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Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/improving-cancer-patient-care-combined-medication-error-reviews-and-morbidity-and-mortality

February 01, 2012 - Study Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. Citation Text: Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy…

Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. | PSNet

psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using

October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. | PSNet

psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical

December 21, 2017 - Study Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. Citation Text: Wright A, Feblowitz J, Phansalkar S, et al. Preventability of adverse drug events involving multiple drugs using publicly available clinical dec…

Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health

January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. | PSNet

psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls

September 23, 2020 - Study Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Citation Text: Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…

Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes

August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

Elucidating reasons for resident underutilization of electronic adverse event reporting. | PSNet

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November 21, 2021 - Study Elucidating reasons for resident underutilization of electronic adverse event reporting. Citation Text: Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615…

When a surgical colleague makes an error. | PSNet

psnet.ahrq.gov/issue/when-surgical-colleague-makes-error

December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

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

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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…

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…

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…

Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? | PSNet

psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical

March 21, 2017 - Study Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? Citation Text: Weingart SN, Zhu J, Young-Hong J, et al. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical re…

Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. | PSNet

psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and-physicians

March 11, 2013 - Study Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Citation Text: Pfeiffer Y, Briner M, Wehner T, et al. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Swiss Med Wkly. 2013;143:w13881.…

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…

Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet

psnet.ahrq.gov/issue/communicating-doses-pediatric-liquid-medicines-parentscaregivers-comparison-written-dosing

July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

Use of an electronic information system to identify adverse events resulting in an emergency department visit. | PSNet

psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department

March 13, 2015 - Study Use of an electronic information system to identify adverse events resulting in an emergency department visit. Citation Text: Ackroyd-Stolarz S, MacKinnon NJ, Zed PJ, et al. Use of an electronic information system to identify adverse events resulting in an emergency department vi…

Identifying the latent failures underpinning medication administration errors: an exploratory study. | PSNet

psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study

December 21, 2016 - Study Identifying the latent failures underpinning medication administration errors: an exploratory study. Citation Text: Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. | PSNet

psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical

November 16, 2022 - Study Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. Citation Text: Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…

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