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3041. Nursing 2006 Patient-safety survey report. | PSNet
      psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report
      March 01, 2023 - Nurses Nurse Managers Nurse Care Medication Errors/Preventable Adverse Drug Events Patient Falls

3042. Roadmap for patient safety research: approaches and roadforks. | PSNet
      psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
      July 17, 2019 - July 5, 2017 Evaluation of clinical practice guidelines on fall prevention and management

3043. Creating a fair and just culture: one institution's path toward organizational change. | PSNet
      psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
      July 23, 2014 - Commentary Creating a fair and just culture: one institution's path toward organizational change. Citation Text: Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. …

3044. Improving teamwork on general medical units: when teams do not work face-to-face. | PSNet
      psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face
      June 12, 2013 - October 19, 2022 Evaluation of clinical practice guidelines on fall prevention and management

3045. Interdisciplinary team training identifies discrepancies in institutional policies and practices. | PSNet
      psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
      November 26, 2012 - July 20, 2022 Evaluation of clinical practice guidelines on fall prevention and management

3046. Does an insulin double-checking procedure improve patient safety? | PSNet
      psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
      April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

3047. Interruptions in clinical nursing practice. | PSNet
      psnet.ahrq.gov/issue/interruptions-clinical-nursing-practice
      September 26, 2018 - Improving Diagnostic Safety and Quality April 26, 2023 Do falls

3048. How to develop a second victim support program: a toolkit for health care organizations. | PSNet
      psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
      April 03, 2019 - Commentary How to develop a second victim support program: a toolkit for health care organizations. Citation Text: Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, …

3049. Tablet-splitting: a common yet not so innocent practice. | PSNet
      psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
      August 31, 2022 - August 31, 2022 Evaluation of clinical practice guidelines on fall prevention and management

3050. Pediatric rapid response teams in the academic medical center. | PSNet
      psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
      November 21, 2016 - October 26, 2022 Information flow during pediatric trauma care transitions: things falling

3051. How structural racism works - racist policies as a root cause of U.S. racial health inequities. | PSNet
      psnet.ahrq.gov/issue/how-structural-racism-works-racist-policies-root-cause-us-racial-health-inequities
      April 14, 2017 - Commentary Classic How structural racism works - racist policies as a root cause of U.S. racial health inequities. Citation Text: Bailey ZD, Feldman JM, Bassett MT. How structural racism works - racist policies as a root cause of U.S. racial health inequities. N…

3052. Situational awareness—what it means for clinicians, its recognition and importance in patient safety. | PSNet
      psnet.ahrq.gov/issue/situational-awareness-what-it-means-clinicians-its-recognition-and-importance-patient-safety
      July 10, 2017 - October 9, 2013 Fall prevention in hospitals: an integrative review.

3053. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. | PSNet
      psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors
      October 19, 2022 - July 14, 2021 Is it possible to identify risks for injurious falls in hospitalized patients

3054. Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). | PSNet
      psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application
      January 03, 2017 - March 27, 2024 Evaluation of clinical practice guidelines on fall prevention and management

3055. Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet
      psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
      January 30, 2019 - May 22, 2013 Minnesota Hospital Association Statewide Project: SAFE from FALLS.

3056. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. | PSNet
      psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
      October 19, 2022 - Study Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. Citation Text: Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. Copy Citation Forma…

3057. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. | PSNet
      psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
      July 29, 2020 - Study Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. Citation Text: Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…

3058. Cascades of care after incidental findings in a US national survey of physicians. | PSNet
      psnet.ahrq.gov/issue/cascades-care-after-incidental-findings-us-national-survey-physicians
      April 24, 2018 - Study Classic Cascades of care after incidental findings in a US national survey of physicians. Citation Text: Ganguli I, Simpkin AL, Lupo C, et al. Cascades of Care After Incidental Findings in a US National Survey of Physicians. JAMA Netw Open. 2019;2(10):e191…

3059. Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. | PSNet
      psnet.ahrq.gov/issue/only-1-5-people-opioid-addiction-get-medications-treat-it-study-finds
      October 21, 2020 - Newspaper/Magazine Article Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. Citation Text: Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. Mann B. Health Shots. National Public Radio. August 7, 2023. Copy Ci…

3060. ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
      December 27, 2018 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. Citation Text: ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…