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  1. Patient Safety: A Health Affairs Briefing. | PSNet

    psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing
    September 01, 2021 - Audiovisual Presentation Patient Safety: A Health Affairs Briefing. Citation Text: Patient Safety: A Health Affairs Briefing. Project Hope. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

  2. The new patient safety officer: a lifeline for patients, a life jacket for CEOs. | PSNet

    psnet.ahrq.gov/issue/new-patient-safety-officer-lifeline-patients-life-jacket-ceos
    September 12, 2012 - Commentary The new patient safety officer: a lifeline for patients, a life jacket for CEOs. Citation Text: Denham CR. The New Patient Safety Officer. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318036bae9. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  3. Standardising wristbands improves patient safety. | PSNet

    psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
    January 19, 2022 - Organizational Policy/Guidelines Standardising wristbands improves patient safety. Citation Text: Standardising wristbands improves patient safety. National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2. Copy Citation Save Save to your libra…

  4. A culture of civility: positively impacting practice and patient safety. | PSNet

    psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
    July 13, 2022 - Commentary A culture of civility: positively impacting practice and patient safety. Citation Text: Makic MBF. A Culture of Civility: Positively Impacting Practice and Patient Safety. J Perianesth Nurs. 2018;33(2):220-222. doi:10.1016/j.jopan.2017.12.006. Copy Citation Format: …

  5. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet

    psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
    February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…

  6. Resilience Engineering in Practice: a Guidebook. | PSNet

    psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
    February 06, 2019 - Book/Report Classic Resilience Engineering in Practice: a Guidebook. Citation Text: Resilience Engineering in Practice: a Guidebook. Hollnagel E, Pariès J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749 Copy Citation …

  7. Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. | PSNet

    psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-errors-simulated
    September 09, 2015 - Study Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. Citation Text: Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to …

  8. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. | PSNet

    psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid
    October 19, 2022 - Study Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. Citation Text: Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…

  9. Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. | PSNet

    psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
    February 05, 2020 - Study Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. Citation Text: Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication opt…

  10. A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/prospective-observational-study-effects-implementation-strategy-compliance-surgical-safety
    February 02, 2022 - Study A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. Citation Text: Hannam JA, Glass L, Kwon J, et al. A prospective, observational study of the effects of implementation strategy on compliance with a surgical…

  11. Implementation and impact of a rapid response team in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
    April 24, 2018 - Study Implementation and impact of a rapid response team in a children's hospital. Citation Text: Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425. Copy Citation Fo…

  12. Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. | PSNet

    psnet.ahrq.gov/issue/implicit-bias-patient-descriptor-homeless-and-its-association-emergency-department-opioid
    December 15, 2021 - Study Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. Citation Text: Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its association with emergency depar…

  13. Economic measurement of medical errors using a hospital claims database. | PSNet

    psnet.ahrq.gov/issue/economic-measurement-medical-errors-using-hospital-claims-database
    March 03, 2011 - Study Economic measurement of medical errors using a hospital claims database. Citation Text: David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010. Copy Citati…

  14. High-alert medications: shared accountability for risk identification and error prevention. | PSNet

    psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
    September 24, 2010 - Commentary High-alert medications: shared accountability for risk identification and error prevention. Citation Text: Paparella S. High-alert medications: shared accountability for risk identification and error prevention. Journal of emergency nursing: JEN : official publication of the …

  15. What constitutes effective team communication after an error? | PSNet

    psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-after-error
    September 23, 2020 - Commentary What constitutes effective team communication after an error? Citation Text: Hart WM, Doerr P, Qian Y, et al. What constitutes effective team communication after an error? AMA J Ethics. 2020;22(4):E298-E304. doi:10.1001/amajethics.2020.298. Copy Citation Format: …

  16. Whose responsibility is it to address bullying in health care? | PSNet

    psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
    February 22, 2023 - Commentary Whose responsibility is it to address bullying in health care? Citation Text: Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  17. Error detection and recovery in dialysis nursing. | PSNet

    psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
    November 16, 2022 - Study Error detection and recovery in dialysis nursing. Citation Text: Wilkinson WE, Cauble LA, Patel VL. Error detection and recovery in dialysis nursing. J Patient Saf. 2011;7(4):213-23. doi:10.1097/PTS.0b013e3182388d20. Copy Citation Format: DOI Google Scholar PubMed B…

  18. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

    psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
    April 23, 2014 - September 28, 2010 Field test results of a new ambulatory care Medication Error and Adverse … Drug Event Reporting System—MEADERS.

  19. A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. | PSNet

    psnet.ahrq.gov/issue/reduced-duty-hours-model-senior-internal-medicine-residents-qualitative-analysis-residents
    June 25, 2014 - May 1, 2019 Adverse drug event reporting systems: a systematic review.

  20. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
    July 29, 2020 - January 7, 2015 Medication regimen complexity and hospital readmission for an adverse … drug event.
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