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psnet.ahrq.gov/node/60823/psn-pdf
August 19, 2020 - Disaster ergonomics: human factors in COVID-19
pandemic emergency management.
August 19, 2020
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.
https://psnet.ahrq.gov/issue/disaster-e…
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psnet.ahrq.gov/node/40713/psn-pdf
August 24, 2011 - Medication reconciliation: barriers and facilitators from
the perspectives of resident physicians and pharmacists.
August 24, 2011
Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the
perspectives of resident physicians and pharmacists. J Hosp Med. 2011;6(6). do…
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psnet.ahrq.gov/node/43305/psn-pdf
July 02, 2014 - Why don't nurses consistently take patient respiratory
rates?
July 2, 2014
Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs.
2014;23(8):414-8.
https://psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
Basic nursing care, such as …
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - This is the more important and the more difficult task. … This can be followed by other team behaviors (closed loop communication, task assistance, cross-monitoring … January 4, 2012
Unsafe by design: infusion task reallocation and safety perceptions in
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psnet.ahrq.gov/node/73247/psn-pdf
May 12, 2021 - Emergency physician perceptions of electronic health
record usability and safety.
May 12, 2021
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.0000000000000849.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/851460/psn-pdf
July 19, 2023 - Patient perceptions and experiences with medication-
related activities in the emergency department: a
qualitative study.
July 19, 2023
Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-
related activities in the emergency department: a qualitative study. BMJ Open …
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - 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 … 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
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psnet.ahrq.gov/node/39817/psn-pdf
March 18, 2011 - Checking it twice: an evaluation of checklists for
detecting medication errors at the bedside using a
chemotherapy model.
March 18, 2011
White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting
medication errors at the bedside using a chemotherapy model. Qual Saf Health …
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psnet.ahrq.gov/node/35724/psn-pdf
May 26, 2010 - A prospective study of patient safety in the operating
room.
May 26, 2010
Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room.
Surgery. 2006;139(2):159-173.
https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
This study used a multidisci…
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psnet.ahrq.gov/node/43829/psn-pdf
January 14, 2015 - The high cost of low morale in the clinical laboratory: how
workplace environment impacts patient safety.
January 14, 2015
Barker T; Noguez J.
https://psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-
patient-safety
Reporting on the importance of a supportive workpla…
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psnet.ahrq.gov/node/73391/psn-pdf
June 16, 2021 - Facilitators and barriers of care transitions - comparing
the perspectives of hospital and community healthcare
staff.
June 16, 2021
Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives
of hospital and community healthcare staff. Appl Ergon. 2021;93:103339.
do…
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psnet.ahrq.gov/node/74863/psn-pdf
February 23, 2022 - Factors associated with missed nursing care and nurse-
assessed quality of care during the COVID-19 pandemic.
February 23, 2022
Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse?assessed
quality of care during the COVID?19 pandemic. J Nurs Manag. 2022;30(1):62-70. doi:10.1111…
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psnet.ahrq.gov/node/846757/psn-pdf
March 29, 2023 - Managing interruptions to improve diagnostic decision-
making: strategies and recommended research agenda.
March 29, 2023
Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making:
strategies and recommended research agenda. J Gen Intern Med. 2023;38(6):1526-1531.
doi:10.1…
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psnet.ahrq.gov/node/60694/psn-pdf
January 01, 2021 - Reporting incidents involving the use of advanced
medical technologies by nurses in home care: a cross-
sectional survey and an analysis of registration data.
July 15, 2020
ten Haken I, Ben Allouch S, van Harten WH. Reporting incidents involving the use of advanced medical
technologies by nurses in home care: a cr…
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psnet.ahrq.gov/node/73139/psn-pdf
April 14, 2021 - Effect of barcode technology on medication preparation
safety: a quasi-experimental study.
April 14, 2021
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:10.1093/intqhc/mzab043.
https://psnet…
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psnet.ahrq.gov/node/837343/psn-pdf
June 08, 2022 - Determining the skills needed by frontline NHS staff to
deliver quality improvement: findings from six case
studies.
June 8, 2022
Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality
improvement: findings from six case studies. BMJ Qual Saf. 2022;31(6):450-461. doi…
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psnet.ahrq.gov/node/72727/psn-pdf
February 10, 2021 - System factors affecting intraoperative risk and
resilience: applying a novel integrated approach to study
surgical performance and patient safety.
February 10, 2021
Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraoperative Risk and Resilience. Ann
Surg. 2020;272(6):1164-1170. doi:10.1097/s…
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psnet.ahrq.gov/node/850355/psn-pdf
June 14, 2023 - Using a human factors framework to assess clinician
perceptions of and barriers to high reliability in hand
hygiene.
June 14, 2023
Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician
perceptions of and barriers to high reliability in hand hygiene. Am J Infect Control. 20…
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psnet.ahrq.gov/node/73168/psn-pdf
April 21, 2021 - Patient safety incidents describing patient falls in critical
care in North West England between 2009 and 2017.
April 21, 2021
Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West
England between 2009 and 2017. J Patient Saf. 2021;17(2):e71-e75. doi:10.1097/pts.0…
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - Those elements of the system, the people, the task, the physical environment, and the organizational