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psnet.ahrq.gov/node/48128/psn-pdf
August 28, 2019 - Burnout in healthcare: the case for organisational
change.
August 28, 2019
Montgomery A, Panagopoulou E, Esmail A, et al. Burnout in healthcare: the case for organisational
change. BMJ. 2019;366:l4774. doi:10.1136/bmj.l4774.
https://psnet.ahrq.gov/issue/burnout-healthcare-case-organisational-change
Burnout has be…
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psnet.ahrq.gov/node/847547/psn-pdf
March 12, 2025 - National Action Alliance to Advance Patient and
Workforce Safety Webinar Series.
March 12, 2025
US Department of Health and Human Services. 2023-2025.
https://psnet.ahrq.gov/issue/national-action-alliance-advance-patient-safety-webinar-series
Work toward zero harm in health care is gaining national attention…
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - couple minutes, we can get hundreds of thousands of pieces of information about how a patient’s brain is working
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - couple minutes, we can get hundreds of thousands of pieces of information about how a patient’s brain is working
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psnet.ahrq.gov/issue/evaluation-nurse-interaction-bar-code-medication-administration-technology-work-environment
April 15, 2020 - Study
Evaluation of nurse interaction with bar code medication administration technology in the work environment.
Citation Text:
Carayon P, Wetterneck TB, Hundt AS, et al. Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment. J Pati…
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psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
September 09, 2015 - Study
Hospital system barriers to rapid response team activation: a cognitive work analysis.
Citation Text:
Braaten JS. CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis. Am J Nurs. 2015;115(2):22-32; test 33; 47. doi:10.1097/01.…
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psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience
February 06, 2014 - Study
Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?
Citation Text:
Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…
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psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
September 05, 2018 - Study
How well do incident reporting systems work on inpatient psychiatric units?
Citation Text:
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.…
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psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative
September 02, 2009 - Study
How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative.
Citation Text:
Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf …
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psnet.ahrq.gov/node/39265/psn-pdf
February 03, 2010 - Intensive care unit alarms—how many do we need?
February 3, 2010
Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med.
2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888.
https://psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need
This study found that …
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psnet.ahrq.gov/node/40716/psn-pdf
March 22, 2017 - Promoting Safety and Quality Through Human Resource
Practices: Executive Summary.
March 22, 2017
McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare
Research and Quality; August 2011. AHRQ Publication No. 11-0080-EF.
https://psnet.ahrq.gov/issue/promoting-safety-and-quality-th…
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psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - The Role of Graduate Medical Education (GME) in
Improving Patient Safety
February 1, 2010
Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
Perspec…
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psnet.ahrq.gov/node/839327/psn-pdf
December 05, 2024 - The National Healthcare System Action Alliance for
Patient and Workforce Safety.
December 5, 2024
US Department of Health and Human Services.
https://psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
The large system change required to reduce patient harm requires multi-stakeho…
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psnet.ahrq.gov/node/38659/psn-pdf
May 27, 2009 - The Henry Ford Production System: reduction of surgical
pathology in-process misidentification defects by bar
code-specified work process standardization.
May 27, 2009
Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology
in-process misidentification defects by b…
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psnet.ahrq.gov/node/36458/psn-pdf
May 27, 2011 - A cognitive task analysis of information management
strategies in a computerized provider order entry
environment.
May 27, 2011
Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a
computerized provider order entry environment. J Am Med Inform Assoc. 2007;14(1)…
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psnet.ahrq.gov/node/74765/psn-pdf
February 09, 2022 - Whose responsibility is it to address bullying in health
care?
February 9, 2022
Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936.
doi:10.1001/amajethics.2021.931.
https://psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
Disrespectful behavi…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/47381/psn-pdf
April 03, 2019 - The role of the patient in patient safety: what can we learn
from healthcare's history?
April 3, 2019
Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's
history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516043518791051.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/39072/psn-pdf
November 04, 2009 - Variations in nursing care quality across hospitals.
November 4, 2009
Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. J Adv Nurs.
2009;65(11):2299-310. doi:10.1111/j.1365-2648.2009.05090.x.
https://psnet.ahrq.gov/issue/variations-nursing-care-quality-across-hospitals
This seconda…
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psnet.ahrq.gov/node/34005/psn-pdf
August 17, 2017 - Medically Induced Trauma Support Services (MITSS).
August 17, 2017
Tobin WN. Patient Safety Quality Healthcare. May/June 2013.
https://psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
Medically Induced Trauma Support Services (MITSS), Inc. was a nonprofit organization that supported,
educated, …