-
psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - Medical Devices in the "Wild"
December 1, 2014
Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medical-devices-wild
The Case
A 75-year-old man with a history of congestive heart failure (CHF), coronary artery disease, diabetes,
chronic pain, arthritis, and…
-
psnet.ahrq.gov/issue/some-doctors-questioning-whether-shorter-shifts-interns-are-endangering-patients
July 26, 2017 - Newspaper/Magazine Article
Some doctors questioning whether shorter shifts for interns are endangering patients.
Citation Text:
Some doctors questioning whether shorter shifts for interns are endangering patients. Boodman SG. Kaiser Health News. July 9, 2013.
Copy Citation
…
-
psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
December 14, 2010 - Commentary
Reducing latent errors, drift errors, and stakeholder dissonance.
Citation Text:
Reducing latent errors, drift errors, and stakeholder dissonance. Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955.
Copy Citation
Save
Save to your library
…
-
psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
June 24, 2020 - Commentary
Just culture: who gets to draw the line?
Citation Text:
Dekker SWA. Just culture: who gets to draw the line? Cognition, Technology & Work. 2008;11(3). doi:10.1007/s10111-008-0110-7.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
-
psnet.ahrq.gov/issue/patient-safety-4
September 21, 2022 - Special or Theme Issue
On Patient Safety.
Citation Text:
On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
…
-
psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - Newspaper/Magazine Article
Manage staff fatigue to improve patient safety.
Citation Text:
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
-
psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
June 09, 2021 - Commentary
Human factors in patient safety as an innovation.
Citation Text:
Carayon P. Human factors in patient safety as an innovation. Appl Ergon. 2010;41(5):657-65. doi:10.1016/j.apergo.2009.12.011.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
-
psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-giving-birth
May 27, 2020 - Newspaper/Magazine Article
Woman works to end Black maternal health crisis after daughter dies after giving birth.
Citation Text:
Woman works to end Black maternal health crisis after daughter dies after giving birth. Kindelan K. ABC News. April 14, 2022.
Copy Citation
…
-
psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…
-
psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - come back and stand behind that because they cannot tolerate a reckless group or a reckless individual working
-
psnet.ahrq.gov/node/40654/psn-pdf
January 01, 2012 - The computerized rounding report: implementation of a
model system to support transitions of care.
December 15, 2011
Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model
system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015.
…
-
psnet.ahrq.gov/node/50818/psn-pdf
January 22, 2020 - Burnout in pediatric residents: three years of national
survey
January 22, 2020
Kemper KJ, Schwartz A, Wilson PM, et al. Burnout in Pediatric Residents: Three Years of National Survey
Data. Pediatrics. 2020;145(1):e20191030. doi:10.1542/peds.2019-1030.
https://psnet.ahrq.gov/issue/burnout-pediatric-residents-three…
-
psnet.ahrq.gov/node/46019/psn-pdf
April 26, 2017 - Certified registered nurse anesthetist perceptions of
factors impacting patient safety.
April 26, 2017
McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of
Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69.
https://psnet.ahrq.gov/issue/certified-registered-nu…
-
psnet.ahrq.gov/node/850341/psn-pdf
June 14, 2023 - Impact of fatigue on anaesthesia providers: a scoping
review.
June 14, 2023
Scholliers A, Cornelis S, Tosi M, et al. Impact of fatigue on anaesthesia providers: a scoping review. Br J
Anaesth. 2023;130(5):622-635. doi:10.1016/j.bja.2022.12.011.
https://psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scop…
-
psnet.ahrq.gov/node/46268/psn-pdf
September 27, 2017 - Learning from incidents in health care: critique from a
Safety-II perspective.
September 27, 2017
Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121.
https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
Studying what works well to design safer systems is gaining tra…
-
psnet.ahrq.gov/node/35253/psn-pdf
April 06, 2011 - Real time patient safety audits: improving safety every
day.
April 6, 2011
Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care.
2005;14(4):284-289. doi:10.1136/qshc.2004.012542.
https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
This p…
-
psnet.ahrq.gov/node/45982/psn-pdf
August 03, 2017 - Workplace factors associated with burnout of family
physicians.
August 3, 2017
Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family
Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391.
https://psnet.ahrq.gov/issue/workplace-factors-associa…
-
psnet.ahrq.gov/node/72472/psn-pdf
November 18, 2020 - Lost in translation--silent reporting and electronic patient
records in nursing handovers: an ethnographic study.
November 18, 2020
Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an
ethnographic study. Int J Nurs Stud. 2020;109:103636. doi:10.1016/j.ijnurstu.2…
-
psnet.ahrq.gov/node/73369/psn-pdf
June 09, 2021 - SEIPS 101 and seven simple SEIPS tools.
June 9, 2021
Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910.
doi:10.1136/bmjqs-2020-012538.
https://psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
Since the SEIPS (Systems Engineering Initiative for Patient Safety…
-
psnet.ahrq.gov/node/46798/psn-pdf
March 14, 2018 - NHTSA Fatigue in EMS Project.
March 14, 2018
Patterson PD, ed. Prehosp Emerg Care. 2018;22(suppl 1):1-118.
https://psnet.ahrq.gov/issue/nhtsa-fatigue-ems-project
Health care worker fatigue is a persistent threat to patient safety. Articles in this special issue cover the
results of a National Highway Traffic Safet…