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  1. Development and psychometric testing of a tool to measure missed nursing care. | PSNet

    psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
    August 20, 2018 - Study Development and psychometric testing of a tool to measure missed nursing care. Citation Text: Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5. Copy Citation …

  2. Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. | PSNet

    psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort
    October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…

  3. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. | PSNet

    psnet.ahrq.gov/issue/comparing-usability-and-reliability-generic-and-domain-specific-medical-error-taxonomy
    June 29, 2011 - Study Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Citation Text: Taib IA, McIntosh AS, Caponecchia C, et al. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Saf Sci. 2012;50(9):1801…

  4. EHR Implementation Checklist (pdf file)

    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
    January 01, 2006 - EHR Implementation Checklist EHR Implementation Checklist Establishment of Project Team Physician champion(s) Project manager IT\EHR Lead Super User Workflow Coordinator Development of Project Plan Scope document Implementation schedule/timeline Roles and responsibilities Change manageme…

  5. CPOE: it don't come easy. | PSNet

    psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
    May 27, 2009 - Newspaper/Magazine Article CPOE: it don't come easy. Citation Text: Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. | PSNet

    psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
    June 13, 2012 - Government Resource Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Citation Text: Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Washington, DC: VA Office of Inspector General; April 1…

  7. Routinely recorded patient safety events in primary care: a literature review. | PSNet

    psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
    April 18, 2012 - Review Routinely recorded patient safety events in primary care: a literature review. Citation Text: Tsang C, Majeed A, Aylin PP. Routinely recorded patient safety events in primary care: a literature review. Fam Pract. 2012;29(1):8-15. doi:10.1093/fampra/cmr050. Copy Citation Fo…

  8. Evaluation of an inpatient computerized medication reconciliation system. | PSNet

    psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
    February 15, 2011 - Study Evaluation of an inpatient computerized medication reconciliation system. Citation Text: Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561. Copy C…

  9. Improved obstetric safety through programmatic collaboration. | PSNet

    psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
    September 23, 2020 - Commentary Improved obstetric safety through programmatic collaboration. Citation Text: Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. Copy Citation Format: …

  10. Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet

    psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
    January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

  11. Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
    September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

  12. Coaching to improve the quality of communication during briefings and debriefings. | PSNet

    psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
    March 02, 2022 - Study Coaching to improve the quality of communication during briefings and debriefings. Citation Text: Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. Co…

  13. What about doctors? The impact of medical errors. | PSNet

    psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
    January 14, 2015 - Commentary What about doctors? The impact of medical errors. Citation Text: Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  14. Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet

    psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
    April 24, 2018 - Study Critical phase distractions in anaesthesia and the sterile cockpit concept. Citation Text: Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. Copy…

  15. Taking a closer look at medication errors that involve oxytocin. | PSNet

    psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
    July 18, 2018 - Newspaper/Magazine Article Taking a closer look at medication errors that involve oxytocin. Citation Text: Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6. Copy Citation Save …

  16. Measures and measurement of high-performance work systems in health care settings: propositions for improvement. | PSNet

    psnet.ahrq.gov/issue/measures-and-measurement-high-performance-work-systems-health-care-settings-propositions
    December 21, 2017 - Commentary Measures and measurement of high-performance work systems in health care settings: propositions for improvement. Citation Text: Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement…

  17. Case: a second victim support program in pediatrics: successes and challenges to implementation. | PSNet

    psnet.ahrq.gov/issue/case-second-victim-support-program-pediatrics-successes-and-challenges-implementation
    October 26, 2016 - Study Case: a second victim support program in pediatrics: successes and challenges to implementation. Citation Text: Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59. …

  18. Tablet-splitting: a common yet not so innocent practice. | PSNet

    psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
    August 31, 2022 - Study Tablet-splitting: a common yet not so innocent practice. Citation Text: Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x. Copy Citation Format: DOI Goog…

  19. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
    September 23, 2009 - Study Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Citation Text: Teng C-I, Shyu Y-IL, Chiou W-K, et al. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int…

  20. How one hospital improved patient safety in 10 minutes a day. | PSNet

    psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
    April 11, 2018 - Newspaper/Magazine Article How one hospital improved patient safety in 10 minutes a day. Citation Text: How one hospital improved patient safety in 10 minutes a day. van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018. Copy Citation Save Save to your lib…
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