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  1. Resilience and resilience engineering in health care. | PSNet

    psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
    September 19, 2013 - Commentary Resilience and resilience engineering in health care. Citation Text: Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. Copy Citation Format: Google Scholar PubMed BibTeX …

  2. Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet

    psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-practices-and-tips
    February 15, 2011 - Commentary Debriefing medical teams: 12 evidence-based best practices and tips. Citation Text: Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. Copy Citation Format: Google…

  3. New technology, new errors: how to prime an upgrade of an insulin infusion pump. | PSNet

    psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
    July 14, 2010 - Commentary New technology, new errors: how to prime an upgrade of an insulin infusion pump. Citation Text: Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. Copy Citation Forma…

  4. Task uncertainty and communication during nursing shift handovers. | PSNet

    psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
    August 20, 2018 - Study Task uncertainty and communication during nursing shift handovers. Citation Text: Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x. Copy Citation Format: …

  5. Improving reporting of outpatient pediatric medical errors. | PSNet

    psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
    March 14, 2022 - Study Improving reporting of outpatient pediatric medical errors. Citation Text: Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477. Copy Citation Format: DOI Google Scholar BibTe…

  6. NASA Task Load Index | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/nasa-task-load-index
    January 01, 2023 - NASA Task Load Index Acronym NASA TLX Description The NASA task load index (NASA TLX) is a tool for measuring and conducting a subjective mental workload (MWL) assessment. It allows you to determine the MWL of a participant while they are performing a task. It rates performance across six dime…

  7. Medication discrepancies in integrated electronic health records. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-integrated-electronic-health-records
    July 21, 2021 - Study Medication discrepancies in integrated electronic health records. Citation Text: Linsky A, Simon SR. Medication discrepancies in integrated electronic health records. BMJ Qual Saf. 2013;22(2):103-9. doi:10.1136/bmjqs-2012-001301. Copy Citation Format: DOI Google Sch…

  8. Safety of care by caregivers of cancer patients. | PSNet

    psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
    March 02, 2012 - Review Safety of care by caregivers of cancer patients. Citation Text: Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379. doi:10.1016/j.soncn.2019.06.011. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  9. LOINC Maintenance (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/FL25LOINCMaintenance.pdf
    September 22, 2010 - LOINC Maintenance LOINC® Maintenance Checklist of Database changes / When to Re-Evaluate LOINC® mapping Share this checklist with the site staff holding security privileges to make LIS database changes. This particular staff doesn’t necessarily need to know how to map to LOINC®, but is now informed to route t…

  10. Errors in the administration of intravenous medication in Brazilian hospitals. | PSNet

    psnet.ahrq.gov/issue/errors-administration-intravenous-medication-brazilian-hospitals
    October 05, 2022 - Study Errors in the administration of intravenous medication in Brazilian hospitals. Citation Text: Anselmi ML, Peduzzi M, dos Santos CB. Errors in the administration of intravenous medication in Brazilian hospitals. J Clin Nurs. 2007;16(10). doi:10.1111/j.1365-2702.2007.01834.x. Cop…

  11. Error in body weight estimation leads to inadequate parenteral anticoagulation. | PSNet

    psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
    April 14, 2021 - Study Error in body weight estimation leads to inadequate parenteral anticoagulation. Citation Text: Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.20…

  12. Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-programs-participation-has-increased-action-needed-achieve-goals
    September 07, 2016 - Book/Report Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. Citation Text: Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quali…

  13. The pros and cons of EHR clinical decision support alerts. | PSNet

    psnet.ahrq.gov/issue/pros-and-cons-ehr-clinical-decision-support-alerts
    August 25, 2021 - Newspaper/Magazine Article The pros and cons of EHR clinical decision support alerts. Citation Text: The pros and cons of EHR clinical decision support alerts. Jason C. EHR Intelligence. April 16, 2021. Copy Citation Save Save to your library Print Dow…

  14. Medication errors in the management of anaphylaxis in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department
    April 24, 2018 - Study Medication errors in the management of anaphylaxis in a pediatric emergency department. Citation Text: Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jem…

  15. Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
    January 09, 2018 - Review Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. Citation Text: Hignett S, Otter ME, Keen C. Safety risks associated with physical interactions between patients and car…

  16. State sepsis mandates—a new era for regulation of hospital quality. | PSNet

    psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
    October 02, 2019 - Commentary State sepsis mandates—a new era for regulation of hospital quality. Citation Text: Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928. Copy Citation Format: DOI…

  17. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. | PSNet

    psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
    March 14, 2018 - Commentary Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. Citation Text: Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.…

  18. No interruptions please: impact of a no interruption zone on medication safety in intensive care units. | PSNet

    psnet.ahrq.gov/issue/no-interruptions-please-impact-no-interruption-zone-medication-safety-intensive-care-units
    July 19, 2023 - Study No interruptions please: impact of a no interruption zone on medication safety in intensive care units. Citation Text: Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010…

  19. Factors compromising safety in surgery: stressful events in the operating room. | PSNet

    psnet.ahrq.gov/issue/factors-compromising-safety-surgery-stressful-events-operating-room
    April 08, 2009 - Study Factors compromising safety in surgery: stressful events in the operating room. Citation Text: Arora S, Hull L, Sevdalis N, et al. Factors compromising safety in surgery: stressful events in the operating room. Am J Surg. 2010;199(1):60-5. doi:10.1016/j.amjsurg.2009.07.036. Cop…

  20. Safety culture across cultures. | PSNet

    psnet.ahrq.gov/issue/safety-culture-across-cultures
    February 12, 2020 - Commentary Emerging Classic Safety culture across cultures. Citation Text: Yorio PL, Edwards J, Hoeneveld D. Safety culture across cultures. Safety Sci. 2019;120:402-410. doi:10.1016/j.ssci.2019.07.021. Copy Citation Format: DOI Google Scholar BibT…
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