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•Device-related Complications (2)
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Agency for Healthcare Research and Quality (AHRQ)
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STUDY
Quantifying nursing workflow in medication administration.
Keohane CA, Bane AD, Featherstone E, et al. J Nurs Admin. 2008;38:19-26.
STUDY
Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement.
Zrelak PA, Utter GH, Sadeghi B, Cuny J, Baron R, Romano PS. J Nurs Care Qual. 2012;27:99-108.
BOOK/REPORT
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.  
COMMENTARY
Nurses' role in patient safety.
Hughes RG, Clancy CM. J Nurs Care Qual. 2009;24:1-4.
BOOK/REPORTclassic
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services, Page A, ed. Washington, DC: National Academies Press; 2004.
COMMENTARY
Patient Mix-Up.
Shojania KG. AHRQ WebM&M [serial online]. February 2003.
COMMENTARY
Reducing pediatric medication errors: children are especially at risk for medication errors.
Hughes RG, Edgerton EA. Am J Nurs. May 2005;105:79-84.
COMMENTARY
Development of a patient safety web-based education curriculum for physicians, nurses, and patients.
Hendee WR, Keating-Christensen C, Loh YH. J Patient Saf. 2005;1:90-99.
COMMENTARY
Patient safety in nursing practice.
Farquhar M, Collins Sharp BA, Clancy CM. AORN J. 2007;86:455-457.
STUDYclassic
The working hours of hospital staff nurses and patient safety.
Rogers AE, Hwang WT, Scott LD, Aiken LH, Dinges DF. Health Aff (Millwood). 2004;23:202-212.
COMMENTARY
Patient safety in nursing practice.
Clancy CM, Farquhar MB, Collins Sharp BA. J Nurs Care Qual. 2005;20:193-197.
COMMENTARY
Examining nurses' decision process for medication management in home care.
Kovner C, Menezes J, Goldberg JD.  Jt Comm J Qual Patient Saf. 2005;31:379-385.
NEWSPAPER/MAGAZINE ARTICLE
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
AHRQ National Resource Center for Health Information Technology.
COMMENTARY
Working conditions that support patient safety.
Hughes RG, Clancy CM. J Nurs Care Qual. 2005;20:289-292.
STUDY
Understanding the cognitive work of nursing in the acute care environment.
Potter P, Wolf L, Boxerman S, et al. J Nurs Adm. 2005;35:327-335.
COMMENTARY
Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.
Hughes RG, Clancy CM. J Nurs Care Qual. 2009;24:180-183.
COMMENTARY
Intubation Mishap.
Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.
COMMENTARY
Do Me a Favor.
Williamson A. AHRQ WebM&M [serial online]. May 2004.
COMMENTARY
Shake Well.
Flynn EA. AHRQ WebM&M [serial online]. September 2003.
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