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  1. A model for medication safety event detection. | PSNet

    psnet.ahrq.gov/issue/model-medication-safety-event-detection
    May 14, 2008 - Commentary A model for medication safety event detection. Citation Text: Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  2. Analysis of medical malpractice claims to improve quality of care: cautionary remarks. | PSNet

    psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-improve-quality-care-cautionary-remarks
    May 09, 2012 - Commentary Analysis of medical malpractice claims to improve quality of care: cautionary remarks. Citation Text: Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178. Copy Cit…

  3. NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0. | PSNet

    psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
    September 09, 2020 - Book/Report NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0. Citation Text: NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…

  4. Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. | PSNet

    psnet.ahrq.gov/issue/simulation-operational-readiness-new-freestanding-emergency-department-strategy-and-tactics
    August 20, 2018 - Study Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. Citation Text: Kerner RL, Gallo K, Cassara M, et al. Simulation for Operational Readiness in a New Freestanding Emergency Department. Simul Healthc. 2016;11(5). doi:10.1097/sih.00…

  5. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. | PSNet

    psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
    October 12, 2022 - Review Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Citation Text: Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res…

  6. Patient safety climate in 92 US hospitals: differences by work area and discipline. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-92-us-hospitals-differences-work-area-and-discipline
    September 02, 2009 - Study Patient safety climate in 92 US hospitals: differences by work area and discipline. Citation Text: Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189…

  7. Patient safety in intensive care medicine: the Declaration of Vienna. | PSNet

    psnet.ahrq.gov/issue/patient-safety-intensive-care-medicine-declaration-vienna
    September 30, 2010 - Commentary Patient safety in intensive care medicine: the Declaration of Vienna. Citation Text: Moreno RP, Rhodes A, Donchin Y. Patient safety in intensive care medicine: the Declaration of Vienna. Intensive Care Med. 2009;35(10). doi:10.1007/s00134-009-1621-2. Copy Citation Form…

  8. The impact of introducing medical emergency team system on the documentations of vital signs. | PSNet

    psnet.ahrq.gov/issue/impact-introducing-medical-emergency-team-system-documentations-vital-signs
    January 18, 2011 - Study The impact of introducing medical emergency team system on the documentations of vital signs. Citation Text: Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/…

  9. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. | PSNet

    psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
    January 12, 2022 - Commentary A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Citation Text: Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12. Cop…

  10. How safe is my intensive care unit? An overview of error causation and prevention. | PSNet

    psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-overview-error-causation-and-prevention
    November 25, 2020 - Review How safe is my intensive care unit? An overview of error causation and prevention. Citation Text: Valentin A, Bion J. How safe is my intensive care unit? An overview of error causation and prevention. Curr Opin Crit Care. 2007;13(6):697-702. Copy Citation Format: G…

  11. Quality and safety education for nurses: a nursing leadership skills exercise. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-education-nurses-nursing-leadership-skills-exercise
    July 29, 2020 - Commentary Quality and safety education for nurses: a nursing leadership skills exercise. Citation Text: Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. Copy Citation Form…

  12. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. | PSNet

    psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research
    September 09, 2013 - Study Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. Citation Text: Hanson JL, Stephens MB, Pangaro LN, et al. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. BMC Health Serv Res. …

  13. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. | PSNet

    psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improving-safety-iv-drug-administration
    March 23, 2012 - Study Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Citation Text: Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. Copy Citat…

  14. Drug selection errors in relation to medication labels: a simulation study. | PSNet

    psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-labels-simulation-study
    January 14, 2009 - Study Drug selection errors in relation to medication labels: a simulation study. Citation Text: Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. Copy Citation Format: Go…

  15. Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet

    psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
    February 08, 2023 - Study Restorative just culture: an exploration of the enabling conditions for successful implementation. Citation Text: Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…

  16. Understanding liability risk from using health care artificial intelligence tools. | PSNet

    psnet.ahrq.gov/issue/understanding-liability-risk-using-health-care-artificial-intelligence-tools
    April 03, 2024 - Commentary Understanding liability risk from using health care artificial intelligence tools. Citation Text: Mello MM, Guha N. Understanding liability risk from using health care artificial intelligence tools. N Engl J Med. 2024;390(3):271-278. doi:10.1056/nejmhle2308901. Copy Citation…

  17. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. | PSNet

    psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
    August 17, 2005 - Study Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Citation Text: Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7. Copy Citation For…

  18. Quality and Safety Between Ward and Board: a Biography of Artefacts Study. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
    April 19, 2017 - Government Resource Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Citation Text: Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…

  19. Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
    April 06, 2011 - Commentary Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. Citation Text: Madsen P, Desai V, Roberts K, et al. Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit. Organizati…

  20. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet

    psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
    May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …
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