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psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
June 06, 2012 - June 6, 2012
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - September 9, 2010
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats
November 30, 2011 - January 7, 2015
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - She did not inform the hospitalist that the medications were in her hospital bag; in
fact, she may not … In fact, these errors and their serious consequences prompted
requirements in hospitals for medication
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - create long, rambling notes that do not clearly convey the current status of a patient and can, in fact … technically feasible within the EHR itself, clinicians typically oppose such drastic measures.(4) The fact
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psnet.ahrq.gov/node/33615/psn-pdf
June 01, 2005 - (In fact, Hopkins has now created a part-time doctoral
degree program in public health explicitly designed … As a matter of fact, the goal is to put
my team out of business—to shift the work to the caregivers
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psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
August 04, 2021 - Study
Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover.
Citation Text:
Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scori…
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psnet.ahrq.gov/issue/qualitative-analysis-impact-electronic-health-records-ehr-healthcare-quality-and-safety
October 05, 2022 - Study
A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences.
Citation Text:
Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: …
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psnet.ahrq.gov/issue/maternal-and-neonatal-health-care-worker-well-being-and-patient-safety-climate-amid-covid-19
February 01, 2023 - Study
Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.
Citation Text:
Haidari E, Main EK, Cui X, et al. Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. J Perinatol. 2021;4…
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psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing
November 10, 2021 - Study
Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.
Citation Text:
Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…
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psnet.ahrq.gov/node/49395/psn-pdf
April 01, 2003 - In fact, one of the most
publicized medical errors in recent years involved a very similar fatal misinterpretation … The potential for this potentially disastrous medication
substitution is accentuated by the fact that
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - psnet.ahrq.gov//#ref1
https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov//#ref4
this well-known fact … will require not only advances in the science but also
changes to today's culture, which inhibits fact-finding
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psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
August 15, 2018 - Study
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.
Citation Text:
Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…
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psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study
December 06, 2010 - Study
Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study.
Citation Text:
Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1…
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psnet.ahrq.gov/issue/pay-practices-and-safety-organizing-evidence-hospital-nursing-units
December 21, 2017 - Study
Pay practices and safety organizing: evidence from hospital nursing units.
Citation Text:
Conroy SA, Vogus TJ. Pay practices and safety organizing: evidence from hospital nursing units. Health Care Manage Rev. 2023;49(1):68-73. doi:10.1097/hmr.0000000000000392.
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - Systems need to be able to cope with the fact that there will be some people, even if a very small number … And that literature, in fact, predicted the Enron disaster a couple of years before it happened. … see with patient safety or other quality improvement interventions a rush to implementation, when in fact … MDW : That is, in fact, where my current research program is going. … The fact that 70% of change initiatives are estimated to fail supports this theory.( 6 ) How, then, can
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - questions, but finally we have to be switched on, thorough, and conscientious and take a good historythe fact … JB: That is an incredible question and in fact it's around the corner.
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - In fact, palliative care professionals often observe that the first few days after the
withdrawal of … Although
double effect has been deemed to be ethically appropriate, it may obfuscate the fact that health … The fact that the care team chose to review the case means that
they've already taken the first step
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - In fact, the majority of those who die by suicide have
never seen a mental health professional (62%) … However, the fact that the patient eloped reveals a major gap in
care, in that this patient who warranted … In fact, among primary
care patients, 2%–3% report experiencing suicidal ideation in the preceding month
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psnet.ahrq.gov/issue/effects-patient-handoff-characteristics-subsequent-care-systematic-review-and-areas-future
January 19, 2011 - Review
The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.
Citation Text:
Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med.…