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Changes in nursing practice: associations with responses to and coping with errors. | PSNet

psnet.ahrq.gov/issue/changes-nursing-practice-associations-responses-and-coping-errors

October 19, 2022 - Study Changes in nursing practice: associations with responses to and coping with errors. Citation Text: Karga M, Kiekkas P, Aretha D, et al. Changes in nursing practice: associations with responses to and coping with errors. J Clin Nurs. 2011;20(21-22):3246-55. doi:10.1111/j.1365-2702…

Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review

September 28, 2022 - Review Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. Citation Text: Rossi S, Hayter M, Zuco A, et al. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic re…

Racial and ethnic differences in emergency department pain management of children with fractures. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-pain-management-children-fractures

September 15, 2015 - Study Racial and ethnic differences in emergency department pain management of children with fractures. Citation Text: Goyal MK, Johnson TJ, Chamberlain JM, et al. Racial and ethnic differences in emergency department pain management of children with fractures. Pediatrics. 2020;145(5):e2…

Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. | PSNet

psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication

May 27, 2011 - Commentary Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. Citation Text: Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…

Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety

April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

A Lot of Pain (Medications) | PSNet

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September 23, 2020 - SPOTLIGHT CASE A Lot of Pain (Medications) Citation Text: Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

In Conversation With… Erik Hollnagel, PhD | PSNet

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February 26, 2025 - In Conversation With… Erik Hollnagel, PhD June 1, 2019 Citation Text: In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Forma…

The development and evaluation of an integrated electronic prescribing and drug management system for primary care. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system

March 10, 2011 - Study The development and evaluation of an integrated electronic prescribing and drug management system for primary care. Citation Text: Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary …

Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and

January 23, 2017 - Study Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. Citation Text: Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and …

A cognitive task analysis of information management strategies in a computerized provider order entry environment. | PSNet

psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry

May 27, 2011 - Study A cognitive task analysis of information management strategies in a computerized provider order entry environment. Citation Text: Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a computerized provider order entry environme…

Safer Healthcare: Strategies for the Real World. | PSNet

psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world

March 23, 2022 - Book/Report Classic Safer Healthcare: Strategies for the Real World. Citation Text: Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 Copy Citation Save Save to your library Pr…

Beyond FMEA: the structured what-if technique (SWIFT). | PSNet

psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards

February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…

Second victim support programs for healthcare organizations. | PSNet

psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations

August 12, 2020 - Review Second victim support programs for healthcare organizations. Citation Text: Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

Missed or Rationed Nursing Care. | PSNet

psnet.ahrq.gov/issue/missed-or-rationed-nursing-care

February 12, 2020 - Special or Theme Issue Missed or Rationed Nursing Care. Citation Text: Missed or Rationed Nursing Care. J Nurs Manag. 2020;28(8): i-iv, 1767-2275. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

Personal Health Literacy | PSNet

psnet.ahrq.gov/primer/personal-health-literacy

October 31, 2023 - Personal Health Literacy Citation Text: Bakerjian D. Personal Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. | PSNet

psnet.ahrq.gov/issue/promoting-patient-and-nurse-safety-testing-behavioural-health-intervention-learning

May 04, 2022 - Study Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. Citation Text: Hasselblad M, Morrison J, Kleinpell R, et al. Promoting patient and nurse safety: testing a be…

Organizational Learning | PSNet

psnet.ahrq.gov/curated-library/organizational-learning

April 17, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Organizational Learning Download Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…

What is the return on investment for implementation of a crew resource management program at an academic medical center? | PSNet

psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical

April 24, 2018 - Study What is the return on investment for implementation of a crew resource management program at an academic medical center? Citation Text: Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Ac…

In Conversation With… Charles Vincent, MPhil, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd

July 10, 2024 - In Conversation With… Charles Vincent, MPhil, PhD June 1, 2012 Citation Text: In Conversation With… Charles Vincent, MPhil, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Ci…

A systems approach to address the impact of second victim phenomenon. | PSNet

psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon

December 07, 2022 - Commentary A systems approach to address the impact of second victim phenomenon. Citation Text: Gamble B, Gamble KJ. A systems approach to address the impact of second victim phenomenon. Health Serv Manage Res. 2022;35(2):110-113. doi:10.1177/0951484820971455. Copy Citation Format:…

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