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psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
July 21, 2021 - Study
Implementing a human factors approach to RCA(2) : tools, processes and strategies.
Citation Text:
Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…
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psnet.ahrq.gov/issue/medication-errors-hospitals-literature-review-disruptions-nursing-practice-during-medication
August 26, 2015 - Review
Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.
Citation Text:
Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication …
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psnet.ahrq.gov/issue/factors-influence-expected-length-operation-results-prospective-study
August 11, 2021 - Study
Factors that influence the expected length of operation: results of a prospective study.
Citation Text:
Gillespie BM, Chaboyer W, Fairweather N. Factors that influence the expected length of operation: results of a prospective study. BMJ Qual Saf. 2012;21(1):3-12. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety
October 14, 2009 - Study
Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.
Citation Text:
Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…
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psnet.ahrq.gov/issue/patient-safety-examining-adequacy-5-rights-medication-administration
March 02, 2016 - Commentary
Patient safety: examining the adequacy of the 5 rights of medication administration.
Citation Text:
Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f.
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psnet.ahrq.gov/issue/technology-best-medicine-three-practice-theoretical-perspectives-medication-administration
February 21, 2024 - Review
Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing.
Citation Text:
Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical perspectives on medication administration t…
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psnet.ahrq.gov/issue/electronic-medical-record-balancing-act-patient-safety-privacy-and-health-care-delivery
December 21, 2014 - Review
Electronic medical record: a balancing act of patient safety, privacy and health care delivery.
Citation Text:
Gummadi S, Housri N, Zimmers TA, et al. Electronic medical record: a balancing act of patient safety, privacy and health care delivery. Am J Med Sci. 2014;348(3):238-243.…
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psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
August 14, 2024 - Review
Do safety briefings improve patient safety in the acute hospital setting? A systematic review.
Citation Text:
Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…
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psnet.ahrq.gov/issue/patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn
September 19, 2013 - Study
Patient safety in nursing education: contexts, tensions and feeling safe to learn.
Citation Text:
Steven A, Magnusson C, Smith P, et al. Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Educ Today. 2014;34(2):277-84. doi:10.1016/j.nedt.2013…
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psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation
January 02, 2017 - Study
Using in situ simulation to improve in-hospital cardiopulmonary resuscitation.
Citation Text:
Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16.
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psnet.ahrq.gov/issue/assessing-clinical-reasoning-targeting-higher-levels-pyramid
June 15, 2022 - Commentary
Assessing clinical reasoning: targeting the higher levels of the pyramid.
Citation Text:
Thampy H, Willert E, Ramani S. Assessing Clinical Reasoning: Targeting the Higher Levels of the Pyramid. J Gen Intern Med. 2019;34(8):1631-1636. doi:10.1007/s11606-019-04953-4.
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psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
December 17, 2010 - Review
What is learning? A review of the safety literature to define learning from incidents, accidents and disasters.
Citation Text:
Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencie…
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psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety
December 18, 2017 - Commentary
A scholarly pathway in quality improvement and patient safety.
Citation Text:
Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772.
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www.ahrq.gov/news/newsroom/case-studies/cp30506.html
October 01, 2014 - AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas
Search All Impact Case Studies
August 2005
A rural managed care program development project funded by AHRQ has helped create a thriving statewide collaborative telemedicine network. Maine Telehealth Network, in operation since 1998, h…
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psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
November 15, 2023 - Commentary
Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue.
Citation Text:
Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …
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psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
October 07, 2020 - Study
Do first opinions affect second opinions?
Citation Text:
Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y.
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psnet.ahrq.gov/issue/traditions-research-interruptions-healthcare-conceptual-review
April 19, 2017 - Review
Traditions of research into interruptions in healthcare: a conceptual review.
Citation Text:
McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005.
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psnet.ahrq.gov/issue/leadership-strategies-medical-school-deans-promote-quality-and-safety
August 10, 2022 - Commentary
Leadership strategies of medical school deans to promote quality and safety.
Citation Text:
Griner PF. Leadership strategies of medical school deans to promote quality and safety. Jt Comm J Qual Patient Saf. 2007;33(2):63-72.
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psnet.ahrq.gov/issue/association-patient-photographs-and-reduced-retract-and-reorder-events
February 24, 2021 - Study
Association of patient photographs and reduced retract-and-reorder events.
Citation Text:
Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042.
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psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
January 22, 2016 - Commentary
Errors as allies: error management training in health professions education.
Citation Text:
King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945.
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