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Adverse drug events in ambulatory care. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care

February 24, 2011 - Study Classic Adverse drug events in ambulatory care. Citation Text: Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

Impact of pharmacist previsit input to providers on chronic opioid prescribing safety. | PSNet

psnet.ahrq.gov/issue/impact-pharmacist-previsit-input-providers-chronic-opioid-prescribing-safety

November 16, 2022 - Study Impact of pharmacist previsit input to providers on chronic opioid prescribing safety. Citation Text: Cox N, Tak CR, Cochella SE, et al. Impact of Pharmacist Previsit Input to Providers on Chronic Opioid Prescribing Safety. The Journal of the American Board of Family …

Feeling unsafe in the healthcare setting: patients' perspectives. | PSNet

psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-perspectives

June 11, 2014 - Review Feeling unsafe in the healthcare setting: patients' perspectives. Citation Text: Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. Copy Citation Format: DO…

On error management: lessons from aviation. | PSNet

psnet.ahrq.gov/issue/error-management-lessons-aviation

September 13, 2011 - Commentary Classic On error management: lessons from aviation. Citation Text: Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Attitudes toward safety and teamwork in a maternity unit with embedded team training. | PSNet

psnet.ahrq.gov/issue/attitudes-toward-safety-and-teamwork-maternity-unit-embedded-team-training

November 20, 2013 - Study Attitudes toward safety and teamwork in a maternity unit with embedded team training. Citation Text: Siassakos D, Fox R, Hunt L, et al. Attitudes toward safety and teamwork in a maternity unit with embedded team training. Am J Med Qual. 2011;26(2):132-7. doi:10.1177/1062860610373…

Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. | PSNet

psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons

July 02, 2014 - Study Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Citation Text: Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …

What 'just culture' doesn't understand about just punishment. | PSNet

psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment

December 30, 2014 - Commentary What 'just culture' doesn't understand about just punishment. Citation Text: Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. Copy Citation Format: DOI Google Schola…

The end of the beginning: patient safety five years after 'To Err Is Human.' | PSNet

psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human

March 02, 2011 - Commentary Classic The end of the beginning: patient safety five years after 'To Err Is Human.' Citation Text: Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. C…

Between choice and chance: the role of human factors in acute care equipment decisions. | PSNet

psnet.ahrq.gov/issue/between-choice-and-chance-role-human-factors-acute-care-equipment-decisions

February 22, 2023 - Study Between choice and chance: the role of human factors in acute care equipment decisions. Citation Text: Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…

Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. | PSNet

psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies

September 28, 2016 - Study Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. Citation Text: Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…

How residents think and make medical decisions: implications for education and patient safety. | PSNet

psnet.ahrq.gov/issue/how-residents-think-and-make-medical-decisions-implications-education-and-patient-safety

June 07, 2023 - Study How residents think and make medical decisions: implications for education and patient safety. Citation Text: Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discuss…

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-using-sterile-cockpit-principle-during-medication-administration

September 12, 2016 - Study Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project. Citation Text: Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during medication administration: a…

Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. | PSNet

psnet.ahrq.gov/issue/work-hour-rules-and-contributors-patient-care-mistakes-focus-group-study-internal-medicine

February 22, 2011 - Study Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. Citation Text: Fletcher KE, Parekh V, Halasyamani L, et al. Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine resid…

A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? | PSNet

psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make

July 01, 2017 - Study A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? Citation Text: Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1).…

SBAR: electronic handoff tool for noncomplicated procedural patients. | PSNet

psnet.ahrq.gov/issue/sbar-electronic-handoff-tool-noncomplicated-procedural-patients

October 19, 2022 - Study SBAR: electronic handoff tool for noncomplicated procedural patients. Citation Text: Wentworth L, Diggins J, Bartel D, et al. SBAR: electronic handoff tool for noncomplicated procedural patients. J Nurs Care Qual. 2012;27(2):125-31. doi:10.1097/NCQ.0b013e31823cc9a0. Copy Citati…

Risk factors for adverse events in patients with breast, colorectal, and lung cancer. | PSNet

psnet.ahrq.gov/issue/risk-factors-adverse-events-patients-breast-colorectal-and-lung-cancer

July 19, 2017 - Study Risk factors for adverse events in patients with breast, colorectal, and lung cancer. Citation Text: Weingart SN, Atoria CL, Pfister D, et al. Risk Factors for Adverse Events in Patients With Breast, Colorectal, and Lung Cancer. J Patient Saf. 2021;17(8):e701-e707. doi:10.1097/pts.…

Intensive care units, communication between nurses and physicians, and patients' outcomes. | PSNet

psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes

May 28, 2008 - Study Intensive care units, communication between nurses and physicians, and patients' outcomes. Citation Text: Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…

Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. | PSNet

psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety

September 24, 2016 - Study Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Citation Text: Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm…

Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet

psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams

July 06, 2011 - Study Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Citation Text: Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…

Speaking up for patient safety by hospital-based health care professionals: a literature review. | PSNet

psnet.ahrq.gov/issue/speaking-patient-safety-hospital-based-health-care-professionals-literature-review

October 31, 2011 - Review Speaking up for patient safety by hospital-based health care professionals: a literature review. Citation Text: Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.…

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