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psnet.ahrq.gov/node/45696/psn-pdf
January 23, 2017 - Understanding patient safety performance and
educational needs using the 'Safety-II' approach for
complex systems.
January 23, 2017
McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs
using the 'Safety-II' approach for complex systems. Educ Prim Care. 2016;27(6):443-…
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psnet.ahrq.gov/node/39248/psn-pdf
September 30, 2015 - Hospitalized patients' understanding of their plan of care.
September 30, 2015
O'Leary KJ, Kulkarni N, Landler MP, et al. Hospitalized patients' understanding of their plan of care. Mayo
Clin Proc. 2010;85(1):47-52. doi:10.4065/mcp.2009.0232.
https://psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-pl…
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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/41198/psn-pdf
March 07, 2012 - A handoff is not a telegram: an understanding of the
patient is co-constructed.
March 7, 2012
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.
https://psnet.ahrq.gov/issue/handoff-not-telegram-under…
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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/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/47962/psn-pdf
May 01, 2019 - Understanding the clinical implications of resident
involvement in uncommon operations.
May 1, 2019
Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident
Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328.
doi:10.1016/j.jsurg.2019.03.011.
https://psnet.a…
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psnet.ahrq.gov/node/47854/psn-pdf
March 27, 2019 - Must we bust the trust?: Understanding how the
clinician–patient relationship influences patient
engagement in safety.
March 27, 2019
Mishra SR, Haldar S, Khelifi M, et al. Must we bust the trust?: Understanding how the clinician–patient
relationship influences patient engagement in safety. AMIA Annu Symp Proc. 20…
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psnet.ahrq.gov/node/47340/psn-pdf
February 22, 2019 - Understanding test results follow-up in the ambulatory
setting: analysis of multiple perspectives.
February 22, 2019
Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis
of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44(11):674-682.
doi:10.1016/j.jc…
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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/47606/psn-pdf
January 30, 2019 - Importance of safety climate, teamwork climate and
demographics: understanding nurses, allied health
professionals and clerical staff perceptions of patient
safety.
January 30, 2019
Zaheer S, Ginsburg LR, Wong HJ, et al. Importance of safety climate, teamwork climate and
demographics: understanding nurses, allied…
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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/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/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/40810/psn-pdf
January 30, 2019 - Breaking the rules: understanding non-compliance with
policies and guidelines.
January 30, 2019
Carthey J, Walker S, Deelchand V, et al. Breaking the rules: understanding non-compliance with policies
and guidelines. BMJ. 2011;343:d5283. doi:10.1136/bmj.d5283.
https://psnet.ahrq.gov/issue/breaking-rules-understandi…
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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/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/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/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…