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psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review
May 08, 2024 - Review
Unfinished nursing care, missed care, and implicitly rationed care: state of the science review.
Citation Text:
Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-1137. do…
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psnet.ahrq.gov/issue/using-targeted-solutions-tool-improve-hand-hygiene-compliance-associated-decreased-health
August 18, 2021 - Study
Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections.
Citation Text:
Shabot M, Chassin MR, France A-C, et al. Using the Targeted Solutions Tool® to Improve Hand Hygiene Compliance Is Associated with Decr…
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psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
April 10, 2024 - Study
Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.
Citation Text:
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…
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psnet.ahrq.gov/issue/ethical-considerations-development-flexibility-duty-hour-requirements-surgical-trainees-trial
June 21, 2017 - Commentary
Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial.
Citation Text:
Minami CA, Odell DD, Bilimoria KY. Ethical Considerations in the Development of the Flexibility in Duty Hour Requirements for Surgical Trainees Tr…
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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…
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psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
October 25, 2023 - Study
Alarm burden and the nursing care environment: a 213-hospital cross-sectional study.
Citation Text:
Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2…
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psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs
September 15, 2011 - Study
The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.
Citation Text:
Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…
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psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test-results
December 16, 2020 - Study
Application of human factors methods to understand missed follow-up of abnormal test results.
Citation Text:
Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. do…
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psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
April 22, 2020 - Study
Parents' understanding of medication at discharge and potential harm in children with medical complexity.
Citation Text:
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…
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psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012
June 30, 2021 - Study
Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012.
Citation Text:
Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7…
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psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
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psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles
February 01, 2013 - Study
Burns surgery handover study: trainees' assessment of current practice in the British Isles.
Citation Text:
Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.bu…
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psnet.ahrq.gov/node/38367/psn-pdf
May 24, 2015 - Pathways for Patient Safety.
May 24, 2015
Chicago, IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group
Management Association; 2009.
https://psnet.ahrq.gov/issue/pathways-patient-safety
This trio of modules provides ambulatory medical practices with tools to develop te…
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psnet.ahrq.gov/node/36230/psn-pdf
June 13, 2011 - Hospitals put emphasis on collection of medication data.
June 13, 2011
Krizner K. Managed Healthcare Executive. August 1, 2006.
https://psnet.ahrq.gov/issue/hospitals-put-emphasis-collection-medication-data
This article describes several hospital-based medication reconciliation efforts.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/42126/psn-pdf
November 30, 2016 - 2015 Patient Safety Core Topics and Tips.
November 30, 2016
Chicago, IL: American Society for Healthcare Risk Management; 2015.
https://psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
This fact sheet lists 10 patient safety concerns such as adverse drug events and offers tips to address
them.
https:…
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psnet.ahrq.gov/node/41558/psn-pdf
August 01, 2012 - Errors in Organizations.
August 1, 2012
Hofmann DA, Frese M, eds. New York, NY: Routledge Academic; 2011. ISBN: 9780805862911.
https://psnet.ahrq.gov/issue/errors-organizations
This book discusses the evidence regarding errors in organizations, including earlier efforts to manage
human error and insights into broa…
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psnet.ahrq.gov/node/35601/psn-pdf
June 21, 2010 - Is employee discipline the solution for patient safety?
June 21, 2010
Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59.
https://psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
The author provides suggestions on how to support a blame-free culture and en…
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psnet.ahrq.gov/node/38035/psn-pdf
September 03, 2008 - Incentives for patient safety: holding healthcare
executives accountable.
September 3, 2008
ECRI Institute. Risk Management Reporter. August 2008;27:1-10.
https://psnet.ahrq.gov/issue/incentives-patient-safety-holding-healthcare-executives-accountable
This commentary discusses health care executive responsibility …
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - Can Research Help Us Improve the Medical Liability System?
Allen Kachalia, MD, JD | March 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Kachalia A. Can Research Help Us Improve the Medical Liability System?. PSNet [in…
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psnet.ahrq.gov/node/35316/psn-pdf
August 12, 2016 - Prevention Quality Indicators Overview.
August 12, 2016
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/prevention-quality-indicators-overview
The Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators use hospital
admissions data to screen for potential quality la…