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  1. Psn-Pdf (pdf file)

    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 …
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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. …
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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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