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Berlinger N. Am J Nurs. 2017;117:53-55.
Berlinger N.Workarounds are routinely used by nurses—but are they ethical?. Am J Nurs. 2017; 117: 53-55
Workarounds arise as short-term solutions to flaws in process, equipment, or policy. Exploring the ethical implications of nurse workarounds, this commentary spotlights the importance of nurses reporting their use of workarounds to manage the potential for unintended consequences.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. October 21-25, 2019; Armstrong Institute for Patient Safety and Quality, Baltimore, MD.
Behavioral Health—Strategic Facility Design Innovations That Improve Treatment Outcomes, Safety and the Bottom Line Workshop.
The Center for Health Design. September 18, 2019. Hilton Baltimore Inner Harbor, Baltimore, MD.
The NHS Patient Safety Strategy.
NHS Improvement. July 2, 2019.
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.
Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308.
Healthcare Safety Investigation Branch.
Farnborough, Hampshire, UK.
Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.
Chen YF, Armoiry X, Higenbottam C, et al. BMJ Open. 2019;9:e025764.
Advances in Human Factors and Ergonomics in Healthcare and Medical Devices.
Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501.
Moving towards a safety II approach.
Woodward S. J Patient Saf Risk Manag. 2019;24:96-99.
A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit.
Ansari SP, Rayfield ME, Wallis VA, Jardine JE, Morris EP, Prosser-Snelling E. J Patient Saf. 2019 May 28; [Epub ahead of print].
Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.
Macrae C. J R Soc Med. 2019 May 22; [Epub ahead of print].
Addressing Problematic Opioid Use in OECD Countries.
Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260.
Medicines safety in anaesthetic practice.
Mackay E, Jennings J, Webber S. BJA Education. 2019;19:151-157.
Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.
Sherman JP, Hedli LC, Kristensen-Cabrera AI, et al; Safety Learning Laboratory for Neonatal and Maternal Care. Am J Perinatol. 2019 Apr 23; [Epub ahead of print].
Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.
Patel S, Robertson B, McConachie I. Anaesthesia. 2019;74:904-914.
Evidence-based medicine: a cornerstone for clinical care but not for quality improvement.
Mondoux S, Shojania KG. J Eval Clin Pract. 2019;25:363-368.
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
Gordon M. Health Shots. National Public Radio. April 10, 2019.
Using near-miss events to improve MRI safety in a large academic centre.
Goolsarran N, Martinez J, Garcia C. BMJ Open Qual. 2019;8:e000593.
Air pressure: human factors are the key to a safer flight environment.
Erich J. EMS World. April 2019;48:26-31.
Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.
Dalal AK, Fuller T, Garabedian P, et al. J Am Med Inform Assoc. 2019;26:553-560.
Will human factors restore faith in the GMC?
Morgan L, Benson D, McCulloch P. BMJ. 2019;364:l1037.
Can we import improvements from industry to healthcare?
Macrae C, Stewart K. BMJ. 2019;364:l1039.
The wicked problem of patient misidentification: how could the technological revolution help address patient safety?
Ferguson C, Hickman L, Macbean C, Jackson D. J Clin Nurs. 2019;28:2365-2368.
Blind spots in the science of safety.
Bosk CL, Pedersen KZ. Lancet. 2019;393:978-979.
Error and Uncertainty in Diagnostic Radiology.
Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
Your attention please... designing effective warnings.
ISMP Medication Safety Alert! Acute Care Edition. February 28, 2019;24.
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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