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psnet.ahrq.gov/node/35234/psn-pdf
December 11, 2008 - using-orgahead-computational-modeling-program-improve-patient-care-unit-
safety-and-quality
The authors describe their experience using a computerized model to understand
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psnet.ahrq.gov/node/45906/psn-pdf
June 22, 2017 - how-can-we-save-next-victim
https://psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care
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psnet.ahrq.gov/node/847041/psn-pdf
April 05, 2023 - Frontline nurses' clinical judgment in recognizing,
understanding, and responding to patient deterioration: a
qualitative study.
April 5, 2023
Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and
responding to patient deterioration: a qualitative study. Int J Nurs St…
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psnet.ahrq.gov/node/865337/psn-pdf
March 27, 2024 - Scoping review of the second victim syndrome among
surgeons: understanding the impact, responses, and
support systems.
March 27, 2024
Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among
surgeons: understanding the impact, responses, and support systems. Am J Surg. 2024;229:5-…
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psnet.ahrq.gov/node/866252/psn-pdf
January 01, 2025 - Understanding the enablers and barriers to implementing
a patient-led escalation system: a qualitative study.
July 10, 2024
Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led
escalation system: a qualitative study. BMJ Qual Saf. 2025;34(1):18-27. doi:10.1136/b…
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psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
September 03, 2014 - Commentary
A handoff is not a telegram: an understanding of the patient is co-constructed.
Citation Text:
Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536.
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psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
September 19, 2012 - Study
Losing the moment: understanding interruptions to nurses' work.
Citation Text:
Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162.
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DOI …
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psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
August 22, 2007 - Newspaper/Magazine Article
Understanding care transitions as a patient safety issue.
Citation Text:
Understanding care transitions as a patient safety issue. Butterfield S; Stegel C; Glock S; Tartaglia D.
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psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
April 24, 2018 - Study
Functional health literacy and understanding of medications at discharge.
Citation Text:
Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554.
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Format: …
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psnet.ahrq.gov/node/74861/psn-pdf
February 23, 2022 - A concept analysis of psychological safety: further
understanding for application to health care.
February 23, 2022
Ito A, Sato K, Yumoto Y, et al. A concept analysis of psychological safety: further understanding for
application to health care. Nurs Open. 2021;9(1):467-489. doi:10.1002/nop2.1086.
https://psnet.ah…
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psnet.ahrq.gov/node/854989/psn-pdf
November 01, 2023 - Understanding the facilitators and barriers to barcode
medication administration by nursing staff using
behavioural science frameworks. A mixed methods study.
November 1, 2023
Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication
administration by nursing staff …
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psnet.ahrq.gov/node/866253/psn-pdf
July 10, 2024 - Identifying, understanding, and minimizing unconscious
cognitive biases in perioperative crisis management: a
narrative review.
July 10, 2024
Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious
cognitive biases in perioperative crisis management: a narrative review. Ane…
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psnet.ahrq.gov/node/867685/psn-pdf
March 05, 2025 - Understanding factors influencing safety and team
functionality at operative vaginal birth through
multidisciplinary perspectives: a mixed methods study.
March 5, 2025
Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at
operative vaginal birth through multidis…
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psnet.ahrq.gov/node/33814/psn-pdf
September 01, 2016 - The more I began to understand
what was possible by integrating holistic, person-centered care delivery … That said, I also understand that while I may be very
romantic about that, there are people living in … Numerous surveys let us understand that people are prepared for new forms
of engaging with their health … RW: It's hard to not be a physician and to truly understand what it's like to look someone in the eye … That's not to say that physicians are uniquely born to understand those things,
but there's something
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psnet.ahrq.gov/node/34884/psn-pdf
August 03, 2009 - psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps
In order to better understand
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psnet.ahrq.gov/node/850913/psn-pdf
June 21, 2023 - Understanding ultrarare adverse events - lessons learned
from a twelve-year review of intraoperative deaths at an
academic medical center.
June 21, 2023
Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a
twelve-year review of intraoperative deaths at an academic med…
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psnet.ahrq.gov/node/46921/psn-pdf
May 02, 2018 - The author outlines a model to help school nurses and educational leadership
understand, plan for, and
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psnet.ahrq.gov/node/47245/psn-pdf
July 11, 2018 - The authors review AHRQ efforts to designed to understand and improve patient
safety in outpatient environments
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psnet.ahrq.gov/node/34765/psn-pdf
January 04, 2017 - systems thinking and describes how systems often conspire to create their own
problems by failing to understand
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psnet.ahrq.gov/node/44340/psn-pdf
October 12, 2015 - case discussions to illustrate patient safety in practice situations,
the authors seek to help nurses understand