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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - The concept of situational awareness refers to the ability to access and track data relevant to
the task
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psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes
October 26, 2022 - Commentary
A health system that won't learn from its mistakes.
Citation Text:
Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356. doi:10.1377/hlthaff.2022.00581.
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psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety
August 24, 2022 - Study
Emergency physician perceptions of electronic health record usability and safety.
Citation Text:
Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/disaster-ergonomics-human-factors-covid-19-pandemic-emergency-management
September 30, 2020 - Commentary
Disaster ergonomics: human factors in COVID-19 pandemic emergency management.
Citation Text:
Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428.
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psnet.ahrq.gov/issue/safety-leadership-meta-analytic-review-transformational-and-transactional-leadership-styles
June 10, 2020 - Study
Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.
Citation Text:
Clarke S. Safety leadership: A meta-analytic review of transformational and transactional leadership styles as antecedents of safet…
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - focused update): a report of the American College of Cardiology Foundation/American Heart Association Task … , 2018
Enhancing implementation of the I-PASS handoff tool using a provider handoff task
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - notational purpose as “continue to monitor”; it provides the author cognitive relief of an accomplished task … changing our internal narrative and giving the patient a new diagnosis can be a significant cognitive task
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psnet.ahrq.gov/issue/surgical-safety-checklist-successfully-conducted-observational-study-social-interactions
November 29, 2023 - Study
Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital.
Citation Text:
Cullati S, Le Du S, Raë A-C, et al. Is the Surgical Safety Checklist successfully conducted? An observational study …
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psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
May 06, 2016 - Book/Report
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.
Citation Text:
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
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psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
October 10, 2012 - Study
Why don't nurses consistently take patient respiratory rates?
Citation Text:
Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs. 2014;23(8):414-8.
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psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services
March 18, 2020 - Study
Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services.
Citation Text:
Seidl E, Seidl O. Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.2…
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psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
November 16, 2022 - Commentary
All CLEAR? Preparing for IT downtime.
Citation Text:
Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546.
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psnet.ahrq.gov/issue/toward-development-perfect-medical-team-critical-components-adaptation
February 09, 2022 - Review
Emerging Classic
Toward the development of the perfect medical team: critical components for adaptation.
Citation Text:
Gregory ME, Hughes AM, Benishek LE, et al. Toward the development of the perfect medical team: critical components for adaptation. J Pa…
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psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
June 24, 2020 - Newspaper/Magazine Article
When COVID-19 hit, many elderly were left to die.
Citation Text:
Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8.
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psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
September 11, 2019 - Commentary
Emerging Classic
Challenges and opportunities for improving patient safety through human factors and systems engineering.
Citation Text:
Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety Through Human …
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psnet.ahrq.gov/issue/burnout-nursing-home-health-care-aide-systematic-review
May 18, 2022 - Review
Burnout in the nursing home health care aide: a systematic review.
Citation Text:
Cooper SL, Carleton HL, Chamberlain SA, et al. Burnout in the nursing home health care aide: A systematic review. Burn Res. 2016;3(3):76-87. doi:10.1016/j.burn.2016.06.003.
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psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
August 04, 2021 - Study
"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.
Citation Text:
Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use …
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psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
December 01, 2021 - Study
Effect of barcode technology on medication preparation safety: a quasi-experimental study.
Citation Text:
Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1…
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psnet.ahrq.gov/issue/exploring-safety-culture-within-inpatient-mental-health-units-results-participant-observation
September 23, 2020 - Study
Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services.
Citation Text:
Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from partic…
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psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
May 01, 2024 - Study
Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom?
Citation Text:
Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: w…