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psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic-health-record
April 14, 2011 - Commentary
Ten strategies to improve management of abnormal test result alerts in the electronic health record.
Citation Text:
Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf. 2010;6(2)…
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psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
May 01, 2024 - Study
Negative behaviours in health care: prevalence and strategies.
Citation Text:
Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660.
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Format:
DOI Goog…
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psnet.ahrq.gov/node/47344/psn-pdf
September 11, 2018 - Quality and Safety Between Ward and Board: a Biography
of Artefacts Study.
September 11, 2018
Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals
Library; 2018.
https://psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
The …
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psnet.ahrq.gov/node/46053/psn-pdf
August 16, 2017 - Pharmacist-led admission medication reconciliation
before and after the implementation of an electronic
medication management system.
August 16, 2017
Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and
after the implementation of an electronic medication management…
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psnet.ahrq.gov/node/866594/psn-pdf
August 28, 2024 - 11 medicine mistakes to avoid.
August 28, 2024
Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024;
https://psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
Medication self-management can become increasingly complicated as patients age and take more
medications. This article highlights key behaviors that…
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psnet.ahrq.gov/node/43967/psn-pdf
November 16, 2015 - Equipped: overcoming barriers to change to improve
quality of care (theories of change).
November 16, 2015
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of
care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013-
…
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - Hemorrhagic Shock after Elective Spine Surgery: Failure
to Rescue after Limited Response to Nursing Concerns.
July 10, 2024
Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response
to Nursing Concerns. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/hemorrhagic-sh…
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - Procedure Complications – Who is Responsible for Follow up?
Citation Text:
Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - and
Deb Bakerjian, PhD, APRN, RN
o Spotlight Editors: Amy Nichols, EdD, RN and Ulfat Shaikh, MD
o Managing
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - Bakerjian, PhD, APRN, RN
o Spotlight Editors: Amy Nichols, EdD, RN and Deb Bakerjian, PhD, APRN, RN
o Managing
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psnet.ahrq.gov/node/846767/psn-pdf
March 29, 2023 - Quality and safety: learning from the past and
(re)imagining the future.
March 29, 2023
Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy
Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008.
https://psnet.ahrq.gov/issue/quality-and-safet…
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psnet.ahrq.gov/node/45597/psn-pdf
December 14, 2016 - An E.R. kicks the habit of opioids for pain.
December 14, 2016
Hoffman J. New York Times. June 10, 2016.
https://psnet.ahrq.gov/issue/er-kicks-habit-opioids-pain
Overprescribing of opioids for pain management contributes to the growing crisis involving opioid-related
harm. This newspaper article reports on one hos…
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psnet.ahrq.gov/node/44765/psn-pdf
November 23, 2016 - Communication relating to family members' involvement
and understandings about patients' medication
management in hospital.
November 23, 2016
Manias E. Communication relating to family members' involvement and understandings about patients'
medication management in hospital. Health Expect. 2015;18(5):850-66. doi:1…
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psnet.ahrq.gov/node/44633/psn-pdf
November 11, 2015 - Reductions in sepsis mortality and costs after design and
implementation of a nurse-based early recognition and
response program.
November 11, 2015
Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and
implementation of a nurse-based early recognition and response program.…
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psnet.ahrq.gov/node/45444/psn-pdf
December 04, 2016 - Alarm fatigue: use of an evidence-based alarm
management strategy.
December 4, 2016
Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54.
doi:10.1097/ncq.0000000000000223.
https://psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
Reducing nuisance…
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - SPOTLIGHT CASE
A Room Without Orders
Citation Text:
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/issue/adverse-events-expecting-too-much-nurses-and-too-little-nursing-research
December 01, 2010 - Special or Theme Issue
Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research.
Citation Text:
Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. Jordan S, ed. J Nurs Manag. 2011;19(3):287-417.
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…
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psnet.ahrq.gov/issue/anger-management-courses-are-new-tool-dealing-out-control-doctors
May 22, 2013 - Newspaper/Magazine Article
Anger management courses are a new tool for dealing with out-of-control doctors.
Citation Text:
Anger management courses are a new tool for dealing with out-of-control doctors. Boodman SG. Washington Post. March 4, 2013.
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…
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psnet.ahrq.gov/issue/risk-safety-and-reliability-special-issue
January 15, 2014 - Special or Theme Issue
Risk, Safety and Reliability Special Issue.
Citation Text:
Risk, Safety and Reliability Special Issue. Newbold D, Attree M, eds. J Nurs Manag. 2009;17:145-266.
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - Procedure Complications – Who is Responsible for
Follow up?
March 29, 2023
Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
The Case
A 74-year-old man with newly diagnose…