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psnet.ahrq.gov/node/866530/psn-pdf
August 14, 2024 - Healthcare Simulation in Nursing Practice.
August 14, 2024
Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510.
https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice
Simulation is an established method to examine nursing process resilience and develop non-techni…
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psnet.ahrq.gov/node/39993/psn-pdf
July 03, 2014 - The influence of organizational context on quality
improvement and patient safety efforts in infection
prevention: a multi-center qualitative study.
July 3, 2014
Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality
improvement and patient safety efforts in infection prev…
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psnet.ahrq.gov/node/43813/psn-pdf
January 20, 2015 - Adverse events in patients with return emergency
department visits.
January 20, 2015
Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits.
BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194.
https://psnet.ahrq.gov/issue/adverse-events-patients-return-e…
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psnet.ahrq.gov/node/44986/psn-pdf
April 20, 2016 - Nurses' role in medical error recovery: an integrative
review.
April 20, 2016
Gaffney TA, Hatcher BJ, Milligan R. Nurses' role in medical error recovery: an integrative review. J Clin
Nurs. 2016;25(7-8):906-17. doi:10.1111/jocn.13126.
https://psnet.ahrq.gov/issue/nurses-role-medical-error-recovery-integrative-revi…
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psnet.ahrq.gov/node/43171/psn-pdf
May 14, 2014 - Fool me twice: delayed diagnoses in radiology with
emphasis on perpetuated errors.
May 14, 2014
Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated
errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493.
https://psnet.ahrq.gov/issue/fool-me-twice-dela…
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psnet.ahrq.gov/node/43236/psn-pdf
August 02, 2015 - Hospital safety scores: do grades really matter?
August 2, 2015
Gonzalez AA, Ghaferi AA. Hospital Safety Scores: do grades really matter? JAMA Surg. 2014;149(5):413-
4.
https://psnet.ahrq.gov/issue/hospital-safety-scores-do-grades-really-matter
This editorial examines whether The Leapfrog Group's Hospital Safety S…
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psnet.ahrq.gov/node/47114/psn-pdf
October 13, 2018 - Focused ethnography of diagnosis in academic medical
centers.
October 13, 2018
Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J
Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966.
https://psnet.ahrq.gov/issue/focused-ethnography-diagnosis-academic-medical-cente…
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psnet.ahrq.gov/node/855000/psn-pdf
November 01, 2023 - Perioperative Safety Culture: Principles, Practices, and
Pragmatic Approaches.
November 1, 2023
McEvoy MD, Abernathy JH, 3rd. Anesthesiol Clin. 2023;41(4):xvii-xix;693-886.
https://psnet.ahrq.gov/issue/perioperative-safety-culture-principles-practices-and-pragmatic-approaches
Organizational, unit, and team culture…
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psnet.ahrq.gov/node/853980/psn-pdf
September 27, 2023 - RFID tags reduce restocking errors of anesthesia
medications.
September 27, 2023
Banks MA. Specialty Pharmacy Continuum. September 15, 2023.
https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
Radiofrequency identification (RFID) devices are being used to improve processes in the…
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - Quality (AHRQ) funded study is looking at the incidence of
diagnostic error in inpatient settings, examining
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - Benefits of studying near misses
Studying close calls has several advantages over examining either
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - September 29, 2017
Examining the relationship among ambulatory surgical settings work
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - January 18, 2017
Examining the July Effect: a national survey of academic leaders in
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - after the Physician Charter was written, Hafferty and Castellani, harkening back to Aristotle, began examining
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psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - RSI and RFO/RFB will identify different elements of causation and different
preventive strategies in examining
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - An annual yearly report is published including special studies
examining morbidity and mortality of
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Examining the association between hemodialysis access type and mortality: the role of access complications
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - July 15, 2020
Examining medication ordering errors using AHRQ Network of Patient Safety
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - complications.(3,7,17) However, the two clinical trials reviewed
were statistically underpowered for examining
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psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
September 09, 2015 - March 18, 2020
Examining causes and prevention strategies of adverse events in deceased