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Johnson M, Sanchez P, Langdon R, et al. J Nurs Manag. 2017;25:498-507.
Johnson M ; Sanchez P ; Langdon R; et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017; 25: 498-507
Interruptions in nursing care are common and can contribute to errors. In keeping with prior research, this observational study of nurses found that interruptions in medication preparation and administration can compromise patient safety.
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.
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.
Thomas L, Donohue-Porter P, Stein Fishbein J. J Nurs Care Qual. 2017;32:309-317.
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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