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Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force. J Nurs Care Qual. 2017;32:354-358.
Stalter AM ; Phillips JM ; Dolansky MA; et al. White paper on recommendation for systems-based practice competency. QSEN Institute RN-BSN Task Force. 2017; 32: 354-358
A systems approach to practice has been advocated as a key element of safe medical care. This white paper proposes that systems-based practice be integrated as a nursing competency requirement, including education about organizational leadership and complexity science and systems theory in design.
Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems.
Dunford BB, Perrigino M, Tucker SJ, et al. J Patient Saf. 2017;13:162-168.
Implementing human factors in clinical practice.
Timmons S, Baxendale B, Buttery A, Miles G, Roe B, Browes S. Emerg Med J. 2015;32:368-372.
Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005.
Taylor CJC, Murphy MF, Lowe D, Pearson M. Qual Saf Health Care. 2008;17:239-243.
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.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. June 3–7, 2019; Armstrong Institute for Patient Safety and Quality, Baltimore, MD.
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].
Evidence-based medicine: a cornerstone for clinical care but not for quality improvement.
Mondoux S, Shojania KG. J Eval Clin Pract. 2019 Apr 11; [Epub ahead of print].
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.
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 Mar 22; [Epub ahead of print].
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 Mar 13; [Epub ahead of print].
Blind spots in the science of safety.
Bosk CL, Pedersen KZ. Lancet. 2019;393:978-979.
Your attention please... designing effective warnings.
ISMP Medication Safety Alert! Acute Care Edition. February 28, 2019;24.
Reclaiming the systems approach to paediatric safety.
Cheung R, Roland D, Lachman P. Arch Dis Child. 2019 Feb 23; [Epub ahead of print].
Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.
Knobloch MJ, Thomas KV, Musuuza J, Safdar N. Am J Infect Control. 2019 Feb 12; [Epub ahead of print].
Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment.
Henriksen K, Rodrick D, Grace EN, Shofer M, Brady PJ. J Patient Saf. 2019 Feb 9; [Epub ahead of print].
Exploring the human factors of prescribing errors in paediatric intensive care units.
Sutherland A, Ashcroft DM, Phipps DL. Arch Dis Child. 2019;104:588-595.
A decade of health information technology usability challenges and the path forward.
Ratwani RM, Reider J, Singh H. JAMA. 2019;321:743-744.
Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula
Jed D. Gonzalo, MD, MSc, and Mamta K. Singh, MD, MSc
Pro/con debate: color-coded medication labels.
Janik LS, Vender JS Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75.
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Misasi P, Keebler JR. Ther Adv Drug Saf. 2019;10:1–14.
The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives.
Durstenfeld MS, Statman S, Dikman A, et al. Am J Med Qual. 2019 Jan 18; [Epub ahead of print].
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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