-
psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
February 23, 2022 - Newspaper/Magazine Article
Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada.
Citation Text:
Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…
-
psnet.ahrq.gov/issue/college-students-return-crisis-campus-care-awaits
September 09, 2020 - Newspaper/Magazine Article
As college students return, a crisis in campus care awaits.
Citation Text:
Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The Seattle Times. 2020;July 13.
Copy Citation
Format:
Google Scholar Bi…
-
psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
August 25, 2021 - Commentary
Measure Dx: implementing pathways to discover and learn from diagnostic errors.
Citation Text:
Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.…
-
psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
March 03, 2019 - Study
Pediatric emergency nurses self-reported medication safety practices.
Citation Text:
Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
May 25, 2022 - Commentary
Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research.
Citation Text:
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/b…
-
psnet.ahrq.gov/issue/role-human-factors-neonatal-patient-safety
August 04, 2021 - Journal Article
The role of human factors in neonatal patient safety
Citation Text:
Yamada NK, Catchpole K, Salas E. The role of human factors in neonatal patient safety. Semin Perinatol. 2019;43(8):151174. doi:10.1053/j.semperi.2019.08.003.
Copy Citation
Format:
DOI Google…
-
psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
December 16, 2020 - Study
Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals.
Citation Text:
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
C…
-
psnet.ahrq.gov/issue/implementing-computerized-physician-order-management-community-hospital
November 16, 2022 - Commentary
Implementing computerized physician order management at a community hospital.
Citation Text:
Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a community hospital. Jt Comm J Qual Patient Saf. 2008;34(2):74-84.
Copy Citation
For…
-
psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
November 16, 2022 - Study
Managing patients with identical names in the same ward.
Citation Text:
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
Copy Citation
Format:
Google Scholar PubM…
-
psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
October 19, 2022 - Commentary
Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED.
Citation Text:
Gottlieb LK, Stone EM, Stone D, et al. Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. Health Aff. 2005;…
-
psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
May 25, 2022 - Commentary
Classic
Understanding the "Swiss cheese model" and its application to patient safety.
Citation Text:
Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…
-
psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - Commentary
Classic
Continuous improvement as an ideal in health care.
Citation Text:
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XM…
-
psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
September 23, 2020 - Commentary
Improving medication administration safety in a community hospital setting using Lean methodology.
Citation Text:
Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/N…
-
psnet.ahrq.gov/issue/provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department
June 26, 2024 - Study
Provider interruptions and patient perceptions of care: an observational study in the emergency department.
Citation Text:
Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;…
-
psnet.ahrq.gov/issue/use-and-implementation-standard-operating-procedures-and-checklists-prehospital-emergency
August 28, 2024 - Review
Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review.
Citation Text:
Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a lit…
-
psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
September 18, 2024 - Study
Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals.
Citation Text:
Campione Russo A, Tilly J‐L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13…
-
psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022
November 20, 2024 - Book/Report
Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022.
Citation Text:
Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. …
-
psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
December 20, 2023 - Commentary
Emergency department checklist: an innovation to improve safety in emergency care.
Citation Text:
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…
-
psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - Study
Double checking medicines: defence against error or contributory factor?
Citation Text:
Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNo…
-
psnet.ahrq.gov/issue/ades-and-automation
January 15, 2014 - Commentary
ADEs and automation.
Citation Text:
Kloppenborg E, Wheeler A, Luria J. ADEs and automation. Nurs Manage. 2009;40(1):43-7. doi:10.1097/01.NUMA.0000343983.46376.31.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…