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Grissinger M. P T. 2012;37:377-378.
Grissinger M.Physical environments that promote safe medication use. P T. 2012; 37: 377-378
This commentary discusses standards related to workspace design that can help address interruptions, noise, and other distractions to prevent medication errors.
Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019.
Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study.
Khairat S, Whitt S, Craven CK, Pak Y, Shyu CR, Gong Y. J Patient Saf. 2019 Apr 23; [Epub ahead of print].
Perchance to think.
Ofri D. N Engl J Med. 2019;380:1197-1199.
Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system.
Bowden A, Mullin S, Tak C, Tyler LS, Nickman NA, Moorman K. Am J Health-Syst Pharm. 2019;76:360-365.
Does a unit shift report "blackout" period improve patient safety?
Olmstead J. Nurs Manage. 2019;50:8-10.
The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis.
Sargsyan Z. JAMA Intern Med. 2019;179:465-466.
Nursing and Patient Safety
Provider interruptions and patient perceptions of care: an observational study in the emergency department.
Schneider A, Wehler M, Weigl M. BMJ Qual Saf. 2019;28:296-304.
Coming Up Short: Maintaining Safety in the Face of Drug Shortages
Steven Plogsted, PharmD
'Cyberloafing' in health care: a real risk to patient safety.
Ross J. J Perianesth Nurs. 2018;33:560-562.
Adverse effects of computers during bedside rounds in a critical care unit.
Dhillon NK, Francis SE, Tatum JM, et al. JAMA Surg. 2018;153:1052-1053.
Effective approaches to control non-actionable alarms and alarm fatigue.
Winters BD. J Electrocardiol. 2018;51:S49-S51.
Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system.
Kellogg KM, Puthumana JS, Fong A, Adams KT, Ratwani RM. J Patient Saf. 2018 Jul 7; [Epub ahead of print].
Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record.
Wright A, Aaron S, Seger DL, Samal L, Schiff GD, Bates DW. J Gen Intern Med. 2018;33:1868–1876.
A standardized handoff simulation promotes recovery from auditory distractions in resident physicians.
Matern LH, Farnan JM, Hirsch KW, Cappaert M, Byrne ES, Arora VM. Simul Healthc. 2018;13:233-238.
Why we need a single definition of disruptive behavior.
Petrovic MA, Scholl AT. Cureus. 2018;10:e2339.
Medication administration and interruptions in nursing homes: a qualitative observational study.
Odberg KR, Hansen BS, Aase K, Wangensteen S. J Clin Nurs. 2018;27:1113-1124.
Guidelines for Design and Construction.
Dallas, TX: Facilities Guidelines Institute; 2018.
Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study.
Westbrook JI, Raban MZ, Walter SR, Douglas H. BMJ Qual Saf. 2018;27:655-663.
Night-time communication at Stanford University Hospital: perceptions, reality and solutions.
Sun AJ, Wang L, Go M, Eggers Z, Deng R, Maggio P, Shieh L. BMJ Qual Saf. 2018;27:156-162.
Technological distractions—part 1 and part 2.
Kane-Gill SL, O'Connor MF, Rothschild JM, et al; Society for Critical Care Medicine Alarm and Alert Fatigue Task Force. Crit Care Med. 2017;45:1481-1488, 2018;46:130-137.
Intervening in interruptions: what exactly is the risk we are trying to manage?
Gao J, Rae AJ, Dekker SWA. J Patient Saf. 2017 Sep 25; [Epub ahead of print].
ISMP Survey on Texting Medical Orders.
Institute for Safe Medication Practices.
Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
van Pelt M, Weinger MB. Anesth Analg. 2017;125:347–350.
The impact of interruptions on medication errors in hospitals: an observational study of nurses.
Johnson M, Sanchez P, Langdon R, et al. J Nurs Manag. 2017;25:498-507.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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