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Color coded medication safety system reduces community pediatric emergency nursing medication errors. | PSNet

psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication

April 05, 2023 - Study Color coded medication safety system reduces community pediatric emergency nursing medication errors. Citation Text: Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…

Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. | PSNet

psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric

November 02, 2022 - Commentary Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. Citation Text: McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric units. Aust N Z J Obstet Gyna…

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. | PSNet

psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician

December 02, 2020 - Study Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Citation Text: Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…

Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. | PSNet

psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer

February 03, 2011 - Study Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. Citation Text: Caruso TJ, Marquez JL, Wu DS, et al. Implementation of a standardized postanesthesia care handoff increases information transfer without i…

Medical errors and patient safety in palliative care: a review of current literature. | PSNet

psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature

December 04, 2016 - Review Medical errors and patient safety in palliative care: a review of current literature. Citation Text: Dietz I, Borasio GD, Schneider G, et al. Medical errors and patient safety in palliative care: a review of current literature. J Palliat Med. 2010;13(12):1469-74. doi:10.1089/jpm.2…

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. | PSNet

psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-protocol

November 12, 2014 - Study 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. Citation Text: Pandit JJ, Andrade J, Bogod DG, et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, metho…

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. | PSNet

psnet.ahrq.gov/issue/chemotherapy-medication-errors-pediatric-cancer-treatment-center-prospective-characterization

January 22, 2017 - Study Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. Citation Text: Watts RG, Parsons K. Chemotherapy medication errors in a pe…

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration

January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

Organizational culture: an important context for addressing and improving hospital to community patient discharge. | PSNet

psnet.ahrq.gov/issue/organizational-culture-important-context-addressing-and-improving-hospital-community-patient

December 30, 2014 - Study Organizational culture: an important context for addressing and improving hospital to community patient discharge. Citation Text: Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community pa…

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding

November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

The Veterans Affairs shift change physician-to-physician handoff project. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-shift-change-physician-physician-handoff-project

April 30, 2014 - Study The Veterans Affairs shift change physician-to-physician handoff project. Citation Text: Anderson J, Shroff D, Curtis A, et al. The Veterans Affairs shift change physician-to-physician handoff project. Jt Comm J Qual Patient Saf. 2010;36(2):62-71. Copy Citation Format: …

Hospice diagnosis: polypharmacy—a teachable moment. | PSNet

psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment

April 24, 2018 - Commentary Hospice diagnosis: polypharmacy—a teachable moment. Citation Text: Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253. Copy Citation Format: DOI Google Scholar PubMed…

Improving the safety of medication administration using an interactive CD-ROM program. | PSNet

psnet.ahrq.gov/issue/improving-safety-medication-administration-using-interactive-cd-rom-program

February 15, 2011 - Commentary Improving the safety of medication administration using an interactive CD-ROM program. Citation Text: Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…

Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. | PSNet

psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings

December 21, 2014 - Study Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. Citation Text: Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medi…

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. | PSNet

psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism

November 16, 2022 - Commentary National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. Citation Text: D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…

Harnessing the power of medical malpractice data to improve patient care. | PSNet

psnet.ahrq.gov/issue/harnessing-power-medical-malpractice-data-improve-patient-care

September 25, 2019 - Commentary Harnessing the power of medical malpractice data to improve patient care. Citation Text: Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. Copy Citatio…

What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. | PSNet

psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow

June 22, 2022 - Commentary What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. Citation Text: Narayana S, Rajkomar A, Harrison JD, et al. What Happened to My Patient? An Educational Intervention to Facilitate Postdischarge Patient Follow-Up. J Grad Med…

Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. | PSNet

psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety

October 21, 2020 - Study Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. Citation Text: Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…

Developing critical thinking skills for delivering optimal care | PSNet

psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-optimal-care

June 23, 2021 - Commentary Developing critical thinking skills for delivering optimal care Citation Text: Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern Med J. 2021;51(4):488-493. doi:10.1111/imj.15272. Copy Citation Format: DO…

Diagnostic reasoning: an endangered competency in internal medicine training. | PSNet

psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training

September 04, 2019 - Commentary Diagnostic reasoning: an endangered competency in internal medicine training. Citation Text: Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. Copy Citat…

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