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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/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/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/39486/psn-pdf
May 05, 2010 - Understanding handling of drug safety alerts: a
simulation study.
May 5, 2010
van der Sijs H, van Gelder T, Vulto A, et al. Understanding handling of drug safety alerts: a simulation
study. Int J Med Inform. 2010;79(5). doi:10.1016/j.ijmedinf.2010.01.008.
https://psnet.ahrq.gov/issue/understanding-handling-drug-sa…
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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…
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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/37920/psn-pdf
May 24, 2015 - Functional health literacy and understanding of
medications at discharge.
May 24, 2015
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.
https://psnet.ahrq.gov/issue/functional-health-literacy-and-und…
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psnet.ahrq.gov/node/44312/psn-pdf
November 06, 2015 - Beyond the team: understanding interprofessional work
in two North American ICUs.
November 6, 2015
Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North
American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.0000000000001136.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/39440/psn-pdf
September 19, 2016 - Toward understanding errors in inpatient psychiatry: a
qualitative inquiry.
September 19, 2016
Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry.
Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z.
https://psnet.ahrq.gov/issue/toward-understanding…
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psnet.ahrq.gov/node/34708/psn-pdf
February 18, 2011 - Understanding and responding to adverse events.
February 18, 2011
Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-
1056. doi:10.1056/nejmhpr020760.
https://psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
In this article, Vincent describes the investiga…
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psnet.ahrq.gov/node/42925/psn-pdf
February 05, 2014 - Understanding the Role of Facility Design in the
Acquisition and Prevention of Healthcare-Associated
Infections.
February 5, 2014
Hamilton DK, Stichler JF, eds. HERD. 2013;7(suppl):1-154.
https://psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-
associated
Articles in…
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psnet.ahrq.gov/node/46174/psn-pdf
August 30, 2017 - Inpatients notes: sensemaking—fostering a shared
understanding in clinical teams.
August 30, 2017
Leykum LK, O'Leary KJ. Web Exclusives. Annals for Hospitalists Inpatient Notes - Sensemaking-Fostering
a Shared Understanding in Clinical Teams. Ann Intern Med. 2017;167(4):HO2-HO3. doi:10.7326/M17-
1829.
https://psn…
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psnet.ahrq.gov/node/43008/psn-pdf
November 21, 2014 - Understanding safety culture in long-term care: a case
study.
November 21, 2014
Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J
Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7.
https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…
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psnet.ahrq.gov/node/40852/psn-pdf
January 19, 2012 - Understanding how rapid response systems may improve
safety for the acutely ill patient: learning from the
frontline.
January 19, 2012
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the
acutely ill patient: learning from the frontline. BMJ Qual Saf. 2012;21(2):13…