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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - the task of auscultation to confirm tube placement.( 5 ) These sorts of insights help explain why the integration
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Download Citation
Annual Perspective 2014
Despite recent efforts to promote clinical integration
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Systematizing situational awareness requires integration into electronic systems and cultural change
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psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
April 28, 2021 - Commentary
The problem with making Safety-II work in healthcare.
Citation Text:
Verhagen MJ, de Vos MS, Sujan M, et al. The problem with making Safety-II work in healthcare. BMJ Qual Saf. 2022;31(5):402-408. doi:10.1136/bmjqs-2021-014396.
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - need to figure out how to better integrate that work, and the frontline staff knows more about the integration
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - In aviation, improvements can be rapidly integrated into practice thanks to the close integration of
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - 31, 2022
WebM&M Cases
Culture Clash No More: Integration
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - communication with interdisciplinary team members facilitated by technology, enabling
more seamless integration
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - However, integration between the infusion pump and the EHR was not available at the time of this event
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - Complacency and bias in human use of automation: an attentional integration.
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psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-and-cash-front-dealing-medical-errors-when
February 20, 2019 - Newspaper/Magazine Article
Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say.
Citation Text:
Preventing lawsuits: Coalition pushes apologies and cash up-fr…
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work?
Josh Peterson, MD, MPH | May 1, 2018
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Citation Text:
Peterson JF. Integrating Multiple Medication Decision …
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psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
July 10, 2024 - Commentary
The wicked problem of patient misidentification: how could the technological revolution help address patient safety?
Citation Text:
Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address pat…
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psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
December 13, 2023 - Commentary
Targeting the fear of safety reporting on a unit level.
Citation Text:
Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724.
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety
Joan Stanley, PhD, NP, FAAN, FAANP | November 27, 2023
Also Read the Essay
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Citation Text:
Stanley J. In Conversat…
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psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
April 03, 2019 - Review
Critical incident stress debriefing after adverse patient safety events.
Citation Text:
Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312.
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psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
June 28, 2023 - Study
Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital.
Citation Text:
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
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psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - Commentary
The problem with root cause analysis.
Citation Text:
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511.
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psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
March 06, 2024 - Study
Advanced practice nurses' experiences of patient safety: a focus group study.
Citation Text:
Glarcher M, Rihari-Thomas J, Duffield C, et al. Advanced practice nurses’ experiences of patient safety: a focus group study. Contemp Nurse. 2024;Epub Jun 11. doi:10.1080/10376178.2024.2363…
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psnet.ahrq.gov/issue/patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots
November 29, 2023 - Study
Emerging Classic
Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety.
Citation Text:
Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind…