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psnet.ahrq.gov/node/60032/psn-pdf
March 11, 2020 - Medical teamwork and the evolution of safety science: a
critical review.
March 11, 2020
Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical
review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8.
https://psnet.ahrq.gov/issue/medical-teamwork-and-…
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digital.ahrq.gov/location/usa-ca-san-diego
January 01, 2023 - USA, CA, San Diego
Quantifying Electronic Medical Record Usability to Improve Clinical Workflow
Description
This project studied electronic health record use, workflow, physician-patient communication, cognitive load, and user satisfaction and found multiple factors that influ…
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digital.ahrq.gov/ahrq-funded-projects/improving-asthma-care-integrated-safety-net-through-commercially-available/final-report
January 01, 2023 - Improving Asthma Care With Health Information Technology - Final Report
Citation
Bracha Y, Brottman GM, Larsen K. Improving Asthma Care With Health Information Technology - Final Report. (Prepared by Denver Health and Hospital Association and the Minneapolis Medical Research Foundation under Contract …
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digital.ahrq.gov/principal-investigator/hayden-avis
January 01, 2023 - Hayden, Avis
Improving Healthcare Quality via Information Technology - Final Report
Citation
Hayden A. Improving Healthcare Quality via Information Technology - Final Report. (Prepared by Southwest Vermont Health Care Corporation under Grant No. UC1 HS015270). Rockville, MD:…
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psnet.ahrq.gov/node/45332/psn-pdf
August 27, 2018 - Guideline implementation: prevention of retained surgical
items.
August 27, 2018
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48.
doi:10.1016/j.aorn.2016.05.005.
https://psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
Although i…
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psnet.ahrq.gov/node/45785/psn-pdf
September 29, 2017 - Traditions of research into interruptions in healthcare: a
conceptual review.
September 29, 2017
McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual
review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005.
https://psnet.ahrq.gov/issue/traditi…
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psnet.ahrq.gov/node/44024/psn-pdf
October 13, 2015 - Cultivating a culture of medication safety in prelicensure
nursing students.
October 13, 2015
Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure
Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148.
https://psnet.ahrq.gov/issue/cultivatin…
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psnet.ahrq.gov/node/43284/psn-pdf
November 28, 2016 - Parental involvement in the preoperative surgical safety
checklist is welcomed by both parents and staff.
November 28, 2016
Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by
both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490.
htt…
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psnet.ahrq.gov/node/43556/psn-pdf
December 19, 2014 - Establishing a safe container for learning in simulation:
the role of the presimulation briefing.
December 19, 2014
Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the
presimulation briefing. Simul Healthc. 2014;9(6):339-49. doi:10.1097/SIH.0000000000000047.
htt…
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psnet.ahrq.gov/node/43804/psn-pdf
July 03, 2016 - Quality improvement, patient safety, and continuing
education: a qualitative study of the current boundaries
and opportunities for collaboration between these
domains.
July 3, 2016
Kitto S, Goldman J, Etchells E, et al. Quality improvement, patient safety, and continuing education: a
qualitative study of the curr…
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psnet.ahrq.gov/node/46640/psn-pdf
August 08, 2018 - IDEA4PS: the development of a research-oriented
learning healthcare system.
August 8, 2018
Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented
Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.
https://psnet.ahrq.gov/issue/idea4ps-…
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psnet.ahrq.gov/node/40097/psn-pdf
January 19, 2011 - Use of an electronic information system to identify
adverse events resulting in an emergency department
visit.
January 19, 2011
Ackroyd-Stolarz S, MacKinnon NJ, Zed PJ, et al. Use of an electronic information system to identify
adverse events resulting in an emergency department visit. Qual Saf Health Care. 2010;1…
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psnet.ahrq.gov/node/36449/psn-pdf
May 27, 2011 - Medication-related clinical decision support in
computerized provider order entry systems: a review.
May 27, 2011
Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized
provider order entry systems: a review. J Am Med Inform Assoc. 2007;14(1):29-40.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/60016/psn-pdf
March 04, 2020 - The influence of bullying on nursing practice errors: a
systematic review.
March 4, 2020
Johnson AH, Benham?Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic
Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923.
https://psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-sys…
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psnet.ahrq.gov/node/50888/psn-pdf
February 12, 2020 - Preventable closed claims in the AANA Foundation
closed malpractice claims database.
February 12, 2020
Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed
Malpractice Claims Database. AANA J. 2019;87(6).
https://psnet.ahrq.gov/issue/preventable-closed-claims-aana-fo…
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psnet.ahrq.gov/node/44918/psn-pdf
April 13, 2016 - National Reporting and Learning System Research and
Development.
April 13, 2016
Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research
Centre; 2016.
https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
Incident reporting has a…
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psnet.ahrq.gov/node/60731/psn-pdf
July 29, 2020 - Patient feedback for safety improvement in primary care:
results from a feasibility study.
July 29, 2020
Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a
feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen-2020-037887.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/46159/psn-pdf
May 31, 2017 - Despite technology, verbal orders persist, read back is
not widespread, and errors continue.
May 31, 2017
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4.
https://psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-
errors-continue
Verbal orders are kno…
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psnet.ahrq.gov/node/46622/psn-pdf
December 06, 2017 - White paper on recommendation for systems-based
practice competency.
December 6, 2017
Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on
Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358.
doi:10.1097/NCQ.0000000000000262.
https://psnet.a…
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psnet.ahrq.gov/node/866256/psn-pdf
July 10, 2024 - Disclosure programmes in the US--an inadequate
response to medical error.
July 10, 2024
Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ.
2024;385:q1318. doi:10.1136/bmj.q1318.
https://psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
Communica…