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  1. Teaching students to administer medications safely. | PSNet

    psnet.ahrq.gov/issue/teaching-students-administer-medications-safely
    December 04, 2019 - Commentary Teaching students to administer medications safely. Citation Text: Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72. Copy Citation Format: DOI Google Scholar PubMed Bi…

  2. Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred care with the rigours of patient safety. | PSNet

    psnet.ahrq.gov/issue/re-finding-human-side-human-factors-nursing-helping-student-nurses-combine-person-centred
    December 21, 2017 - Commentary Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred care with the rigours of patient safety. Citation Text: Fawcett TJN, Rhynas SJ. Re-finding the 'human side' of human factors in nursing: helping student nurses to combine …

  3. Danger in discharge summaries: abbreviations create confusion for both author and recipient. | PSNet

    psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient
    March 15, 2017 - Study Danger in discharge summaries: abbreviations create confusion for both author and recipient. Citation Text: Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…

  4. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet

    psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
    January 12, 2022 - Review Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. Citation Text: Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…

  5. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. | PSNet

    psnet.ahrq.gov/issue/attitudes-nursing-students-and-clinical-instructors-towards-reporting-irregular-incidents
    June 01, 2019 - Study The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. Citation Text: Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. N…

  6. Trends and patterns in reporting of patient safety situations in transplantation. | PSNet

    psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation
    October 19, 2022 - Study Trends and patterns in reporting of patient safety situations in transplantation. Citation Text: Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. …

  7. Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study. | PSNet

    psnet.ahrq.gov/issue/predictors-healthcare-professionals-attitudes-towards-family-involvement-safety-relevant
    November 05, 2013 - Study Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study. Citation Text: Davis R, Savvopoulou M, Shergill R, et al. Predictors of healthcare professionals' attitudes towards family involveme…

  8. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
    October 15, 2016 - Study Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. Citation Text: Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatr…

  9. Rapid response systems: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
    January 29, 2018 - Review Rapid response systems: a systematic review and meta-analysis. Citation Text: Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. Copy Citation Format: DOI Google Schola…

  10. Slide 1 (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/OverviewAHRQSupportedAddingClinicalDataPilots09.pdf
    November 18, 2009 - Slide 1 Agency for Healthcare Research and Quality Advancing Excellence in Health Care • www.ahrq.gov Adding Clinical Data to Administrative Datasets: Overview of AHRQ Pilots Roxanne Andrews Anne Elixhauser 13th Annual Healthcare Cost and Utilization Project (HCUP) Partners Meeting November 18, 2009 Advan…

  11. The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-implementation-family-initiated-escalation-care-deteriorating-patient-hospital
    December 21, 2018 - Review The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. Citation Text: Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in …

  12. The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet

    psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
    May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

  13. Automated identification of diagnostic labelling errors in medicine. | PSNet

    psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine
    September 23, 2020 - Study Automated identification of diagnostic labelling errors in medicine. Citation Text: Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. Copy Citation Format: …

  14. ‘Ladder’-based safety culture assessments inversely predict safety outcomes. | PSNet

    psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
    January 22, 2025 - Commentary ‘Ladder’-based safety culture assessments inversely predict safety outcomes. Citation Text: Boskeljon‐Horst L, Sillem S, Dekker SWA. ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-…

  15. The things we carry: the scope and impact of second victim syndrome. | PSNet

    psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
    November 12, 2014 - Commentary The things we carry: the scope and impact of second victim syndrome. Citation Text: Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. Copy Citation …

  16. Electronic Test Result Communication in the Era of the 21st Century Cures Act | PSNet

    psnet.ahrq.gov/issue/electronic-test-result-communication-era-21st-century-cures-act
    May 25, 2022 - Book/Report Electronic Test Result Communication in the Era of the 21st Century Cures Act Citation Text: Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 20…

  17. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

    psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
    August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

  18. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. | PSNet

    psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ
    April 28, 2021 - Study Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Citation Text: Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qua…

  19. Effect of day of the week on short- and long-term mortality after emergency general surgery. | PSNet

    psnet.ahrq.gov/issue/effect-day-week-short-and-long-term-mortality-after-emergency-general-surgery
    January 23, 2019 - Study Effect of day of the week on short- and long-term mortality after emergency general surgery. Citation Text: Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.100…

  20. Measurement as a performance driver: the case for a national measurement system to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety
    September 01, 2018 - Review Measurement as a performance driver: the case for a national measurement system to improve patient safety. Citation Text: Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…
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