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psnet.ahrq.gov/node/35833/psn-pdf
July 23, 2010 - Medication administration errors: understanding the
issues.
July 23, 2010
McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs.
2006;23(3):33-41.
https://psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
The authors review the literature …
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psnet.ahrq.gov/node/46871/psn-pdf
July 14, 2018 - Understanding diagnostic safety in emergency medicine:
a case?by?case review of closed ED malpractice claims.
July 14, 2018
Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-
by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53.
…
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psnet.ahrq.gov/node/45479/psn-pdf
October 08, 2016 - Physician understanding and ability to communicate
harms and benefits of common medical treatments.
October 8, 2016
Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits
of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1567.
doi:10.1001/jamainternmed.2…
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psnet.ahrq.gov/node/45914/psn-pdf
March 20, 2018 - Understanding the multidimensional effects of resident
duty hours restrictions: a thematic analysis of published
viewpoints in surgery.
March 20, 2018
Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours
Restrictions: A Thematic Analysis of Published Viewpoints in Su…
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psnet.ahrq.gov/node/853627/psn-pdf
September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic
Delays.
September 20, 2023
Health Affairs Forefront; May-September 2023.
https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
Diagnostic delays stem from both human and process failures. This series of articles examines how
s…
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psnet.ahrq.gov/node/39204/psn-pdf
January 06, 2010 - Understanding communication during hospitalist service
changes: a mixed methods study.
January 6, 2010
doi:10.1002/jhm.523.
https://psnet.ahrq.gov/issue/understanding-communication-during-hospitalist-service-changes-mixed-
methods-study
Handoffs between hospitalists were sometimes incomplete or lacking clarity, c…
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psnet.ahrq.gov/node/39536/psn-pdf
September 24, 2016 - Losing the moment: understanding interruptions to
nurses' work.
September 24, 2016
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.
https://psnet.ahrq.gov/issue/losing-moment-understanding-interruption…
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psnet.ahrq.gov/node/41268/psn-pdf
April 04, 2012 - Understanding situation awareness in nursing work: a
hybrid concept analysis.
April 4, 2012
Sitterding MC, Broome ME, Everett LQ, et al. Understanding situation awareness in nursing work: a hybrid
concept analysis. ANS Adv Nurs Sci. 2012;35(1):77-92. doi:10.1097/ANS.0b013e3182450158.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/38398/psn-pdf
February 11, 2009 - Laparoscopic bile duct injury: understanding the
psychology and heuristics of the error.
February 11, 2009
Dekker SWA, Hugh TB. Laparoscopic bile duct injury: understanding the psychology and heuristics of the
error. ANZ J Surg. 2008;78(12):1109-14. doi:10.1111/j.1445-2197.2008.04761.x.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/39880/psn-pdf
September 29, 2010 - Understanding whistleblowing: qualitative insights from
nurse whistleblowers.
September 29, 2010
Jackson D, Peters K, Andrew S, et al. Understanding whistleblowing: qualitative insights from nurse
whistleblowers. J Adv Nurs. 2010;66(10):2194-201. doi:10.1111/j.1365-2648.2010.05365.x.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - Understanding facilitators and barriers to care
transitions: insights from Project ACHIEVE Site Visits.
July 10, 2017
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights
from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447.
doi:1…
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psnet.ahrq.gov/node/41925/psn-pdf
November 26, 2014 - Medication reconciliation accuracy and patient
understanding of intended medication changes on
hospital discharge.
November 26, 2014
Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding
of intended medication changes on hospital discharge. J Gen Intern Med. 2012;2…
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psnet.ahrq.gov/node/40494/psn-pdf
June 01, 2011 - The role of the non-ICU staff nurse on a medical
emergency team: perceptions and understanding.
June 1, 2011
Pusateri ME; Prior MM; Kiely SC.
https://psnet.ahrq.gov/issue/role-non-icu-staff-nurse-medical-emergency-team-perceptions-and-
understanding
Bedside nurses reported generally positive perceptions of a rapi…
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psnet.ahrq.gov/node/40899/psn-pdf
November 02, 2011 - Understanding the behaviour of newly qualified doctors in
acute care contexts.
November 2, 2011
Tallentire VR, Smith SE, Skinner J, et al. Understanding the behaviour of newly qualified doctors in acute
care contexts. Med Educ. 2011;45(10):995-1005. doi:10.1111/j.1365-2923.2011.04024.x.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/34928/psn-pdf
February 25, 2009 - Understanding safer practices in health care: a prologue
for the role of indicators.
February 25, 2009
Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the
role of indicators. J Eval Clin Pract. 2005;11(2):161-70.
https://psnet.ahrq.gov/issue/understanding-safe…
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psnet.ahrq.gov/node/35411/psn-pdf
September 27, 2016 - Understanding the cognitive work of nursing in the acute
care environment.
September 27, 2016
Potter P, Wolf L, Boxerman S, et al. Understanding the cognitive work of nursing in the acute care
environment. J Nurs Adm. 2005;35(7-8):327-335.
https://journals.lww.com/jonajournal/Abstract/2005/07000/Understanding_the_…
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psnet.ahrq.gov/node/39134/psn-pdf
December 07, 2009 - Admission handoff communications: clinician's shared
understanding of patient severity of illness and problems.
December 7, 2009
Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4).
doi:10.1097/pts.0b013e3181c029e5.
https://psnet.ahrq.gov/issue/admission-handoff-commu…
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psnet.ahrq.gov/node/41334/psn-pdf
April 25, 2012 - Understanding the role of non-technical skills in patient
safety.
April 25, 2012
White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8.
https://psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
Examining a case study in which a patient die…
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psnet.ahrq.gov/node/44472/psn-pdf
January 22, 2016 - Understanding medical errors and adverse events in ICU
patients.
January 22, 2016
Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU
patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x.
https://psnet.ahrq.gov/issue/understanding-medical-errors…
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psnet.ahrq.gov/node/46558/psn-pdf
November 01, 2017 - Using fault trees to advance understanding of diagnostic
errors.
November 1, 2017
Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm
J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007.
https://psnet.ahrq.gov/issue/using-fault-trees-advance-un…