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Association of interruptions with an increased risk and severity of medication administration errors.
Among nurses at 2 hospitals, the occurrence and frequency of interruptions were significantly associated with the incidence of procedural failures and clinical errors and was associated with higher procedural failure rates. Expand
How and why are communities of practice established in the healthcare sector? A systematic review of the literature
A systematic review of the literature on CoPs was conducted, to examine how and why CoPs have been established and whether they have been shown to improve healthcare practice. Expand
How and where clinicians exercise power: interprofessional relations in health care.
A "negotiated order" perspective was applied to a multi-site setting to articulate the ways in which clinicians' roles, accountabilities and contributions to patient care are shaped by the care setting and are influenced by the management of patient pathways. Expand
Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties
The goal was to describe time allocation and practice characteristics for physicians in the era of EHRs and federal incentive and penalty programs and to ensure a participant base that was representative of a large and inclusive number of physicians. Expand
A realist evaluation of the role of communities of practice in changing healthcare practice
This study further enhances the value of realist evaluations by incorporating a social network analysis component to quantify the structural context associated with CoPs. Expand
The impact of interruptions on clinical task completion
It appears that in busy interrupt-driven clinical environments, clinicians reduce the time they spend on clinical tasks if they experience interruptions, and may delay or fail to return to a significant portion of interrupted tasks. Expand
Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience
Intravenous administrations have a higher risk and severity of error than other medication administrations and a significant proportion of errors suggest skill and knowledge deficiencies, with errors and severity reducing as clinical experience increases. Expand
Effects of Two Commercial Electronic Prescribing Systems on Prescribing Error Rates in Hospital In-Patients: A Before and After Study
In a before-and-after study, Johanna Westbrook and colleagues evaluate the change in prescribing error rates after the introduction of two commercial electronic prescribing systems in two AustralianExpand
The impact of clinical leadership on health information technology adoption: Systematic review
Evidence is provided that clinical leaders can positively contribute to successful IT adoption in healthcare organisations and cultivate the necessary IT competencies, establish mutual partnerships with IT professionals, and execute proactive IT behaviours to achievesuccessful IT adoption. Expand
Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study
Accreditation results predict leadership behaviours and cultural characteristics of healthcare organisations but not organisational climate or consumer participation, and a positive trend between accreditation and clinical performance is noted. Expand