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  1. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. | PSNet

    psnet.ahrq.gov/issue/interpretability-doctor-identification-badges-uk-hospitals-survey-nurses-and-patients
    October 07, 2013 - Study The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. Citation Text: Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. BMJ Qual Saf. 20…

  2. A multicomponent fall prevention strategy reduces falls at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
    June 27, 2018 - Study A multicomponent fall prevention strategy reduces falls at an academic medical center. Citation Text: France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safe…

  3. Estimating hospital-related deaths due to medical error: a perspective from patient advocates. | PSNet

    psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
    November 08, 2023 - Commentary Estimating hospital-related deaths due to medical error: a perspective from patient advocates. Citation Text: Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. d…

  4. Using the patient safety huddle as a tool for high reliability. | PSNet

    psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
    March 01, 2023 - Commentary Using the patient safety huddle as a tool for high reliability. Citation Text: Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. Copy Citation …

  5. Reducing retained foreign objects in the operating room: a quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
    April 19, 2023 - Study Reducing retained foreign objects in the operating room: a quality improvement initiative. Citation Text: Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…

  6. Impact of time pressure on dentists' diagnostic performance. | PSNet

    psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
    November 16, 2022 - Study Impact of time pressure on dentists' diagnostic performance. Citation Text: Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011. Copy Citation Format: DOI Google Scho…

  7. Leveraging trainees to improve quality and safety at the point of care: three models for engagement. | PSNet

    psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
    September 20, 2017 - Commentary Leveraging trainees to improve quality and safety at the point of care: three models for engagement. Citation Text: Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…

  8. Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. | PSNet

    psnet.ahrq.gov/issue/critical-care-checklists-keystone-project-and-office-human-research-protections-case
    May 04, 2014 - Commentary Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. Citation Text: Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, an…

  9. Insensible losses: when the medical community forgets the family. | PSNet

    psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-family
    January 17, 2024 - Commentary Insensible losses: when the medical community forgets the family. Citation Text: Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. Copy Citation Format: DOI Google …

  10. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? | PSNet

    psnet.ahrq.gov/issue/discontinuation-antihyperglycemic-therapy-after-acute-myocardial-infarction-medical-necessity
    February 28, 2011 - Study Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? Citation Text: Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical e…

  11. Drug administration errors in an institution for individuals with intellectual disability: an observational study. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
    October 18, 2023 - Study Drug administration errors in an institution for individuals with intellectual disability: an observational study. Citation Text: van den Bemt PMLA, Robertz R, de Jong AL, et al. Drug administration errors in an institution for individuals with intellectual disability: an observa…

  12. Medicines safety in anaesthetic practice. | PSNet

    psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
    February 02, 2022 - Review Medicines safety in anaesthetic practice. Citation Text: Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  13. Quality improvement through implementation of discharge order reconciliation. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
    September 23, 2020 - Commentary Quality improvement through implementation of discharge order reconciliation. Citation Text: Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …

  14. Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. | PSNet

    psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
    January 07, 2015 - Study Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. Citation Text: Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…

  15. A system safety approach to assessing risks in the sepsis treatment process. | PSNet

    psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
    February 03, 2021 - Study A system safety approach to assessing risks in the sepsis treatment process. Citation Text: Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. Copy Citation Format: DOI Go…

  16. Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service. | PSNet

    psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge
    March 09, 2022 - Study Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service. Citation Text: Climente-Martí M, García-Mañón ER, Artero-Mora A, et al. Potential risk of medication discrepancies and reconciliation errors at admis…

  17. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. | PSNet

    psnet.ahrq.gov/issue/communication-gaps-and-readmissions-hospital-patients-aged-75-years-and-older-observational
    July 19, 2023 - Study Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Citation Text: Witherington EMA, Pirzada OM, Avery A. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Qual Saf Hea…

  18. Distraction and interruption in anaesthetic practice. | PSNet

    psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
    May 18, 2022 - Study Distraction and interruption in anaesthetic practice. Citation Text: Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  19. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. | PSNet

    psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department
    July 26, 2011 - Study Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Citation Text: Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…

  20. Nonopioid directives: unintended consequences in the operating room. | PSNet

    psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
    September 07, 2022 - Commentary Nonopioid directives: unintended consequences in the operating room. Citation Text: Bicket MC, Waljee JF, Hilliard P. Nonopioid directives: unintended consequences in the operating room. JAMA Health Forum. 2022;3(6):e221356. doi:10.1001/jamahealthforum.2022.1356. Copy Citati…
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