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psnet.ahrq.gov/issue/interruptions-and-multi-tasking-moving-research-agenda-new-directions
March 23, 2011 - Commentary
Interruptions and multi-tasking: moving the research agenda in new directions.
Citation Text:
Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372.
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psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
June 09, 2015 - Review
Quality improvement in medical education: current state and future directions.
Citation Text:
Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x.
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psnet.ahrq.gov/node/44886/psn-pdf
September 27, 2016 - Direct oral anticoagulants: new drugs with practical
problems. How can nurses help prevent patient harm?
September 27, 2016
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can
nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226…
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - SPOTLIGHT CASE
A Room Without Orders
Citation Text:
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/37082/psn-pdf
January 02, 2017 - Improving rapid response systems: progress, issues, and
future directions.
January 2, 2017
Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions.
https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions
The authors discuss …
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psnet.ahrq.gov/node/42285/psn-pdf
September 27, 2016 - Distractions and the anaesthetist: a qualitative study of
context and direction of distraction.
September 27, 2016
Jothiraj H, Howland-Harris J, Evley R, et al. Distractions and the anaesthetist: a qualitative study of context
and direction of distraction. Br J Anaesth. 2013;111(3):477-82. doi:10.1093/bja/aet108.
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psnet.ahrq.gov/node/41073/psn-pdf
January 18, 2012 - Quality improvement in medical education: current state
and future directions.
January 18, 2012
Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future
directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x.
https://psnet.ahrq.gov/issue/quality-im…
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psnet.ahrq.gov/node/42434/psn-pdf
September 29, 2017 - Building bridges: future directions for medical error
disclosure research.
September 29, 2017
Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure
research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017.
https://psnet.ahrq.gov/issue/buildi…
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psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - Medication errors associated with code situations in U.S.
hospitals: direct and collateral damage.
January 6, 2017
Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S.
Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56.
doi:10.1016/…
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psnet.ahrq.gov/node/41555/psn-pdf
January 03, 2017 - Measuring administrators' and direct care workers'
perceptions of the safety culture in assisted living
facilities.
January 3, 2017
Castle NG, Wagner LM, Sonon K, et al. Measuring administrators' and direct care workers' perceptions of
the safety culture in assisted living facilities. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/39071/psn-pdf
November 04, 2009 - Identification of patient information corruption in the
intensive care unit: using a scoring tool to direct quality
improvements in handover.
November 4, 2009
Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit:
using a scoring tool to direct quality improve…
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psnet.ahrq.gov/node/42687/psn-pdf
September 29, 2017 - Safety checklist compliance and a false sense of safety:
new directions for research.
September 29, 2017
Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for
research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168.
https://psnet.ahrq.gov/issue/s…
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psnet.ahrq.gov/node/43183/psn-pdf
May 14, 2014 - Physician: 'I almost killed a patient' because of an
advance directive.
May 14, 2014
Betbeze P. HealthLeaders Media. May 2, 2014.
https://psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive
Reporting on how misinterpretation of advance directives and living wills can detract from patie…
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psnet.ahrq.gov/node/46422/psn-pdf
November 29, 2017 - Framework for direct observation of performance and
safety in healthcare.
November 29, 2017
Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety
in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407.
https://psnet.ahrq.gov/issue/framewor…
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psnet.ahrq.gov/node/43512/psn-pdf
September 29, 2017 - Interruptions and multi-tasking: moving the research
agenda in new directions.
September 29, 2017
Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual
Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372.
https://psnet.ahrq.gov/issue/interruptions-and-multi-tasking…
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psnet.ahrq.gov/node/46793/psn-pdf
February 28, 2018 - Patient safety movement: history and future directions.
February 28, 2018
Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg
Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006.
https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
The pati…
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psnet.ahrq.gov/node/44642/psn-pdf
September 29, 2017 - 2015 Rosenthal Symposium: Protecting Patients:
Advances and Future Directions in Patient Safety.
September 29, 2017
National Academy of Sciences; National Academy of Medicine; IOM; NAS.
https://psnet.ahrq.gov/issue/2015-rosenthal-symposium-protecting-patients-advances-and-future-
directions-patient-safety
In reco…
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psnet.ahrq.gov/node/37400/psn-pdf
June 30, 2011 - Errors in cancer diagnosis: current understanding and
future directions.
June 30, 2011
Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J
Clin Oncol. 2007;25(31):5009-18.
https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-…
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - In addition, procedures that were previously directed to interventional radiology are
now conducted
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psnet.ahrq.gov/node/35492/psn-pdf
October 31, 2018 - Disclosure of Adverse Events to Patients.
May 4, 2015
Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018. VHA
Directive 1004.08.
https://psnet.ahrq.gov/issue/disclosure-adverse-events-patients
This Veterans Health Administration (VHA) directive provides direction for di…