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psnet.ahrq.gov/node/867223/psn-pdf
December 04, 2024 - "It is not the fault of the health care team - it is the way the
system works": a mixed-methods quality improvement
study of patients with advanced cancer and family
members reveals challenges navigating a fragmented
healthcare system and the administrative and financial
burdens of care.
December 4, 2024
Dillon …
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psnet.ahrq.gov/node/37220/psn-pdf
October 14, 2011 - Making the Patient Safety and Quality Improvement Act of
2005 work.
October 14, 2011
Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J
Healthc Qual. 2007;29(4):6-10.
https://psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
The aut…
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psnet.ahrq.gov/node/35480/psn-pdf
February 22, 2010 - Involuntary automaticity: a work-system induced risk to
safe health care.
February 22, 2010
Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health
Serv Manage Res. 2005;18(4):211-6.
https://psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-saf…
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psnet.ahrq.gov/node/41238/psn-pdf
March 21, 2012 - Restricting resident work hours: the good, the bad, and
the ugly.
March 21, 2012
Peets A, Ayas N. Restricting resident work hours: the good, the bad, and the ugly. Crit Care Med.
2012;40(3):960-6. doi:10.1097/CCM.0b013e3182413bc5.
https://psnet.ahrq.gov/issue/restricting-resident-work-hours-good-bad-and-ugly
This…
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psnet.ahrq.gov/node/37605/psn-pdf
February 22, 2010 - Sorry Works! 2.0: Disclosure, Apology, and Relationships
Prevent Medical Malpractice Claims.
February 22, 2010
Wojcieszak D, Saxton JW, Finkelstein MM. Bloomington, IN: AuthorHouse; 2010.
https://psnet.ahrq.gov/issue/sorry-works-20-disclosure-apology-and-relationships-prevent-medical-
malpractice-claims
This manu…
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psnet.ahrq.gov/node/39180/psn-pdf
December 16, 2009 - Description of inpatient medication management using
cognitive work analysis.
December 16, 2009
Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using
cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181bcad2f.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/35452/psn-pdf
January 05, 2017 - Deploying Six Sigma in a health care system as a work in
progress.
January 5, 2017
Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in
progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13.
https://psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-wor…
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psnet.ahrq.gov/node/40835/psn-pdf
October 12, 2011 - Work system design for patient safety: the SEIPS model.
October 12, 2011
Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model.
Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842.
https://psnet.ahrq.gov/issue/work-system-design-patient-safety-…
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psnet.ahrq.gov/node/836927/psn-pdf
April 13, 2022 - The problem with making Safety-II work in healthcare.
April 13, 2022
Verhagen MJ, de Vos MS, Sujan M, et al. The problem with making Safety-II work in healthcare. BMJ Qual
Saf. 2022;31(5):402-408. doi:10.1136/bmjqs-2021-014396.
https://psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
The Safety-II fra…
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psnet.ahrq.gov/node/41710/psn-pdf
November 08, 2012 - Improving teamwork on general medical units: when
teams do not work face-to-face.
November 8, 2012
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams
do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
https://psnet.ahrq.gov/issue/improving-tea…
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psnet.ahrq.gov/node/36260/psn-pdf
May 27, 2011 - The effect of physicians' long-term use of CPOE on their
test management work practices.
May 27, 2011
Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test
management work practices. J Am Med Inform Assoc. 2006;13(6):643-52.
https://psnet.ahrq.gov/issue/effect-physic…
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond
the Pandemic: Creating Total Systems Safety
August 30, 2023
McGaffigan P, Van CM, Mossburg S. In Conversation with.. Patricia McGaffigan about Beyond the
Pandemic: Creating Total Systems Safety . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/con…
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psnet.ahrq.gov/node/43076/psn-pdf
June 17, 2014 - Inpatient safety outcomes following the 2011 residency
work-hour reform.
June 17, 2014
Block L, Jarlenski M, Wu AW, et al. Inpatient safety outcomes following the 2011 residency work-hour
reform. J Hosp Med. 2014;9(6). doi:10.1002/jhm.2171.
https://psnet.ahrq.gov/issue/inpatient-safety-outcomes-following-2011-resi…
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psnet.ahrq.gov/node/44545/psn-pdf
December 20, 2017 - Work conditions, mental workload and patient care
quality: a multisource study in the emergency
department.
December 20, 2017
Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a
multisource study in the emergency department. BMJ Qual Saf. 2016;25(7):499-508. doi:10.113…
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psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursing-safety-net
February 18, 2011 - Study
Recovery from medical errors: the critical care nursing safety net.
Citation Text:
Rothschild JM, Hurley A, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72.
Copy Citation
Format:
G…
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psnet.ahrq.gov/issue/nurses-and-doctors-sick-covid-feel-pressured-get-back-work
October 20, 2021 - Newspaper/Magazine Article
Nurses and doctors sick with COVID feel pressured to get back to work.
Citation Text:
Huetteman E. Nurses and doctors sick with COVID feel pressured to get back to work. Kaiser Health News. 2020;August 12.
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Format:
Google Scholar BibT…
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psnet.ahrq.gov/node/851659/psn-pdf
July 26, 2023 - Sociotechnical work system approach to occupational
fatigue.
July 26, 2023
Watterson TL, Steege LM, Mott DA, et al. Sociotechnical work system approach to occupational fatigue. Jt
Comm J Qual Patient Saf. 2023;49(9):485-493. doi:10.1016/j.jcjq.2023.05.007.
https://psnet.ahrq.gov/issue/sociotechnical-work-system-ap…
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psnet.ahrq.gov/node/45809/psn-pdf
October 29, 2017 - Three perspectives on changes in resident work
environment and duty hours.
October 29, 2017
Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908.
https://psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
In July 2017, the ACGME modified resident physici…
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psnet.ahrq.gov/node/44312/psn-pdf
November 06, 2015 - Beyond the team: understanding interprofessional work
in two North American ICUs.
November 6, 2015
Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North
American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.0000000000001136.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/73493/psn-pdf
July 14, 2021 - Safety cases for digital health innovations: can they
work?
July 14, 2021
Sujan M, Habli I. Safety cases for digital health innovations: can they work? BMJ Qual Saf.
2021;30(12):1047-1050. doi:10.1136/bmjqs-2021-012983.
https://psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work
This commen…