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Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. | PSNet

psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident

July 22, 2020 - Study Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Citation Text: Stovall M, Hansen L. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. Worldviews Evid Based Nurs…

Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19

October 29, 2017 - Study Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. Citation Text: Edmonds JK, George EK, Iobst SE, et al. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. J Obstet Gynecol Neon…

Sources of nurse-sensitive inpatient safety improvement. | PSNet

psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement

July 07, 2021 - Study Sources of nurse-sensitive inpatient safety improvement. Citation Text: Dynan L, Smith RB. Sources of nurse‐sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979. Copy Citation Format: DOI Google Scholar BibTeX EndN…

To expand the evidence base about harms from tests and treatments. | PSNet

psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments

May 19, 2021 - Commentary To expand the evidence base about harms from tests and treatments. Citation Text: Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. Copy Citat…

Interventions to improve team effectiveness: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-systematic-review

September 29, 2021 - Review Interventions to improve team effectiveness: a systematic review. Citation Text: Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95. doi:10.1016/j.healthpol…

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation

May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

A case for safety leadership team training of hospital managers. | PSNet

psnet.ahrq.gov/issue/case-safety-leadership-team-training-hospital-managers

August 31, 2011 - Study A case for safety leadership team training of hospital managers. Citation Text: Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d. Copy Citation F…

A trigger tool to detect harm in pediatric inpatient settings. | PSNet

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December 07, 2016 - Study Classic A trigger tool to detect harm in pediatric inpatient settings. Citation Text: Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. C…

Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). | PSNet

psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety-initiatives-bedside

December 21, 2017 - Study Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). Citation Text: Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiati…

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review

April 01, 2015 - Review Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Citation Text: Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a sys…

Relationship between medication errors and adverse drug events. | PSNet

psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events

May 27, 2011 - Study Classic Relationship between medication errors and adverse drug events. Citation Text: Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. Copy Citation Format:…

Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. | PSNet

psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study

December 21, 2017 - Study Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. Citation Text: Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.11…

Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet

psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health

September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims

June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster

May 12, 2021 - Study A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. Citation Text: Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized c…

Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. | PSNet

psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations

March 17, 2021 - Review Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Citation Text: Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;1…

Building a learning organization. | PSNet

psnet.ahrq.gov/issue/building-learning-organization

June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Learning Health Systems | PSNet

psnet.ahrq.gov/issue/learning-health-systems

December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

Shifting the learning curve. | PSNet

psnet.ahrq.gov/issue/shifting-learning-curve

March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Learning from Investigations. | PSNet

psnet.ahrq.gov/issue/learning-investigations

July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…

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