peer-review

June 15, 2022 - Commentary Conducting safety research safely: a policy-based approach for conducting research with peer review protected material. Citation Text: Myers LC, Blumenthal K, Phadke NA, et al. Conducting Safety Research Safely: A Policy-Based Approach for Conducting Research with Peer Review …

Nurses' workarounds in acute healthcare settings: a scoping review. | PSNet

psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review

December 08, 2021 - Review Nurses' workarounds in acute healthcare settings: a scoping review. Citation Text: Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175. Copy Citation …

Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. | PSNet

psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets

May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…

The patient died: what about involvement in the investigation process? | PSNet

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June 24, 2020 - Commentary The patient died: what about involvement in the investigation process? Citation Text: Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. Copy Citati…

Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review

October 12, 2022 - Review Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. Citation Text: Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …

Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet

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November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture. Citation Text: Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224. Co…

Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. | PSNet

psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step

November 04, 2020 - Study Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. Citation Text: Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down …

Smartphone distraction during nursing care: systematic literature review. | PSNet

psnet.ahrq.gov/issue/smartphone-distraction-during-nursing-care-systematic-literature-review

February 09, 2022 - Review Smartphone distraction during nursing care: systematic literature review. Citation Text: Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405. Copy Citat…

Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care

October 13, 2021 - Study Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Citation Text: Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…

Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. | PSNet

psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net

April 21, 2021 - Study Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. Citation Text: Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of…

Just culture: the foundation of staff safety in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment

June 09, 2021 - Commentary Just culture: the foundation of staff safety in the perioperative environment. Citation Text: Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352. Copy Citation …

Nurse burnout predicts self-reported medication administration errors in acute care hospitals. | PSNet

psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals

August 25, 2021 - Study Nurse burnout predicts self-reported medication administration errors in acute care hospitals. Citation Text: Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13…

The practical implementation of artificial intelligence technologies in medicine. | PSNet

psnet.ahrq.gov/issue/practical-implementation-artificial-intelligence-technologies-medicine

March 24, 2019 - Commentary The practical implementation of artificial intelligence technologies in medicine. Citation Text: He J, Baxter SL, Xu J, et al. The practical implementation of artificial intelligence technologies in medicine. Nat Med. 2019;25(1):30-36. doi:10.1038/s41591-018-0307-0. Copy Cit…

A meta-review of methods of measuring and monitoring safety in primary care. | PSNet

psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care

November 03, 2021 - Review A meta-review of methods of measuring and monitoring safety in primary care. Citation Text: O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. …

Medication errors involving nursing students: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review

March 09, 2022 - Review Medication errors involving nursing students: a systematic review. Citation Text: Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. Copy Citation …

Critical care nurses' role in rapid response teams: a qualitative systematic review. | PSNet

psnet.ahrq.gov/issue/critical-care-nurses-role-rapid-response-teams-qualitative-systematic-review

May 18, 2022 - Review Critical care nurses' role in rapid response teams: a qualitative systematic review. Citation Text: Holtsmark C, Larsen MH, Steindal SA, et al. Critical care nurses' role in rapid response teams: a qualitative systematic review. J Clin Nurs. 2024;33(10):3831-3843. doi:10.1111/jocn…

Impact of patient safety culture on missed nursing care and adverse patient events. | PSNet

psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events

March 16, 2022 - Study Emerging Classic Impact of patient safety culture on missed nursing care and adverse patient events. Citation Text: Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…

Developing an intervention to reduce harm in hospitalized patients: patients and families in research. | PSNet

psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research

December 21, 2018 - Study Developing an intervention to reduce harm in hospitalized patients: patients and families in research. Citation Text: Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 20…

Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/abusive-supervision-and-its-relationship-nursing-workforce-and-patient-safety-outcomes

October 25, 2023 - Review Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review. Citation Text: Labrague LJ. Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review. West J Nurs Res. 2023;46(…

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