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psnet.ahrq.gov/node/40859/psn-pdf
October 19, 2011 - Why patient summaries in electronic health records do
not provide the cognitive support necessary for nurses'
handoffs on medical and surgical units: insights from
interviews and observations.
October 19, 2011
Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic health records do not provide th…
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psnet.ahrq.gov/node/73358/psn-pdf
June 02, 2021 - Just Culture, Medication Error Prevention, and Second
Victim Support: a Better Prescription for Preparing
Nursing Students for Practices.
June 2, 2021
Jones J, Treiber L, Shabo R, et al. Kennesaw, GA: WellStar School of Nursing, WellStar College of Health
and Human Services, Kennesaw State University; 2021.
https…
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psnet.ahrq.gov/node/843329/psn-pdf
February 01, 2023 - Improving administration and documentation of enteral
nutrition support therapy in a Veteran Affairs health care
system: use of medication administration record and bar
code scanning technology.
February 1, 2023
Chew MM, Rivas S, Chesser M, et al. Improving administration and documentation of enteral nutrition
su…
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psnet.ahrq.gov/node/47190/psn-pdf
January 01, 2021 - Disclosure coaching: an ask-tell-ask model to support
clinicians in disclosure conversations.
July 25, 2018
Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in
Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1370. doi:10.1097/PTS.0000000000000491.
…
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psnet.ahrq.gov/node/866559/psn-pdf
August 21, 2024 - Exploring the impact of pharmacist-supported medication
reviews in dementia care: experiences of general
practitioners and nurses.
August 21, 2024
Carlqvist C, Ekstedt M, Lehnbom EC. Exploring the impact of pharmacist-supported medication reviews in
dementia care: experiences of general practitioners and nurses. B…
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psnet.ahrq.gov/node/45665/psn-pdf
February 22, 2017 - Comparative effectiveness of a serious game and an e-
module to support patient safety knowledge and
awareness.
February 22, 2017
Dankbaar MEW, Richters O, Kalkman CJ, et al. Comparative effectiveness of a serious game and an e-
module to support patient safety knowledge and awareness. BMC Med Educ. 2017;17(1):30.…
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psnet.ahrq.gov/node/853432/psn-pdf
September 13, 2023 - Healthcare leaders' and elected politicians' approach to
support-systems and requirements for complying with
quality and safety regulation in nursing homes - a case
study.
September 13, 2023
Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to support-
systems and requir…
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psnet.ahrq.gov/node/33973/psn-pdf
December 03, 2007 - To err is human; the need for trauma support is, too.
December 3, 2007
Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
https://psnet.ahrq.gov/issue/err-human-need-trauma-support-too
This article relates the story of an adverse event from the perspective of both patient and physicia…
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psnet.ahrq.gov/node/836843/psn-pdf
April 07, 2022 - eSIMPLER: a dynamic, electronic health record-integrated
checklist for clinical decision support during PICU daily
rounds.
April 7, 2022
Geva A, Albert BD, Hamilton S, et al. eSIMPLER: a dynamic, electronic health record-integrated checklist
for clinical decision support during PICU daily rounds. Pediatr Crit Care…
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psnet.ahrq.gov/issue/effect-provider-characteristics-responses-medication-related-decision-support-alerts
July 16, 2019 - Study
The effect of provider characteristics on the responses to medication-related decision support alerts.
Citation Text:
Cho IS, Slight SP, Nanji KC, et al. The effect of provider characteristics on the responses to medication-related decision support alerts. Int J Med Inform. 2015;84…
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psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
January 23, 2017 - Study
Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department.
Citation Text:
Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department. Healthc Inform Res. 2014;20…
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psnet.ahrq.gov/issue/scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
March 24, 2019 - Review
Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems.
Citation Text:
Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and suppo…
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psnet.ahrq.gov/issue/coping-strategies-health-care-providers-second-victims-systematic-review
June 30, 2021 - Review
Coping strategies in health care providers as second victims: a systematic review.
Citation Text:
Kappes M, Romero‐García M, Delgado‐Hito P. Coping strategies in health care providers as second victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694. …
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psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
February 12, 2020 - Commentary
The second victim of unanticipated adverse events.
Citation Text:
Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010.
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psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges
May 29, 2019 - Commentary
Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions.
Citation Text:
Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: c…
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psnet.ahrq.gov/node/36510/psn-pdf
June 13, 2011 - Using clinical decision support to improve medication
reconciliation.
June 13, 2011
Moore G. Patient Saf Qual Healthc. November / December 2006.
https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation
The author provides strategies to enhance the value of medication reconcili…
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psnet.ahrq.gov/node/35389/psn-pdf
June 09, 2011 - Working conditions that support patient safety.
June 9, 2011
Hughes RG, Clancy CM. Working conditions that support patient safety. J Nurs Care Qual. 2005;20(4):289-
292.
https://psnet.ahrq.gov/issue/working-conditions-support-patient-safety
Drawing on insights from AHRQ-funded research, the authors recap how human…
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psnet.ahrq.gov/node/39149/psn-pdf
January 15, 2017 - Disclosure and Apology: What's Missing? Advancing
Programs that Support Clinicians.
January 15, 2017
Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.
https://psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
This report describes results of a…
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psnet.ahrq.gov/node/38106/psn-pdf
November 17, 2009 - Effective use of medication-related decision support in
CPOE.
November 17, 2009
Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.
https://psnet.ahrq.gov/issue/effective-use-medication-related-decision-support-cpoe
This article describes strategies for integrating…
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets
Citation Text:
McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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