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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - Unintended Consequences of CPOE
October 1, 2016
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
Case Objectives
Explain how technology, including computerized provider order entry, can transform, rather than
eliminate, hazards.
Recogni…
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psnet.ahrq.gov/node/34011/psn-pdf
April 03, 2009 - AACN Standards for Establishing and Sustaining Healthy
Work Environments: A Journey to Excellence.
April 3, 2009
https://psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-
journey-excellence
In the face of evidence that outlines the impact work environments play on providing…
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psnet.ahrq.gov/node/34596/psn-pdf
February 17, 2009 - Disclosure: what works now and what can work even
better (part 3 of 3).
February 17, 2009
Chicago, IL: American Society of Healthcare Risk Management;
https://psnet.ahrq.gov/issue/disclosure-what-works-now-and-what-can-work-even-better-part-3-3
A guide for communicating throughout the disclosure process, thi…
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psnet.ahrq.gov/node/855433/psn-pdf
November 15, 2023 - Room for resilience: a qualitative study about
accountability mechanisms in the relation between work-
as-done (WAD) and work-as-imagined (WAI) in hospitals.
November 15, 2023
Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability
mechanisms in the relation bet…
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psnet.ahrq.gov/issue/does-simulator-based-clinical-performance-correlate-actual-hospital-behavior-effect-extended
February 17, 2011 - Study
Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns.
Citation Text:
Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With Ac…
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psnet.ahrq.gov/node/35015/psn-pdf
June 16, 2011 - Keeping Patients Safe: Transforming the Work
Environment of Nurses.
June 16, 2011
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Washington, DC: The National Academies Press; 2004. ISBN: 9780309090674.
https://psnet.ahrq.gov/issue/keeping-patients-safe-trans…
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psnet.ahrq.gov/node/40198/psn-pdf
February 09, 2011 - Measures and measurement of high-performance work
systems in health care settings: propositions for
improvement.
February 9, 2011
Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in
health care settings: Propositions for improvement. Health Care Manage Rev. 2011;36(1):3…
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psnet.ahrq.gov/node/36060/psn-pdf
September 28, 2010 - Medical emergency teams: a strategy for improving
patient care and nursing work environments.
September 28, 2010
Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care
and nursing work environments. J Adv Nurs. 2006;55(2):180-7.
https://psnet.ahrq.gov/issue/medical-em…
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - We've been working together very closely for the last year in trying to make sure we produce guidance
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - Some of our latest work has been working on using high intensity and low intensity simulation to see
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psnet.ahrq.gov/node/41079/psn-pdf
October 16, 2012 - Effects of nurse staffing and nurse education on patient
deaths in hospitals with different nurse work
environments.
October 16, 2012
Aiken LH, Cimiotti JP, Sloane DM, et al. Effects of nurse staffing and nurse education on patient deaths in
hospitals with different nurse work environments. Med Care. 2011;49(12):1…
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psnet.ahrq.gov/node/867599/psn-pdf
January 22, 2025 - Assessing patient work system factors for medication
management during transition of care among older
adults: an observational study.
January 22, 2025
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management
during transition of care among older adults: an observational st…
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psnet.ahrq.gov/node/50919/psn-pdf
October 03, 2013 - SEIPS 2.0: a human factors framework for studying and
improving the work of healthcare professionals and
patients.
October 3, 2013
Holden RJ, Carayon P, Gurses AP, et al. SEIPS 2.0: a human factors framework for studying and
improving the work of healthcare professionals and patients. Ergonomics. 2013;56(11):1669-…
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psnet.ahrq.gov/node/35061/psn-pdf
March 03, 2011 - Resident work hour limits and patient safety.
March 3, 2011
Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg.
2005;241(6):847-56; discussion 856-60.
https://psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety
Resident work hour limitations have been enfor…
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psnet.ahrq.gov/node/39569/psn-pdf
February 10, 2015 - How teams work—or don’t—in primary care: a field study
on internal medicine practices.
February 10, 2015
Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine
practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009.1093.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/issue/impact-sleep-deficiency-surgical-performance-prospective-assessment
November 29, 2023 - Study
Impact of sleep deficiency on surgical performance: a prospective assessment.
Citation Text:
Quan SF, Landrigan CP, Barger LK, et al. Impact of sleep deficiency on surgical performance: a prospective assessment. J Clin Sleep Med. 2023;19(4):673-683. doi:10.5664/jcsm.10406.
Copy C…
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psnet.ahrq.gov/issue/hospitalwide-adverse-drug-events-and-after-limiting-weekly-work-hours-medical-residents-80
May 04, 2010 - Study
Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80.
Citation Text:
Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Sys…
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psnet.ahrq.gov/issue/cumulative-effect-flexible-duty-hour-policies-resident-outcomes-long-term-follow-results
July 15, 2020 - Study
Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial.
Citation Text:
Landrigan CP, Rahman SA, Sullivan JP, et al. Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results fr…
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psnet.ahrq.gov/node/40996/psn-pdf
December 18, 2014 - Effects of a night-team system on resident sleep and work
hours.
December 18, 2014
Chua K-P, Gordon M, Sectish TC, et al. Effects of a night-team system on resident sleep and work hours.
Pediatrics. 2011;128(6):1142-7. doi:10.1542/peds.2011-1049.
https://psnet.ahrq.gov/issue/effects-night-team-system-resident-slee…
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psnet.ahrq.gov/node/37808/psn-pdf
February 22, 2011 - How do hospitalized patients feel about resident work
hours, fatigue, and discontinuity of care?
February 22, 2011
Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours,
fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(5):623-8. doi:10.1007/s11606-007-…