-
psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Those elements of the system, the people, the task, the physical environment, and the organizational
-
psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - Connecting correct tubes seems like a deceptively easy task to accomplish, making it even more
perplexing … subconsciously and skillfully.(9) Performing a tubing connection is a routine, familiar, and
common task
-
psnet.ahrq.gov/node/46789/psn-pdf
March 20, 2018 - Healthcare professionals' views of smart glasses in
intensive care: a qualitative study.
March 20, 2018
Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative
study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.2017.11.006.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/39109/psn-pdf
November 18, 2009 - Action research, simulation, team communication, and
bringing the tacit into voice. Society for Simulation in
Healthcare.
November 18, 2009
Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for
simulation in healthcare. Simul Healthc. 2009;4(3):143-148. doi:10.1…
-
psnet.ahrq.gov/node/44404/psn-pdf
August 26, 2015 - Nurse interrupted: development of a realistic medication
administration simulation for undergraduate nurses.
August 26, 2015
Hayes C, Power T, Davidson PM, et al. Nurse interrupted: Development of a realistic medication
administration simulation for undergraduate nurses. Nurse Educ Today. 2015;35(9):981-6.
doi:10.…
-
psnet.ahrq.gov/node/45888/psn-pdf
December 19, 2017 - A work systems analysis approach to understanding
fatigue in hospital nurses.
December 19, 2017
Steege LM, Pasupathy KS, Drake DA. A work systems analysis approach to understanding fatigue in
hospital nurses. Ergonomics. 2017;61(1):148-161. doi:10.1080/00140139.2017.1280186.
https://psnet.ahrq.gov/issue/work-syste…
-
psnet.ahrq.gov/node/37304/psn-pdf
January 04, 2012 - Characteristics of patient care management problems
identified in emergency department morbidity and
mortality investigations during 15 years.
January 4, 2012
Cosby K, Roberts R, Palivos L, et al. Characteristics of patient care management problems identified in
emergency department morbidity and mortality investi…
-
psnet.ahrq.gov/node/45588/psn-pdf
January 23, 2017 - Computer-assisted process modeling to enhance
intraoperative safety in cardiac surgery.
January 23, 2017
Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative
Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasurg.2016.2839.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/44836/psn-pdf
January 27, 2016 - Advancing the next generation of handover research and
practice with cognitive load theory.
January 27, 2016
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice
with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.1136/bmjqs-2015-004181.
https://psnet.…
-
psnet.ahrq.gov/node/42215/psn-pdf
April 24, 2013 - Safety leadership: a meta-analytic review of
transformational and transactional leadership styles as
antecedents of safety behaviours.
April 24, 2013
Clarke S. Safety leadership: A meta-analytic review of transformational and transactional leadership styles
as antecedents of safety behaviours. J Occup Organ Psycho…
-
psnet.ahrq.gov/node/44421/psn-pdf
October 07, 2015 - Classification of antecedents towards safety use of health
information technology: a systematic review.
October 7, 2015
Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A
systematic review. Int J Med Inform. 2015;84(11):877-891. doi:10.1016/j.ijmedinf.2015.0…
-
psnet.ahrq.gov/node/41389/psn-pdf
June 27, 2012 - Can we make postoperative patient handovers safer? A
systematic review of the literature.
June 27, 2012
Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A
systematic review of the literature. Anesth Analg. 2012;115(1):102-15.
doi:10.1213/ANE.0b013e318253af4b.
https:/…
-
psnet.ahrq.gov/node/44195/psn-pdf
June 06, 2018 - An assessment of basic patient safety skills in residents
entering the first year of clinical training.
June 6, 2018
Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents
Entering the First Year of Clinical Training. J Patient Saf. 2018;14(2):112-114.
doi:10.1097/PTS.0000…
-
psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - Triple Handoff
September 1, 2006
Vidyarthi A. Triple Handoff. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/triple-handoff
Case Objectives
Appreciate the prevalence of handoffs and sign out related errors.
Understand the key elements of a safe and effective written and verbal sign out.
List Kotter’s 8 st…
-
psnet.ahrq.gov/node/45599/psn-pdf
July 02, 2017 - Inattentional blindness and failures to rescue the
deteriorating patient in critical care, emergency and
perioperative settings: four case scenarios.
July 2, 2017
Jones A, Johnstone M-J. Inattentional blindness and failures to rescue the deteriorating patient in critical
care, emergency and perioperative settings:…
-
psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - Design and testing of the safety agenda mobile app for
managing health care managers' patient safety
responsibilities.
January 11, 2017
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing
Health Care Managers' Patient Safety Responsibilities. JMIR MHealth UHealt…
-
psnet.ahrq.gov/node/36434/psn-pdf
February 18, 2011 - Protocol-based computer reminders, the quality of care
and the non-perfectability of man.
February 18, 2011
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N
Engl J Med. 1976;295(24):1351-5.
https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit…
-
psnet.ahrq.gov/node/42300/psn-pdf
May 29, 2013 - Effect of noise on auditory processing in the operating
room.
May 29, 2013
Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll
Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048.
https://psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating…
-
psnet.ahrq.gov/node/42879/psn-pdf
January 22, 2014 - Prevalence, patterns and predictors of nursing care left
undone in European hospitals: results from the
multicountry cross-sectional RN4CAST study.
January 22, 2014
Ausserhofer D, Zander B, Busse R, et al. Prevalence, patterns and predictors of nursing care left undone in
European hospitals: results from the multi…
-
psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - component tasks, and
then assessing the physical and cognitive demands and tools necessary to complete the task