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psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
February 10, 2015 - Meeting/Conference
Healthcare Systems Ergonomics and Patient Safety Triennial Conference.
Citation Text:
Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…
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psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
June 24, 2010 - Commentary
Rules, safety and the narrativisation of identity: a hospital operating theatre case study.
Citation Text:
McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Sociol Health Illn. 2006;28(2):178-202.
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psnet.ahrq.gov/issue/momentary-interruptions-can-derail-train-thought
May 18, 2022 - Study
Momentary interruptions can derail the train of thought.
Citation Text:
Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986.
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psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
December 12, 2018 - Commentary
Redesigning hospital alarms for patient safety: alarmed and potentially dangerous.
Citation Text:
Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710.
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psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
July 15, 2020 - Study
Bullying of junior doctors prevails in Irish health system: a bitter reality.
Citation Text:
Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275.
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psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptions-healthcare-staff
September 23, 2020 - Commentary
Tips to reduce dangerous interruptions by healthcare staff.
Citation Text:
Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0.
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psnet.ahrq.gov/issue/development-checklist-documenting-team-and-collaborative-behaviors-during-multidisciplinary
November 08, 2012 - Study
Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside rounds.
Citation Text:
Henneman EA, Kleppel R, Hinchey KT. Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside r…
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psnet.ahrq.gov/issue/safety-issues-combined-gynecologic-and-plastic-surgical-procedures
January 06, 2018 - Review
Safety issues in combined gynecologic and plastic surgical procedures.
Citation Text:
Kryger ZB, Dumanian GA, Howard MA. Safety issues in combined gynecologic and plastic surgical procedures. Int J Gynaecol Obstet. 2007;99(3):257-63.
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psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
September 23, 2020 - Commentary
Surgical complications: disclosing adverse events and medical errors.
Citation Text:
Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008.
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psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
April 22, 2016 - Newspaper/Magazine Article
Hospitals often ignore policies on using qualified medical interpreters.
Citation Text:
Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20.
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psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
November 06, 2015 - Commentary
Classic
Clinical decision support in the era of artificial intelligence.
Citation Text:
Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163.
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psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
June 13, 2018 - Press Release/Announcement
Age-related COVID-19 vaccine mix-ups.
Citation Text:
Age-related COVID-19 vaccine mix-ups. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.
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psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
May 28, 2008 - Commentary
The creation and impact of a dedicated section on quality and patient safety in a clinical academic department.
Citation Text:
Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…
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psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature
August 18, 2021 - Review
The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature.
Citation Text:
Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5…
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psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
December 13, 2023 - Study
How experiencing preventable medical problems changed patients' interactions with primary health care.
Citation Text:
Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…
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psnet.ahrq.gov/issue/teaching-teamwork-during-neonatal-resuscitation-program-randomized-trial
April 08, 2011 - Study
Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial.
Citation Text:
Thomas EJ, Taggart B, Crandell S, et al. Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. Journal of Perinatology. 2007;27(7). doi:10.1038/sj.jp.7211771…
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psnet.ahrq.gov/issue/how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
April 24, 2018 - Commentary
How to deliver safer and effective patient care: tips for team leaders and educators.
Citation Text:
Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017.
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psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
October 10, 2018 - Commentary
The elusive and illusive quest for diagnostic safety metrics.
Citation Text:
Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2.
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psnet.ahrq.gov/node/43658/psn-pdf
December 19, 2014 - https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
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psnet.ahrq.gov/node/44702/psn-pdf
December 16, 2015 - that contribute to alarm
fatigue, this review outlines technical, organizational, and educational approaches