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psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
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psnet.ahrq.gov/node/43245/psn-pdf
June 18, 2014 - Paediatric nurses' adherence to the double-checking
process during medication administration in a children's
hospital: an observational study.
June 18, 2014
Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during
medication administration in a children's hospital: an ob…
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psnet.ahrq.gov/node/45422/psn-pdf
October 12, 2016 - Maths anxiety and medication dosage calculation errors:
a scoping review.
October 12, 2016
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse
Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
https://psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosag…
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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - Picking Up the Cause of the Stroke
February 1, 2016
Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/picking-cause-stroke
The Case
A 62-year-old man with poorly controlled diabetes was transferred to a tertiary care center from a
community hospital for management…
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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psnet.ahrq.gov/node/861283/psn-pdf
January 24, 2024 - What and when to debrief: a scoping review examining
interprofessional clinical debriefing.
January 24, 2024
Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining
interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730.
https://p…
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psnet.ahrq.gov/node/46376/psn-pdf
December 07, 2017 - User-centered collaborative design and development of
an inpatient safety dashboard.
December 7, 2017
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an
Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685.
doi:10.1016/j.jcjq.2017.05.010.
https…
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psnet.ahrq.gov/node/73532/psn-pdf
July 28, 2021 - The standardisation of handoffs in a large academic
paediatric emergency department using I-PASS.
July 28, 2021
Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric
emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e001254. doi:10.1136/bmjoq-2020-
001254.…
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psnet.ahrq.gov/node/47186/psn-pdf
October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery.
October 24, 2018
Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552.
https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
Quality and value have intersecting influence on the safety of health care. Articles in this specia…
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psnet.ahrq.gov/node/60557/psn-pdf
January 01, 2021 - Implementing receiver-driven handoffs to the emergency
department to reduce miscommunication.
June 3, 2020
Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to
reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.1136/bmjqs-2019-010540.
https://psnet.…
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psnet.ahrq.gov/node/865594/psn-pdf
January 01, 2025 - Understanding the informal aspects of medication
processes to maintain patient safety in hospitals: a
sociotechnical ethnographic study in paediatric units.
April 17, 2024
Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to
maintain patient safety in hospitals: a…
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psnet.ahrq.gov/node/34677/psn-pdf
February 09, 2011 - Patients' and physicians' attitudes regarding the
disclosure of medical errors.
February 9, 2011
Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure
of medical errors. JAMA. 2003;289(8):1001-7.
https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…
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psnet.ahrq.gov/node/47679/psn-pdf
April 03, 2019 - 'So why didn't you think this baby was ill?' Decision-
making in acute paediatrics.
April 3, 2019
Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch
Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-313199.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/854826/psn-pdf
October 25, 2023 - Observing sources of system resilience using in situ
alarm simulations.
October 25, 2023
McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm
simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217.
https://psnet.ahrq.gov/issue/observing-sources-system-r…
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psnet.ahrq.gov/node/44101/psn-pdf
November 06, 2015 - Association between exposure to nonactionable
physiologic monitor alarms and response time in a
children's hospital.
November 6, 2015
Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor
alarms and response time in a children's hospital. J Hosp Med. 2015;10(6):345-…
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psnet.ahrq.gov/node/45347/psn-pdf
September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated
With This Persistent Public Health Challenge.
September 7, 2016
Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595.
https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…
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psnet.ahrq.gov/node/853975/psn-pdf
September 27, 2023 - Strategies for Improving Clinician Psychological Safety in
Reporting and Discussing Diagnostic Error.
September 27, 2023
Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023.
Publication No. 23-0040-6-EF.
https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…
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psnet.ahrq.gov/node/865705/psn-pdf
May 01, 2024 - Healthcare team resilience during COVID-19: a qualitative
study.
May 1, 2024
Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative
study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3.
https://psnet.ahrq.gov/issue/healthcare-team-resilience-during…
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psnet.ahrq.gov/node/60292/psn-pdf
May 06, 2020 - Overcoming COVID-19: what can human factors and
ergonomics offer?
May 6, 2020
Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and
ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764.
https://psnet.ahrq.gov/issue/overcoming-covid-19-…
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psnet.ahrq.gov/node/840489/psn-pdf
November 30, 2022 - A longitudinal study on the impact of simulation on
positive deviance through speaking up.
November 30, 2022
M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up.
Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006.
https://psnet.ahrq.gov/issue/longitud…