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  1. 2009 National Patient Safety Goals. | PSNet

    psnet.ahrq.gov/issue/2009-national-patient-safety-goals
    August 03, 2016 - Commentary 2009 National Patient Safety Goals. Citation Text: Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  2. Creating safety culture on nursing units: human performance and organizational system factors that make a difference. | PSNet

    psnet.ahrq.gov/issue/creating-safety-culture-nursing-units-human-performance-and-organizational-system-factors
    May 29, 2013 - Study Creating safety culture on nursing units: human performance and organizational system factors that make a difference. Citation Text: Moody RF, Pesut DJ, Harrington CF. Creating Safety Culture on Nursing Units. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000242978.40424.24. Co…

  3. Cognitive Systems Engineering in Health Care. | PSNet

    psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
    October 11, 2016 - Book/Report Cognitive Systems Engineering in Health Care. Citation Text: Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. Copy Citation Save Save to your library Prin…

  4. Second victim support programs for healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations
    August 12, 2020 - Review Second victim support programs for healthcare organizations. Citation Text: Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  5. Understanding the root cause analysis process to increase safety event reporting. | PSNet

    psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
    August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event reporting. Citation Text: Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. Copy Citation Format: …

  6. Death due to pharmacy compounding error reinforces need for safety focus. | PSNet

    psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
    May 31, 2017 - Newspaper/Magazine Article Death due to pharmacy compounding error reinforces need for safety focus. Citation Text: Death due to pharmacy compounding error reinforces need for safety focus. ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. Copy Citation …

  7. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet

    psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
    July 29, 2020 - Commentary Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Citation Text: Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…

  8. Examining the Increase in Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/examining-increase-drug-shortages
    March 01, 2017 - Government Resource Examining the Increase in Drug Shortages. Citation Text: Examining the Increase in Drug Shortages. Hearings before the Subcommittee on Health of the Committee on Energy and Commerce Committee, 112th Cong, 1st Sess (September 23, 2011). Copy Citation …

  9. Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. | PSNet

    psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
    July 10, 2017 - Commentary Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. Citation Text: Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…

  10. Adversarial attacks on medical machine learning. | PSNet

    psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
    March 19, 2019 - Study Adversarial attacks on medical machine learning. Citation Text: Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979). 2019;363(6433):1287-1289. doi:10.1126/science.aaw4399. Copy Citation Format: DOI Google Scholar PubM…

  11. A considerative checklist to ensure safe daily patient review. | PSNet

    psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review
    June 08, 2011 - Commentary A considerative checklist to ensure safe daily patient review. Citation Text: Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach. 2013;10(4):209-13. doi:10.1111/tct.12023. Copy Citation Format: DOI Google Scholar PubMe…

  12. Apologies and medical error. | PSNet

    psnet.ahrq.gov/issue/apologies-and-medical-error
    November 16, 2022 - Commentary Apologies and medical error. Citation Text: Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  13. Improving the Emergency Department Discharge Process. | PSNet

    psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
    April 23, 2014 - Book/Report Improving the Emergency Department Discharge Process. Citation Text: Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…

  14. Safe use of opioids in hospitals. | PSNet

    psnet.ahrq.gov/issue/safe-use-opioids-hospitals
    February 28, 2018 - Sentinel Event Alerts Safe use of opioids in hospitals. Citation Text: Sentinel Event Alert. 2012;49:1-5. Copy Citation Format: BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library …

  15. Characteristics of Weekday and Weekend Hospital Admissions, 2007. | PSNet

    psnet.ahrq.gov/issue/characteristics-weekday-and-weekend-hospital-admissions-2007
    September 15, 2010 - Book/Report Characteristics of Weekday and Weekend Hospital Admissions, 2007. Citation Text: Characteristics of Weekday and Weekend Hospital Admissions, 2007. Ryan K, Levit K, Davis PH. HCUP Statistical Brief #87. Rockville, MD: Agency for Healthcare Research and Quality; March 2010.…

  16. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet

    psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
    June 16, 2019 - Study Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Citation Text: Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…

  17. From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. | PSNet

    psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
    October 19, 2022 - Study From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. Citation Text: Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…

  18. Patient safety: lessons learned. | PSNet

    psnet.ahrq.gov/issue/patient-safety-lessons-learned
    October 18, 2017 - Commentary Patient safety: lessons learned. Citation Text: Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…

  19. The science and economics of improving clinical communication. | PSNet

    psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
    November 18, 2015 - Commentary The science and economics of improving clinical communication. Citation Text: O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010. Copy Citation Format…

  20. Identifying medication errors in surgical prescription charts. | PSNet

    psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
    April 17, 2024 - Study Identifying medication errors in surgical prescription charts. Citation Text: Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
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