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  1. Enhancing the quality and safety of the perioperative patient. | PSNet

    psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-patient
    January 14, 2014 - Review Enhancing the quality and safety of the perioperative patient. Citation Text: Staender S, Smith A. Enhancing the quality and safety of the perioperative patient. Curr Opin Anaesthesiol. 2017;30(6):730-735. doi:10.1097/ACO.0000000000000517. Copy Citation Format: DOI G…

  2. Conducting root cause analysis with nursing students: best practice in nursing education. | PSNet

    psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
    September 09, 2015 - Commentary Conducting root cause analysis with nursing students: best practice in nursing education. Citation Text: Lambton J, Mahlmeister L. Conducting root cause analysis with nursing students: best practice in nursing education. J Nurs Educ. 2010;49(8):444-8. doi:10.3928/01484834-…

  3. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

    psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
    February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

  4. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? | PSNet

    psnet.ahrq.gov/issue/there-benefit-multidisciplinary-rounds-open-trauma-intensive-care-unit-regarding-ventilator
    January 06, 2010 - Study Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? Citation Text: Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding v…

  5. Improving the quality and safety of patient care in cardiac anesthesia. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
    September 26, 2012 - Review Improving the quality and safety of patient care in cardiac anesthesia. Citation Text: Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018. Copy Cit…

  6. Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. | PSNet

    psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
    October 02, 2024 - Commentary Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. Citation Text: Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient…

  7. Building safer systems by ecological design: using restoration science to develop a medication safety intervention. | PSNet

    psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
    February 14, 2024 - Study Building safer systems by ecological design: using restoration science to develop a medication safety intervention. Citation Text: Marck PB, Kwan JA, Preville B, et al. Building safer systems by ecological design: using restoration science to develop a medication safety intervent…

  8. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. | PSNet

    psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
    March 24, 2012 - Study Catching and correcting near misses: the collective vigilance and individual accountability trade-off. Citation Text: Jeffs LP, Lingard LA, Berta W, et al. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. J Interprof Care. 201…

  9. Current issues in patient safety in surgery: a review. | PSNet

    psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review
    July 26, 2017 - Review Current issues in patient safety in surgery: a review. Citation Text: Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4. Copy Citation Format: DOI Google Scholar …

  10. Medication errors: an overview for clinicians. | PSNet

    psnet.ahrq.gov/issue/medication-errors-overview-clinicians
    September 20, 2011 - Review Medication errors: an overview for clinicians. Citation Text: Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  11. Appropriateness of use of medicines in elderly inpatients: qualitative study. | PSNet

    psnet.ahrq.gov/issue/appropriateness-use-medicines-elderly-inpatients-qualitative-study
    December 14, 2016 - Study Appropriateness of use of medicines in elderly inpatients: qualitative study. Citation Text: Spinewine A, Swine C, Dhillon S, et al. Appropriateness of use of medicines in elderly inpatients: qualitative study. BMJ. 2005;331(7522). doi:10.1136/bmj.38551.410012.06. Copy Citation…

  12. Interdisciplinary team training identifies discrepancies in institutional policies and practices. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
    November 26, 2012 - Study Interdisciplinary team training identifies discrepancies in institutional policies and practices. Citation Text: Andreatta P, Frankel J, Smith SB, et al. Interdisciplinary team training identifies discrepancies in institutional policies and practices. Am J Obstet Gynecol. 2011;20…

  13. Evaluation of an inpatient computerized medication reconciliation system. | PSNet

    psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
    February 15, 2011 - Study Evaluation of an inpatient computerized medication reconciliation system. Citation Text: Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561. Copy C…

  14. Patient misidentification in the neonatal intensive care unit: quantification of risk. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk
    April 11, 2011 - Study Patient misidentification in the neonatal intensive care unit: quantification of risk. Citation Text: Gray J, Suresh G, Ursprung R, et al. Patient misidentification in the neonatal intensive care unit: quantification of risk. Pediatrics. 2006;117(1):e43-e47. Copy Citation F…

  15. Prevention of surgical malpractice claims by a surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/prevention-surgical-malpractice-claims-surgical-safety-checklist
    September 20, 2011 - Study Prevention of surgical malpractice claims by a surgical safety checklist. Citation Text: de Vries EN, Eikens-Jansen MP, Hamersma AM, et al. Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg. 2011;253(3):624-8. doi:10.1097/SLA.0b013e31820688…

  16. Missed diagnoses by urologists resulting in malpractice payment. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
    November 21, 2021 - Study Missed diagnoses by urologists resulting in malpractice payment. Citation Text: Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9. Copy Citation Format: Google Scholar PubMed BibTeX End…

  17. Better understanding the downsides of low value healthcare could reduce harm. | PSNet

    psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
    August 11, 2021 - Commentary Better understanding the downsides of low value healthcare could reduce harm. Citation Text: Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117. Copy Citation Format: D…

  18. Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
    September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

  19. The sterile cockpit: an effective approach to reducing medication errors? | PSNet

    psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors
    April 24, 2018 - Commentary The sterile cockpit: an effective approach to reducing medication errors? Citation Text: Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. Copy Ci…

  20. Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. | PSNet

    psnet.ahrq.gov/issue/managing-alarms-acute-care-across-life-span-electrocardiography-and-pulse-oximetry
    April 01, 2019 - Organizational Policy/Guidelines Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Citation Text: Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018…
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