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  1. Decreasing paediatric prescribing errors in a district general hospital. | PSNet

    psnet.ahrq.gov/issue/decreasing-paediatric-prescribing-errors-district-general-hospital
    June 09, 2011 - Study Decreasing paediatric prescribing errors in a district general hospital. Citation Text: Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital. Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212. Copy Citation …

  2. CE: nursing's evolving role in patient safety. | PSNet

    psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety
    July 19, 2023 - Review CE: nursing's evolving role in patient safety. Citation Text: Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48. doi:10.1097/01.NAJ.0000512274.79629.3c. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  3. Framework for analysing risk and safety in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
    February 19, 2014 - Commentary Framework for analysing risk and safety in clinical medicine. Citation Text: Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. Copy Citation Format: Google Scholar PubMed BibTeX E…

  4. Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. | PSNet

    psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
    March 11, 2009 - Study Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. Citation Text: Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …

  5. Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. | PSNet

    psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air
    November 25, 2009 - Study Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. Citation Text: Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary healt…

  6. Checklists change communication about key elements of patient care. | PSNet

    psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
    November 16, 2022 - Study Checklists change communication about key elements of patient care. Citation Text: Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239. …

  7. Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. | PSNet

    psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
    October 19, 2022 - Study Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. Citation Text: Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…

  8. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. | PSNet

    psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
    July 17, 2019 - Review Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. Citation Text: Dalton GD, Samaropoulos XF, Dalton AC. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. Health …

  9. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. | PSNet

    psnet.ahrq.gov/issue/pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center
    June 03, 2020 - Study Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Citation Text: Johnson TN, Tucker AM. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Am J Health-Syst Pharm. 2024;Epub Sep 13. doi:10.1093/ajhp/zxae267. Copy Citation …

  10. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
    February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

  11. On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. | PSNet

    psnet.ahrq.gov/issue/cusp-stop-bsi-evaluating-relationship-between-central-line-associated-bloodstream-infection
    January 30, 2013 - Study On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. Citation Text: Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…

  12. Rural hospital information technology implementation for safety and quality improvement: lessons learned. | PSNet

    psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
    April 24, 2018 - Study Rural hospital information technology implementation for safety and quality improvement: lessons learned. Citation Text: Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform N…

  13. Making use of mortality data to improve quality and safety in general practice: a review of current approaches. | PSNet

    psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
    November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice: a review of current approaches. Citation Text: Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…

  14. High-alert medications in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
    December 16, 2015 - Study High-alert medications in the pediatric intensive care unit. Citation Text: Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. Copy Citation Format: DOI…

  15. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. | PSNet

    psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
    May 27, 2011 - Study Classic An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Citation Text: Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…

  16. Sentinel events, serious reportable events, and root cause analysis. | PSNet

    psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
    February 26, 2014 - Commentary Sentinel events, serious reportable events, and root cause analysis. Citation Text: Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672. Copy Citation …

  17. When a vital sign leads a country astray—the opioid epidemic. | PSNet

    psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
    May 27, 2020 - Commentary When a vital sign leads a country astray—the opioid epidemic. Citation Text: Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. Copy Citation Format: …

  18. Patient safety in the operating room—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
    October 19, 2022 - Review Patient safety in the operating room—part 1 and part 2. Citation Text: Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531. Copy Citation …

  19. Imagining improved interactions: patients' designs to address implicit bias. | PSNet

    psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias
    March 27, 2019 - Study Imagining improved interactions: patients' designs to address implicit bias. Citation Text: Imagining improved interactions: patients' designs to address implicit bias. Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. Copy Citation Sav…

  20. Emergency department discharge prescription interventions by emergency medicine pharmacists. | PSNet

    psnet.ahrq.gov/issue/emergency-department-discharge-prescription-interventions-emergency-medicine-pharmacists
    September 22, 2021 - Study Emergency department discharge prescription interventions by emergency medicine pharmacists. Citation Text: Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214…
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