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psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work
February 04, 2009 - Study
Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.
Citation Text:
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…
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psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
October 10, 2010 - Study
Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.
Citation Text:
Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;…
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psnet.ahrq.gov/issue/recognizing-ordinary-extraordinary-insight-way-we-work-improve-patient-safety-outcomes
December 12, 2012 - Commentary
Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes.
Citation Text:
Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve Patient Safety Outcomes. Am J Crit Care. 2017;26(4):27…
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psnet.ahrq.gov/node/837003/psn-pdf
April 27, 2022 - Woman works to end Black maternal health crisis after
daughter dies after giving birth.
April 27, 2022
Kindelan K. ABC News. April 14, 2022.
https://psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-
giving-birth
Maternal injury is a persistent challenge in the Black…
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psnet.ahrq.gov/node/44677/psn-pdf
June 07, 2016 - Computerised prescribing for safer medication ordering:
still a work in progress.
June 7, 2016
Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work
in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677.
https://psnet.ahrq.gov/issue/comput…
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psnet.ahrq.gov/node/853430/psn-pdf
September 13, 2023 - Work system barriers and facilitators of a team health
information technology.
September 13, 2023
Hose B-Z, Carayon P, Hoonakker PLT, et al. Work system barriers and facilitators of a team health
information technology. Appl Ergon. 2023;113:104105. doi:10.1016/j.apergo.2023.104105.
https://psnet.ahrq.gov/issue/wor…
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psnet.ahrq.gov/issue/patientfamily-crisis-hotline
December 02, 2020 - Multi-use Website
Patient/Family Crisis Hotline.
Citation Text:
Patient/Family Crisis Hotline. Sorry Works!
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psnet.ahrq.gov/node/856591/psn-pdf
November 29, 2023 - Relationship of the nursing practice environment with the
quality of care and patients' safety in primary health care.
November 29, 2023
Lucas P, Jesus É, Almeida S, et al. Relationship of the nursing practice environment with the quality of care
and patients’ safety in primary health care. BMC Nurs. 2023;22(1):413…
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psnet.ahrq.gov/node/47365/psn-pdf
January 01, 2019 - How well do incident reporting systems work on inpatient
psychiatric units?
December 21, 2018
Reilly CA, Cullen SW, Watts B, et al. How Well Do Incident Reporting Systems Work on Inpatient
Psychiatric Units? Jt Comm J Qual Patient Saf. 2019;45(1):63-69. doi:10.1016/j.jcjq.2018.05.002.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/39760/psn-pdf
February 10, 2015 - No harm found when nurse anesthetists work without
supervision by physicians.
February 10, 2015
Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians.
Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966.
https://psnet.ahrq.gov/issue/no-harm-found…
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psnet.ahrq.gov/node/45218/psn-pdf
June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS
guidance regarding patient safety work product and
providers' external obligations.
June 15, 2016
Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety
Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Vogus T, Lee M, Mos…
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety
Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Ci…
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psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview
July 08, 2020 - Study
Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study.
Citation Text:
Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs…
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psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
March 13, 2019 - Study
Emerging Classic
Sleep and alertness in a duty-hour flexibility trial in internal medicine.
Citation Text:
Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …
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psnet.ahrq.gov/issue/sleep-deprivation-physician-performance-and-patient-safety
November 13, 2024 - Commentary
Sleep deprivation, physician performance, and patient safety.
Citation Text:
Olson EJ, Drage LA, Auger R. Sleep deprivation, physician performance, and patient safety. Chest. 2009;136(5):1389-1396. doi:10.1378/chest.08-1952.
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psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - Study
Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences.
Citation Text:
Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacl…
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psnet.ahrq.gov/issue/impact-duty-hour-limits-resident-training-otolaryngology
November 16, 2015 - Study
Impact of duty hour limits on resident training in otolaryngology.
Citation Text:
Reiter ER, Wong DR. Impact of duty hour limits on resident training in otolaryngology. Laryngoscope. 2005;115(5):773-9.
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psnet.ahrq.gov/issue/phantom-menace-sleep-deprived-doctors
February 06, 2013 - Newspaper/Magazine Article
The phantom menace of sleep-deprived doctors.
Citation Text:
The phantom menace of sleep-deprived doctors. Sanghavi D. New York Times Magazine. August 5, 2011.
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Rediscovering the Power of the Surgical M&M
Conference: The M+M Matrix
September 1, 2007
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
Perspective
There is a slumbe…