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psnet.ahrq.gov/issue/mr-safety-week
November 17, 2016 - anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task
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psnet.ahrq.gov/issue/mris-and-sandbags-filled-metal-shot
April 26, 2006 - anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task
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psnet.ahrq.gov/issue/ama-meeting-delegates-see-boosting-quality-care-duty
March 07, 2012 - anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task
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psnet.ahrq.gov/issue/patient-safety-law-protects-some-documents-court-case
May 30, 2012 - May 30, 2012
Changes in intensive care unit nurse task activity after installation of
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psnet.ahrq.gov/issue/massachusetts-hospitals-launch-patient-apology-program
September 12, 2012 - September 12, 2012
Changes in intensive care unit nurse task activity after installation
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - determine the (clinical) knowledge of the person involved: did he or she have
sufficient training for the task … focused on or looking at during preparation and
administration; was his or her attention directed to the task
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psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-about-their
January 23, 2019 - Review
A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application?
Citation Text:
Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their a…
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - details and timing of actions revealed that a medical student was inadvertently entrusted with the task
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - Production Pressures
May 1, 2007
Carayon P. Production Pressures. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/production-pressures
The Case
A 65-year-old man with bipolar disorder was scheduled for maintenance electroconvulsive therapy (ECT), a
procedure he had received dozens of times before. These pro…
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psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
February 13, 2019 - Study
The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.
Citation Text:
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - Preventive Services Task Force (USPSTF) recommendation leaves more discretion to clinicians than the … CDC guidelines for screening in low-risk, low-prevalence settings.( 26 ) Because the Task Force found … benefits of early identification on morbidity or mortality and transmission rates are unproven.( 27 ) The Task … US Preventive Services Task Force. Screening for HIV: recommendation statement. … Preventive Services Task Force. Ann Intern Med. 2005;143:55-73. [go to PubMed] 28.
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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model
to Advance Patient Safety in Care Transitions
November 16, 2022
Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to
Advance Patient Safety in Care Transitions . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspecti…
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psnet.ahrq.gov/node/47177/psn-pdf
January 23, 2019 - effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
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psnet.ahrq.gov/issue/serious-safety-events-getting-zero-second-edition
February 19, 2014 - By the ASHRM Monographs Task Force.
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - Production Pressures
Citation Text:
Carayon P. Production Pressures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/45311/psn-pdf
May 20, 2019 - The Joint Commission Big Book of Checklists. 2nd
Edition.
May 20, 2019
Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598.
https://psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition
Checklists are a widely accepted strategy to improve communication and standardize processes to su…
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - I'm on the task force that has been writing and testing those scenarios. … We can also incorporate virtual reality or partial task simulators into the simulation (e.g., strapped … Task trainers are partial body simulators that are used for training in specific tasks and/or procedural … Commonly used task trainers include endotracheal intubation simulators, lumbar puncture simulators, and … Using a mix of mannequins, task trainers, standardized patients, and VR simulators, educators can create
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psnet.ahrq.gov/node/866815/psn-pdf
September 25, 2024 - Why a sociotechnical framework is necessary to address
diagnostic error.
September 25, 2024
Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic
error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231.
https://psnet.ahrq.gov/issue/why-sociotechnica…
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Human factors engineering principles hold that when an individual is attempting a complex task, such … hospitalized patient, the work environment should be as conducive as possible to carrying out that task
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psnet.ahrq.gov/node/42062/psn-pdf
March 11, 2015 - There and Home Again, Safely.
March 11, 2015
Sokol PE, Wynia MK; AMA Expert Panel on Care Transitions. Chicago, IL: American Medical Association;
February 2013.
https://psnet.ahrq.gov/issue/there-and-home-again-safely
This report proposes five responsibilities for ambulatory care practices to ensure safe care tran…