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psnet.ahrq.gov/node/40207/psn-pdf
February 09, 2011 - Building nursing intellectual capital for safe use of
information technology: a systematic review.
February 9, 2011
Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J
Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e3181e15c88.
https://psnet.ahrq.gov/…
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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/35234/psn-pdf
December 11, 2008 - Using OrgAhead, a computational modeling program, to
improve patient care unit safety and quality outcomes.
December 11, 2008
Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve
patient care unit safety and quality outcomes. Int J Med Inform. 2005;74(7-8):605-13.
http…
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psnet.ahrq.gov/node/854264/psn-pdf
October 04, 2023 - Patient death tied to lack of proper escalation process for
barcode scanning failures.
October 4, 2023
ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3.
https://psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
Lack of experience with distinct process…
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psnet.ahrq.gov/node/34737/psn-pdf
November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems
Failure.
November 19, 2015
Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000.
https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
This video, produced by the Partnership for Patient Safety and the Harvard …
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psnet.ahrq.gov/node/842431/psn-pdf
January 11, 2023 - Confronting racism in pediatric care.
January 11, 2023
Danielson B. Confronting racism in pediatric care. Health Affairs. 2022;41(11):1681-1685.
doi:10.1377/hlthaff.2022.01157.
https://psnet.ahrq.gov/issue/confronting-racism-pediatric-care
Racism is a patient safety issue that is gaining the increased attention ne…
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psnet.ahrq.gov/node/42446/psn-pdf
May 19, 2014 - The Human Factors Analysis Classification System
(HFACS) applied to health care.
May 19, 2014
Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied
to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623.
https://psnet.ahrq.gov/issue/human-…
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psnet.ahrq.gov/node/45209/psn-pdf
June 29, 2016 - Raising awareness of cognitive biases during diagnostic
reasoning.
June 29, 2016
van Geene K, de Groot E, Erkelens C, et al. Raising awareness of cognitive biases during diagnostic
reasoning. Perspect Med Educ. 2016;5(3):182-5. doi:10.1007/s40037-016-0274-4.
https://psnet.ahrq.gov/issue/raising-awareness-cognitive…
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psnet.ahrq.gov/node/73223/psn-pdf
May 05, 2021 - Pandemic imperiled non-English speakers more than
others.
May 5, 2021
Bebinger M. WBUR and Kaiser Health News. April 27, 2021.
https://psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others
Non-English-speaking patients experience barriers to safely navigating the American healthcare system.…
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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/37052/psn-pdf
April 06, 2011 - Impact of feeling responsible for adverse events on
doctors' personal and professional lives: the importance
of being open to criticism from colleagues.
April 6, 2011
Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and
professional lives: the importance of being open to c…
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024
Also Read the Essay
View more articles from the same authors.
…
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - I do think that there are some recent experiences here at both the Brigham and the Mass General where … In addition, individual hospitals have presented their experiences and outcomes from their work in a … it in the hope that others, particularly those in large, multisite systems, might benefit from the experiences
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psnet.ahrq.gov/issue/association-between-waiting-times-and-short-term-mortality-and-hospital-admission-after
May 19, 2018 - Study
Classic
Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada.
Citation Text:
Guttmann A, Schull MJ, Vermeulen MJ, et al. Associatio…
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psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
April 24, 2018 - Study
Emerging Classic
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Citation Text:
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…
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psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
January 08, 2020 - Study
Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.
Citation Text:
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses a…
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psnet.ahrq.gov/issue/its-two-worlds-apart-analysis-vulnerable-patient-handover-practices-discharge-hospital
January 15, 2025 - Study
"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.
Citation Text:
Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qu…
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psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid-19
March 23, 2022 - Commentary
Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.
Citation Text:
Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.…
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psnet.ahrq.gov/issue/impact-sars-cov-2-hospital-acquired-infection-rates-united-states-predictions-and-early
August 15, 2012 - Study
Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.
Citation Text:
McMullen KM, Smith BA, Rebmann T. Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. Am J Infect…
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psnet.ahrq.gov/issue/clinical-deterioration-and-hospital-acquired-complications-adult-patients-isolation
September 23, 2020 - Review
Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review.
Citation Text:
Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital‐acquired complications in adult patients wi…