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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.…
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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…
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - SPOTLIGHT CASE
Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation
Citation Text:
Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced
Respiratory Depression
May 27, 2020
Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-
…
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psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
November 01, 2017 - Brown SM, Aboumatar HJ, Francis L, et al; Privacy, Access, and Engagement Task Force of the Libretto
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - In Conversation With… John Halamka, MD, MS
May 1, 2018
In Conversation With… John Halamka, MD, MS. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
Editor's note: Dr. Halamka is the International Healthcare Innovation Professor at Harvard Medical
School, Chief Information …
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - I am co-chair of the National Steering Committee
for Patient Safety and participate in several task
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - So my first task was to explore the scope of the ownership and outcomes
https://psnet.ahrq.gov/perspective
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - We get it right more than 90% of the time, and that's really amazing given the complexity of the task
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - This task involves the use of critical thinking skills.
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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…
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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:/…
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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…
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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…
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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:…
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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…
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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…
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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…
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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…
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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