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  1. psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
    July 01, 2011 - In Conversation with…William B. Munier, MD, MBA July 1, 2011  Also Read an Essay Citation Text: In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
  2. psnet.ahrq.gov/perspective/diagnostic-errors
    December 01, 2013 - Nurses, pharmacists, and other health professionals and administrators have often showed greater engagement … safety studies have found that interruptions increase the chances of medication administration errors by nurses
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33564/psn-pdf
    March 15, 2025 - In hospitalized patients, nurses are generally responsible for this step, but in the outpatient setting
  4. psnet.ahrq.gov/web-mm/hemolysis-holdup
    July 03, 2016 - appropriate hospital and/or clinic personnel, identify locations with elevated rates, and work with nurses
  5. psnet.ahrq.gov/web-mm/signout-fallout
    November 16, 2022 - SPOTLIGHT CASE Signout Fallout Citation Text: Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…
  6. psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
    August 20, 2018 - Failed Interpretation of Screening Tool: Delayed Treatment Citation Text: Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citatio…
  7. psnet.ahrq.gov/primer/computerized-provider-order-entry
    March 15, 2025 - In hospitalized patients, nurses are generally responsible for this step, but in the outpatient setting
  8. psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    July 01, 2011 - Becoming a Patient Safety Organization Rory Jaffe, MD, MBA | July 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
  9. psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
    September 24, 2024 - preventable harm and we're going to measure that and hold you accountable for it, then at the unit level, the nurse
  10. psnet.ahrq.gov/primer/disclosure-errors
    September 15, 2024 - Disclosure of Errors Citation Text: Disclosure of Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  11. psnet.ahrq.gov/perspective/application-safety-ii-principles
    August 28, 2024 - Kathy Helak: I am a critical care nurse by training and the Assistant Vice President for Patient Safety … If you ask registration, perioperative techs, or bedside nurses, you'll hear about things that folks
  12. psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
    March 01, 2009 - We and others have shown that doctors and nurses, genetic counselors, you name it, any health professional … Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists
  13. psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
    December 14, 2022 - In a simulation scenario with real people, in their real roles, such as doctors, nurses, and pharmacists … The efforts of doctors, nurses, and others who interacted directly with patients have been heroic.
  14. psnet.ahrq.gov/web-mm/did-we-forget-something
    April 28, 2021 - Denver, Colorado: Association of operating room nurses; 2000:213-219. 9.
  15. psnet.ahrq.gov/web-mm/flying-object-hits-mri
    September 01, 2005 - “A pair of scissors was pulled out of the nurses hand as she entered the magnet room.
  16. psnet.ahrq.gov/web-mm/weak-response
    February 24, 2011 - improve outcomes and reduce errors; for example, forwarding all clinical calls to physicians or trained nurses
  17. psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - Computer monitors in the operating room had been placed in such a way that viewing them forced nurses
  18. psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
    April 01, 2018 - patient's room and said, "10 people are going to introduce themselves at discharge: the dietitian, the nurse … Team-based care coordination with inpatient and outpatient case managers, pharmacists, and visiting nurses
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33586/psn-pdf
    December 15, 2024 - Alert Fatigue December 15, 2024 Alert Fatigue. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/alert-fatigue PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Bac…
  20. psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
    March 22, 2009 - Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists … We and others have shown that doctors and nurses, genetic counselors, you name it, any health professional

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