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psnet.ahrq.gov/node/39885/psn-pdf
November 28, 2016 - full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-
know
This article reports how nurses
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psnet.ahrq.gov/node/42878/psn-pdf
January 29, 2014 - qualitative-study-examining-influences-situation-awareness-and-identification-
mitigation-and
This study used focus groups with nurses
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Researchers have called this phase the "safety action feedback loop" ( 17 ), but some nurses have called … Using focus groups to understand physicians' and nurses' perspectives on error reporting in hospitals … Nurses' perceptions of error communication and reporting in the intensive care unit. … It's very easy to always come up with another protocol, or have the nurses go to another educational … really does depend on the institutional culture, because then it can become some perverse incentive, a nurse
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - is that they tend to be underused, and physicians almost never fill out incident reports—it's mostly nurses … It's very easy to always come up with another protocol, or have the nurses go to another educational … really does depend on the institutional culture, because then it can become some perverse incentive, a nurse … Using focus groups to understand physicians' and nurses' perspectives on error reporting in hospitals … Nurses' perceptions of error communication and reporting in the intensive care unit.
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psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
July 22, 2020 - March 7, 2012
Survey of nurses' experiences applying The Joint Commission's medication … December 8, 2021
Thematic analysis of nurses' experiences with The Joint Commission's … June 23, 2010
Nurses' perceptions of simulation-based interprofessional training program
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - to her delivery.7,8
19
Contributing Factors (3)
• The obstetrics team, anesthesiologists, and nurses … at least one provider
from obstetrics, anesthesia, nursing, and the operating room surgical scrub nurse
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psnet.ahrq.gov/issue/woman-who-died-alta-bates-may-be-victim-medical-error-not-medication-mistake
March 23, 2011 - Audiovisual
Woman who died at Alta Bates may be victim of medical error not medication mistake.
Citation Text:
Woodall A. Oakland Tribune. September 27, 2011.
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psnet.ahrq.gov/issue/three-die-vets-home-after-errors
December 07, 2005 - Newspaper/Magazine Article
Three die at Vets Home after errors.
Citation Text:
Wolfe W. Star Tribune.
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March 14, 2007
Wolf…
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psnet.ahrq.gov/node/73924/psn-pdf
October 06, 2021 - Publication of inspection frameworks: a qualitative study
exploring the impact on quality improvement and
regulation in three healthcare settings.
October 6, 2021
Weenink J-W, Wallenburg I, Leistikow I, et al. Publication of inspection frameworks: a qualitative study
exploring the impact on quality improvement and…
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psnet.ahrq.gov/node/43822/psn-pdf
July 01, 2016 - Multicentre study to develop a medication safety package
for decreasing inpatient harm from omission of time-
critical medications.
July 1, 2016
Graudins LV, Ingram C, Smith BT, et al. Multicentre study to develop a medication safety package for
decreasing inpatient harm from omission of time-critical medications.…
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psnet.ahrq.gov/node/866400/psn-pdf
January 01, 2025 - Medication administration in aged care facilities: a mixed-
methods systematic review.
July 31, 2024
Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed?methods
systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318.
https://psnet.ahrq.gov/issue/medication-a…
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psnet.ahrq.gov/issue/improving-teamwork-healthcare-current-approaches-and-path-forward
February 12, 2020 - February 19, 2020
Reasons for after-hours calls by hospital floor nurses to on-call physicians … February 6, 2008
The effect of executive walk rounds on nurse safety climate attitudes … among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses
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psnet.ahrq.gov/issue/quality-australian-health-care-study
February 02, 2022 - October 29, 2014
Why don't nurses consistently take patient respiratory rates?
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psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
June 28, 2011 - , 2011
The impact of electronic health records on time efficiency of physicians and nurses
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psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
June 28, 2010 - December 31, 2014
Impact of barcode medication administration technology on how nurses
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psnet.ahrq.gov/issue/racial-bias-among-emergency-providers-strategies-mitigate-its-adverse-effects
January 12, 2011 - self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses
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psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation
January 03, 2017 - provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses
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psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events-hospitalized-patients-across-two-time-periods
December 14, 2011 - March 5, 2025
Operational failures detected by frontline acute care nurses.
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psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
March 04, 2020 - September 16, 2009
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