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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…

Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet

psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants

August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. Citation Text: Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…

The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. | PSNet

psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board

June 03, 2020 - Study The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. Citation Text: James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…

Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. | PSNet

psnet.ahrq.gov/issue/bridging-gap-leveraging-business-intelligence-tools-support-patient-safety-and-financial

February 15, 2011 - Commentary Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. Citation Text: Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effe…

Institutional disclosure: promise and problems. | PSNet

psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems

August 12, 2015 - Study Institutional disclosure: promise and problems. Citation Text: Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

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).…

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. | PSNet

psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals

October 16, 2019 - Study A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. Citation Text: Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf. 20…

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…

Impact of the World Health Organization surgical safety checklist on patient safety. | PSNet

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November 03, 2015 - Review Impact of the World Health Organization surgical safety checklist on patient safety. Citation Text: Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000…

Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy

March 09, 2022 - Study Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. Citation Text: Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, et al. Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. J Oncol Pharm Pract. 2010;16(…

Lack of patient knowledge regarding hospital medications. | PSNet

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September 20, 2006 - Study Lack of patient knowledge regarding hospital medications. Citation Text: Lack of patient knowledge regarding hospital medications. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice. | PSNet

psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive

December 02, 2020 - Study Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice. Citation Text: Ksouri H, Balanant P-Y, Tadié J-M, et al. Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive c…

How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. | PSNet

psnet.ahrq.gov/issue/how-improve-change-shift-handovers-and-collaborative-grounding-and-what-role-does-electronic

June 29, 2022 - Review How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. Citation Text: Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …

Do team processes really have an effect on clinical performance? A systematic literature review. | PSNet

psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review

November 13, 2019 - Review Do team processes really have an effect on clinical performance? A systematic literature review. Citation Text: Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…

Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. | PSNet

psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views-automatic-drug

September 14, 2016 - Commentary Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. Citation Text: Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dis…

Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet

psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system

January 12, 2022 - Commentary Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Citation Text: Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…

Increasing vigilance on the medical/surgical floor to improve patient safety. | PSNet

psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety

January 18, 2011 - Study Increasing vigilance on the medical/surgical floor to improve patient safety. Citation Text: Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. Copy Citation …

The future of graduate medical education: a systems-based approach to ensure patient safety. | PSNet

psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety

October 18, 2017 - Commentary The future of graduate medical education: a systems-based approach to ensure patient safety. Citation Text: Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. …

Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. | PSNet

psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose

March 03, 2010 - Study Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Citation Text: Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.13…

When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? | PSNet

psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety

June 28, 2011 - Commentary When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Citation Text: Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…

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