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  1. A systematic review of the literature on multidisciplinary rounds to design information technology. | PSNet

    psnet.ahrq.gov/issue/systematic-review-literature-multidisciplinary-rounds-design-information-technology
    November 20, 2024 - Review A systematic review of the literature on multidisciplinary rounds to design information technology. Citation Text: Gurses AP, Xiao Y. A systematic review of the literature on multidisciplinary rounds to design information technology. J Am Med Inform Assoc. 2006;13(3):267-76. C…

  2. Spreading human factors expertise in healthcare: untangling the knots in people and systems. | PSNet

    psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
    May 01, 2024 - Commentary Spreading human factors expertise in healthcare: untangling the knots in people and systems. Citation Text: Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…

  3. A review of current and emerging approaches to address failure-to-rescue. | PSNet

    psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
    March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…

  4. Medication errors—new approaches to prevention. | PSNet

    psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
    November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  5. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. | PSNet

    psnet.ahrq.gov/issue/markers-enhancing-team-cognition-complex-environments-power-team-performance-diagnosis
    August 30, 2006 - Review Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Citation Text: Salas E, Rosen MA, Burke S, et al. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Aviat Space Environ Med…

  6. Work system design for patient safety: the SEIPS model. | PSNet

    psnet.ahrq.gov/issue/work-system-design-patient-safety-seips-model
    December 18, 2013 - Commentary Work system design for patient safety: the SEIPS model. Citation Text: Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842. Copy Citation Form…

  7. Understanding middle managers' influence in implementing patient safety culture. | PSNet

    psnet.ahrq.gov/issue/understanding-middle-managers-influence-implementing-patient-safety-culture
    March 24, 2012 - Commentary Understanding middle managers' influence in implementing patient safety culture. Citation Text: Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. Copy Citat…

  8. Simulation, mastery learning and healthcare. | PSNet

    psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare
    November 09, 2011 - Commentary Simulation, mastery learning and healthcare. Citation Text: Dunn W, Dong Y, Zendejas B, et al. Simulation, Mastery Learning and Healthcare. Am J Med Sci. 2017;353(2):158-165. doi:10.1016/j.amjms.2016.12.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  9. Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet

    psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
    January 08, 2025 - Review Exploring the barriers to learning from crisis: organizational learning and crisis. Citation Text: Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. Copy Citation Format: DOI Google Sc…

  10. Why even good physicians do not wash their hands. | PSNet

    psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands
    September 21, 2022 - Commentary Why even good physicians do not wash their hands. Citation Text: Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  11. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet

    psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
    August 10, 2022 - Study An effectiveness analysis of healthcare systems using a systems theoretic approach. Citation Text: Chuang S, Inder K. An effectiveness analysis of healthcare systems using a systems theoretic approach. BMC Health Serv Res. 2009;9:195. doi:10.1186/1472-6963-9-195. Copy Citation …

  12. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. | PSNet

    psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
    April 08, 2011 - Commentary Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Citation Text: Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …

  13. The problem of engaging hospital doctors in promoting safety and quality in clinical care. | PSNet

    psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care
    August 18, 2017 - Review The problem of engaging hospital doctors in promoting safety and quality in clinical care. Citation Text: Neale G, Vincent CA, Darzi SA. The problem of engaging hospital doctors in promoting safety and quality in clinical care. J R Soc Promot Health. 2007;127(2):87-94. Copy Ci…

  14. Deploying and measuring a risk and patient safety program. | PSNet

    psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-program
    January 19, 2022 - Commentary Deploying and measuring a risk and patient safety program. Citation Text: Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266. Copy Citation Format: DOI Goog…

  15. To err is human, but what happens when surgeons err? | PSNet

    psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
    August 04, 2021 - Study To err is human, but what happens when surgeons err? Citation Text: Lin JS, Olutoye OO, Samora JB. To err is human, but what happens when surgeons err? J Pediatr Surg. 2023;58(3):496-502. doi:10.1016/j.jpedsurg.2022.06.019. Copy Citation Format: DOI Google Scholar Bib…

  16. Quality and safety in medical care: what does the future hold? | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-medical-care-what-does-future-hold
    September 18, 2019 - Commentary Quality and safety in medical care: what does the future hold? Citation Text: Liang BA, Mackey T. Quality and safety in medical care: what does the future hold? Arch Pathol Lab Med. 2011;135(11):1425-31. doi:10.5858/arpa.2011-0154-OA. Copy Citation Format: DOI Go…

  17. Is it time for safeguards in the adoption of robotic surgery? | PSNet

    psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
    December 04, 2019 - Commentary Is it time for safeguards in the adoption of robotic surgery? Citation Text: Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. Copy Citation Format: DOI Google Scholar Pub…

  18. Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. | PSNet

    psnet.ahrq.gov/issue/ensuring-healthcare-safety-throughout-covid-19-pandemic
    January 13, 2021 - Webinar Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. Citation Text: Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…

  19. Safety considerations for challenges when using smart infusion pumps. | PSNet

    psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps
    October 26, 2022 - Newspaper/Magazine Article Safety considerations for challenges when using smart infusion pumps. Citation Text: Safety considerations for challenges when using smart infusion pumps. ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. Copy Citation …

  20. Making healthcare safer by understanding, designing and buying better IT. | PSNet

    psnet.ahrq.gov/issue/making-healthcare-safer-understanding-designing-and-buying-better-it
    February 20, 2019 - Commentary Making healthcare safer by understanding, designing and buying better IT. Citation Text: Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258. Copy Ci…
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