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psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
July 05, 2008 - October 7, 2008
Hospital nurse staffing and patient mortality, nurse burnout, and job
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - Unfortunately, the free-text comment was missed both
by the pharmacist and the ICU nurse, resulting … was primarily related to a breakdown in communication among the nephrologist, intensivist,
bedside nurse … with free-text instructions, but these instructions were missed by the pharmacist and the
bedside nurse … the loop by clarifying the recommendation with the nephrologist and, subsequently, with the bedside nurse
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psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - Although the vascular access nurse disagreed and advised that the port should be used for
vascular access … In return, it appears that the vascular access nurse did not have the necessary
tools to engage the … leadership skills such as conflict resolution might have listened
more carefully to the vascular access nurse … A nurse versed in communicating safety concerns may have
conveyed a more effective message.
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psnet.ahrq.gov/node/33910/psn-pdf
May 01, 2016 - quick-tips-when-getting-prescription
This Web site suggests questions that all patients should ask a physician, nurse
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psnet.ahrq.gov/did-you-know/handoff-communication-and-after-i-pass-implementation-nursing
January 01, 2017 - Handoff communication before and after I-PASS implementation in nursing.
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Source: Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS nursing handoff bundle…
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psnet.ahrq.gov/node/36268/psn-pdf
May 04, 2015 - Focus on Patient Safety.
May 4, 2015
Annu Rev Nurs Res. 2006;24:1-331.
https://psnet.ahrq.gov/issue/focus-patient-safety
This volume includes research and reviews related to patient safety standards and practices in nursing.
https://psnet.ahrq.gov/issue/focus-patient-safety
https://psnet.ahrq.gov/primer/nursi…
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - The bedside nurse asked the covering physician if the peripheral IV could be extended for an additional … There is no mention whether the physician or the nurse inspected this patient's catheter site at 96 hours … A randomized controlled trial demonstrated that a dedicated IV therapy team of registered nurses specially
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psnet.ahrq.gov/issue/problem-incident-reporting
February 28, 2024 - Commentary
The problem with incident reporting.
Citation Text:
Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/issue/drive-deprescribe
August 19, 2020 - Multi-use Website
Drive to Deprescribe.
Citation Text:
Drive to Deprescribe. The Society for Post-Acute and Long-Term Care Medicine.
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psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
June 02, 2021 - Study
Medication error identification rates by pharmacy, medical, and nursing students.
Citation Text:
Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24.
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Format: …
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psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
October 30, 2010 - Commentary
Can we import improvements from industry to healthcare?
Citation Text:
Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
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psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
February 28, 2024 - Review
Emerging Classic
Governing the safety of artificial intelligence in healthcare.
Citation Text:
Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498. doi:10.1136/bmjqs-2019-009484.
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psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
February 28, 2024 - Commentary
Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.
Citation Text:
Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med.…
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psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid-19-qualitative-analysis-concerns-during-public
February 15, 2023 - Book/Report
NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021.
Citation Text:
NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Rockvil…
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psnet.ahrq.gov/issue/top-10-drug-errors-and-how-prevent-them
April 15, 2015 - June 27, 2012
Perinatal patient safety from the perspective of nurse executives: a round
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psnet.ahrq.gov/issue/isqua-2013-edinburgh-recorded-sessions
November 02, 2011 - November 18, 2020
Care quality, patient safety, and nurse outcomes at hospitals serving
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psnet.ahrq.gov/node/37867/psn-pdf
June 25, 2008 - materials for hospital units interested in adopting the transforming care at the bedside
(TCAB) model of nurse-initiated
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - Nurse staffing in hospitals: is there a business case for quality? … The relationship between nurse staffing and the quality and safety of care has been reported. … This study
compares three strategies of nurse staffing to determine their impact on costs, associated … Nurse staffing in hospitals: is there a business case for quality? … The relationship between nurse staffing and the quality and safety of care has been reported.
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psnet.ahrq.gov/periodic-issue/periodic-issue-350
July 08, 2022 - Review
Cognitive and implicit biases in nurses' judgment and decision-making: a scoping … Review
Cognitive and implicit biases in nurses' judgment and decision-making: a scoping
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psnet.ahrq.gov/node/39355/psn-pdf
June 27, 2011 - Adverse events experienced by homecare patients: a
scoping review of the literature.
June 27, 2011
Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of
the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/mzq003.
https://psnet.ahrq.gov/issue/…