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  1. A concept analysis of situational awareness in nursing. | PSNet

    psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing
    August 12, 2015 - Review A concept analysis of situational awareness in nursing. Citation Text: Fore AM, Sculli GL. A concept analysis of situational awareness in nursing. J Adv Nurs. 2013;69(12):2613-21. doi:10.1111/jan.12130. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  2. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
    March 19, 2019 - Commentary Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Citation Text: Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…

  3. Ethical issues in patient safety: implications for nursing management. | PSNet

    psnet.ahrq.gov/issue/ethical-issues-patient-safety-implications-nursing-management
    June 10, 2020 - Commentary Ethical issues in patient safety: implications for nursing management. Citation Text: Kangasniemi M, Vaismoradi M, Jasper M, et al. Ethical issues in patient safety: Implications for nursing management. Nurs Ethics. 2013;20(8):904-16. doi:10.1177/0969733013484488. Copy Cit…

  4. National Nursing Home COVID Action Network. | PSNet

    psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
    October 23, 2019 - Multi-use Website National Nursing Home COVID Action Network. Citation Text: National Nursing Home COVID Action Network. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. Copy Citation Save Save to your library Print Download P…

  5. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. | PSNet

    psnet.ahrq.gov/issue/vha-new-england-medication-error-prevention-initiative-model-long-term-improvement
    January 04, 2017 - Commentary The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. Citation Text: Lesar TS, Anderson ER, Fields J, et al. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives…

  6. Analgesic prescribing errors and associated medication characteristics. | PSNet

    psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
    November 01, 2003 - Study Analgesic prescribing errors and associated medication characteristics. Citation Text: Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…

  7. Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. | PSNet

    psnet.ahrq.gov/issue/safety-considerations-container-labels-and-carton-labeling-design-minimize-medication-errors
    January 13, 2021 - Regulation Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. Rockville,…

  8. Medication Administration Time Study (MATS): nursing staff performance of medication administration. | PSNet

    psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
    February 21, 2018 - Study Medication Administration Time Study (MATS): nursing staff performance of medication administration. Citation Text: Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5)…

  9. Incidence, staff awareness and mortality of patients at risk on general wards. | PSNet

    psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards
    November 15, 2023 - Study Incidence, staff awareness and mortality of patients at risk on general wards. Citation Text: Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…

  10. Tiering drug–drug interaction alerts by severity increases compliance rates. | PSNet

    psnet.ahrq.gov/issue/tiering-drug-drug-interaction-alerts-severity-increases-compliance-rates
    February 18, 2011 - Study Tiering drug–drug interaction alerts by severity increases compliance rates. Citation Text: Paterno MD, Maviglia SM, Gorman PN, et al. Tiering drug-drug interaction alerts by severity increases compliance rates. J Am Med Inform Assoc. 2009;16(1):40-6. doi:10.1197/jamia.M2808. C…

  11. As industry automates, adverse events continue to haunt caregivers. | PSNet

    psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
    February 08, 2023 - Newspaper/Magazine Article As industry automates, adverse events continue to haunt caregivers. Citation Text: Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. Copy Citation Format: Google Scholar PubM…

  12. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet

    psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
    April 08, 2008 - Study Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Citation Text: Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…

  13. I-CaRe: a case review tool focused on improving inpatient care. | PSNet

    psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
    February 18, 2011 - Commentary I-CaRe: a case review tool focused on improving inpatient care. Citation Text: Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. Copy Citation Format: Googl…

  14. Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ? | PSNet

    psnet.ahrq.gov/issue/medical-error-identification-disclosure-and-reporting-do-emergency-medicine-provider-groups
    April 11, 2011 - Study Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ? Citation Text: Hobgood C, Weiner B, Tamayo-Sarver JH. Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ? Acad Emerg Med. 2006…

  15. Reason's accident causation model: application to adverse events in acute care. | PSNet

    psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
    October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

  16. Interruptions during nurses' work: a state-of-the-science review. | PSNet

    psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-review
    October 21, 2009 - Review Interruptions during nurses' work: a state-of-the-science review. Citation Text: Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs Health. 2013;36(1):38-53. doi:10.1002/nur.21515. Copy Citation Format: DOI Google Sc…

  17. Diagnostic error in internal medicine. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
    May 25, 2022 - Study Diagnostic error in internal medicine. Citation Text: Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  18. Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
    January 31, 2018 - Review Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. Citation Text: Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…

  19. Evaluation of nurse interaction with bar code medication administration technology in the work environment. | PSNet

    psnet.ahrq.gov/issue/evaluation-nurse-interaction-bar-code-medication-administration-technology-work-environment
    April 15, 2020 - Study Evaluation of nurse interaction with bar code medication administration technology in the work environment. Citation Text: Carayon P, Wetterneck TB, Hundt AS, et al. Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment. J Pati…

  20. Positive deviance: a new tool for infection prevention and patient safety. | PSNet

    psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
    March 09, 2022 - Commentary Positive deviance: a new tool for infection prevention and patient safety. Citation Text: Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013. Copy Citation Format: Google Sch…
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