-
psnet.ahrq.gov/node/41288/psn-pdf
April 22, 2012 - Identifying, understanding and overcoming barriers to
medication error reporting in hospitals: a focus group
study.
April 22, 2012
Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication
error reporting in hospitals: a focus group study. BMJ Qual Saf. 2012;21(5)…
-
psnet.ahrq.gov/node/39156/psn-pdf
April 17, 2011 - Understanding interdisciplinary health care teams: using
simulation design processes from the Air Carrier
Advanced Qualification Program to identify and train
critical teamwork skills.
April 17, 2011
Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary health care teams: using
simulation des…
-
psnet.ahrq.gov/node/41961/psn-pdf
January 16, 2013 - Understanding the attitudes of hospital pharmacists to
reporting medication incidents: a qualitative study.
January 16, 2013
Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting
medication incidents: a qualitative study. Res Social Adm Pharm. 2013;9(1):80-9.
doi:10.1…
-
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/44765/psn-pdf
November 23, 2016 - Communication relating to family members' involvement
and understandings about patients' medication
management in hospital.
November 23, 2016
Manias E. Communication relating to family members' involvement and understandings about patients'
medication management in hospital. Health Expect. 2015;18(5):850-66. doi:1…
-
psnet.ahrq.gov/node/43385/psn-pdf
August 06, 2014 - Medicines management support to older people:
understanding the context of systems failure.
August 6, 2014
Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of
systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/43960/psn-pdf
April 01, 2015 - Understanding the causes of intravenous medication
administration errors in hospitals: a qualitative critical
incident study.
April 1, 2015
Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration
errors in hospitals: a qualitative critical incident study. BMJ Open. …
-
psnet.ahrq.gov/node/45430/psn-pdf
September 28, 2016 - Understanding and responding when things go wrong:
key principles for primary care educators.
September 28, 2016
McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for
primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080/14739879.2016.1205959.
https…
-
psnet.ahrq.gov/node/39269/psn-pdf
April 01, 2010 - Physicians' beliefs about using EMR and CPOE: in pursuit
of a contextualized understanding of health IT use
behavior.
April 1, 2010
Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of
health IT use behavior. Int J Med Inform. 2010;79(2):71-80. doi:10.1016/j.ijme…
-
psnet.ahrq.gov/node/44657/psn-pdf
November 11, 2015 - Understanding and confronting our mistakes: the
epidemiology of error in radiology and strategies for error
reduction.
November 11, 2015
Bruno MA, Walker EA, Abujudeh H. Understanding and confronting our mistakes: the epidemiology of error
in radiology and strategies for error reduction. Radiographics. 2015;35(6):…
-
psnet.ahrq.gov/node/39858/psn-pdf
September 22, 2010 - Problems after discharge and understanding of
communication with their primary care physicians (PCPs)
among hospitalized seniors: a mixed methods study.
September 22, 2010
Arora V, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication
with their primary care physicians among h…
-
psnet.ahrq.gov/node/43805/psn-pdf
February 11, 2015 - Understanding the nature of medication errors in an ICU
with a computerized physician order entry system.
February 11, 2015
Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a
computerized physician order entry system. PLoS One. 2014;9(12):e114243.
doi:10.1371/journal.pon…
-
psnet.ahrq.gov/node/44867/psn-pdf
March 23, 2016 - Understanding why quality initiatives succeed or fail: a
sociotechnical systems perspective.
March 23, 2016
Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems
Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333.
https://psnet.ahrq.gov/issue/understand…
-
psnet.ahrq.gov/node/43079/psn-pdf
May 28, 2014 - Confirming delivery: understanding the role of the
hospitalized patient in medication administration safety.
May 28, 2014
Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the
hospitalized patient in medication administration safety. Qual Health Res. 2014;24(4):536-50.
…
-
psnet.ahrq.gov/node/44134/psn-pdf
November 06, 2015 - Understanding missed opportunities for more timely
diagnosis of cancer in symptomatic patients after
presentation.
November 6, 2015
Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of
cancer in symptomatic patients after presentation. Br J Cancer. 2015;112 Suppl 1:S…
-
psnet.ahrq.gov/node/45917/psn-pdf
March 29, 2017 - Improving our understanding of multi-tasking in
healthcare: drawing together the cognitive psychology
and healthcare literature.
March 29, 2017
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare:
Drawing together the cognitive psychology and healthcare literature. Ap…
-
psnet.ahrq.gov/node/45696/psn-pdf
January 23, 2017 - Understanding patient safety performance and
educational needs using the 'Safety-II' approach for
complex systems.
January 23, 2017
McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs
using the 'Safety-II' approach for complex systems. Educ Prim Care. 2016;27(6):443-…
-
psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Many of
these problems are the result of a failure to understand and adequately manage post-discharge … : Many readmissions occur because
hospitalized patients and their family members do not adequately understand … process: Hospitals should complete a
root cause analysis or failure modes effects analysis (FMEA) to understand
-
psnet.ahrq.gov/node/39248/psn-pdf
September 30, 2015 - Hospitalized patients' understanding of their plan of care.
September 30, 2015
O'Leary KJ, Kulkarni N, Landler MP, et al. Hospitalized patients' understanding of their plan of care. Mayo
Clin Proc. 2010;85(1):47-52. doi:10.4065/mcp.2009.0232.
https://psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-pl…
-
psnet.ahrq.gov/node/41198/psn-pdf
March 07, 2012 - A handoff is not a telegram: an understanding of the
patient is co-constructed.
March 7, 2012
Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-
constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536.
https://psnet.ahrq.gov/issue/handoff-not-telegram-under…