-
psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized
December 11, 2024 - Commentary
Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist.
Citation Text:
Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized check…
-
psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
December 22, 2018 - Commentary
Crib of horrors: one hospital's approach to promoting a culture of safety.
Citation Text:
Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843.
Copy Citation
…
-
psnet.ahrq.gov/issue/global-oximetry-international-anaesthesia-quality-improvement-project
November 12, 2014 - Study
Global oximetry: an international anaesthesia quality improvement project.
Citation Text:
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
Co…
-
psnet.ahrq.gov/issue/relationship-between-early-emergency-team-calls-and-serious-adverse-events
June 02, 2010 - Study
The relationship between early emergency team calls and serious adverse events.
Citation Text:
Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3…
-
psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment
August 03, 2009 - Study
Beyond the medical record: other modes of error acknowledgment.
Citation Text:
Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9.
Copy Citation
Format:
Google Scholar PubMe…
-
psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
January 25, 2017 - Study
Parent preferences for medical error disclosure: a qualitative study.
Citation Text:
Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework
March 24, 2019 - Commentary
The effect of evidence in crisis learning: based on a perspective integration framework.
Citation Text:
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…
-
psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency-team
December 02, 2009 - Commentary
Improving sepsis care through systems change: the impact of a medical emergency team.
Citation Text:
Sarani B, Brenner SR, Gabel B, et al. Improving sepsis care through systems change: the impact of a medical emergency team. Jt Comm J Qual Patient Saf. 2008;34(3):179-182, 12…
-
psnet.ahrq.gov/issue/specimen-labeling-errors-surgical-pathology-18-month-experience
January 04, 2012 - Study
Specimen labeling errors in surgical pathology: an 18-month experience.
Citation Text:
Layfield LJ, Anderson GM. Specimen labeling errors in surgical pathology: an 18-month experience. Am J Clin Pathol. 2010;134(3):466-70. doi:10.1309/AJCPHLQHJ0S3DFJK.
Copy Citation
Format:…
-
psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
November 16, 2022 - Study
Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit.
Citation Text:
Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. …
-
psnet.ahrq.gov/issue/implications-case-managers-perceptions-and-attitude-safety-home-delivered-care
September 18, 2016 - Study
Implications of case managers' perceptions and attitude on safety of home-delivered care.
Citation Text:
Jones S. Implications of case managers' perceptions and attitude on safety of home-delivered care. Br J Community Nurs. 2015;20(12):602-7. doi:10.12968/bjcn.2015.20.12.602.
Co…
-
psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
January 02, 2017 - Study
Medication errors resulting from computer entry by nonprescribers.
Citation Text:
Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208.
Copy Citation
…
-
psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine
November 03, 2015 - Study
Spoons systematically bias dosing of liquid medicine.
Citation Text:
Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024.
Copy Citation
Format:
DOI Google Scho…
-
psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
November 09, 2022 - Study
Association of overlapping cardiac surgery with short-term patient outcomes.
Citation Text:
Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtc…
-
psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
August 17, 2022 - Commentary
A case of adverse drug reaction induced by dispensing error.
Citation Text:
Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/development-huddle-observation-tool-structured-case-management-discussions-improve-situation
March 06, 2013 - Study
Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards.
Citation Text:
Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured case management …
-
psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
March 01, 2023 - Commentary
Using the patient safety huddle as a tool for high reliability.
Citation Text:
Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004.
Copy Citation
…
-
psnet.ahrq.gov/issue/pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting
August 04, 2021 - Study
A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds.
Citation Text:
Liu SW, Thomas SH, Gordon JA, et al. A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Ann E…
-
psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
May 13, 2015 - Study
A protocol for the safe use of hazardous drugs in the OR.
Citation Text:
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960.
Copy Citation
Format:
DOI Google Scholar BibTeX End…
-
psnet.ahrq.gov/issue/why-it-so-hard-talk-about-overuse-pediatrics-and-why-it-matters
March 04, 2020 - Commentary
Why it is so hard to talk about overuse in pediatrics and why it matters.
Citation Text:
Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters. JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239.
Copy Citatio…