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  1. Reducing inappropriate polypharmacy: the process of deprescribing. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
    September 23, 2020 - Commentary Reducing inappropriate polypharmacy: the process of deprescribing. Citation Text: Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. Copy Citation …

  2. Diagnostic errors with inserted tubes, lines and catheters in children. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-inserted-tubes-lines-and-catheters-children
    September 11, 2019 - Study Diagnostic errors with inserted tubes, lines and catheters in children. Citation Text: Fuentealba I, Taylor GA. Diagnostic errors with inserted tubes, lines and catheters in children. Pediatr Radiol. 2012;42(11):1305-15. doi:10.1007/s00247-012-2462-7. Copy Citation Format: …

  3. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet

    psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
    February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Citation Text: Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…

  4. Undertriage of elderly trauma patients to state-designated trauma centers. | PSNet

    psnet.ahrq.gov/issue/undertriage-elderly-trauma-patients-state-designated-trauma-centers
    December 08, 2021 - Study Undertriage of elderly trauma patients to state-designated trauma centers. Citation Text: Chang DC, Bass RR, Cornwell EE, et al. Undertriage of elderly trauma patients to state-designated trauma centers. Arch Surg. 2008;143(8):776-782. doi:10.1001/archsurg.143.8.776. Copy Citati…

  5. Improving communication of diagnostic uncertainty to families of hospitalized children. | PSNet

    psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
    December 23, 2020 - Study Improving communication of diagnostic uncertainty to families of hospitalized children. Citation Text: Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-20…

  6. Accountability in nursing practice: why it is important for patient safety. | PSNet

    psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
    April 07, 2021 - Commentary Accountability in nursing practice: why it is important for patient safety. Citation Text: Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008. Copy Citation Format…

  7. Human factors in surgery: from Three Mile Island to the operating room. | PSNet

    psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
    July 12, 2019 - Review Human factors in surgery: from Three Mile Island to the operating room. Citation Text: D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662. Copy Citation Form…

  8. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. | PSNet

    psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes
    September 24, 2010 - Study Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. Citation Text: Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. …

  9. Do safety checklists improve teamwork and communication in the operating room? A systematic review. | PSNet

    psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
    January 19, 2016 - Review Do safety checklists improve teamwork and communication in the operating room? A systematic review. Citation Text: Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …

  10. Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-safety-partners-some-considerations-ensuring-culturally-and-linguistically
    February 12, 2020 - Review Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach. Citation Text: Johnstone M-J, Kanitsaki O. Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropri…

  11. Teaching nurses to make clinical judgments that ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
    August 17, 2022 - Commentary Teaching nurses to make clinical judgments that ensure patient safety. Citation Text: Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. Copy Citation Format: …

  12. The contribution of nurses to incident disclosure: a narrative review. | PSNet

    psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review
    March 15, 2016 - Review The contribution of nurses to incident disclosure: a narrative review. Citation Text: Harrison R, Birks Y, Hall J, et al. The contribution of nurses to incident disclosure: a narrative review. Int J Nurs Stud. 2014;51(2):334-45. doi:10.1016/j.ijnurstu.2013.07.001. Copy Citatio…

  13. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
    October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…

  14. Distractions and the anaesthetist: a qualitative study of context and direction of distraction. | PSNet

    psnet.ahrq.gov/issue/distractions-and-anaesthetist-qualitative-study-context-and-direction-distraction
    April 24, 2018 - Study Distractions and the anaesthetist: a qualitative study of context and direction of distraction. Citation Text: Jothiraj H, Howland-Harris J, Evley R, et al. Distractions and the anaesthetist: a qualitative study of context and direction of distraction. Br J Anaesth. 2013;111(3):477…

  15. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-and-efficiency-transfusion-therapy-using-formal-process-definitions
    September 23, 2020 - Study Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Citation Text: Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(…

  16. Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-related-implementation-surgical-safety-checklists-systematic-review
    December 05, 2018 - Review Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. Citation Text: Bergs J, Lambrechts F, Simons P, et al. Barriers and facilitators related to the implementation of surgical safety checklists: a s…

  17. Toward a definition of teamwork in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/toward-definition-teamwork-emergency-medicine
    May 31, 2017 - Commentary Toward a definition of teamwork in emergency medicine. Citation Text: Fernandez R, Kozlowski SWJ, Shapiro MJ, et al. Toward a definition of teamwork in emergency medicine. Acad Emerg Med. 2008;15(11):1104-12. doi:10.1111/j.1553-2712.2008.00250.x. Copy Citation Format: …

  18. A plan for achieving significant improvement in patient safety. | PSNet

    psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
    September 23, 2020 - Commentary A plan for achieving significant improvement in patient safety. Citation Text: Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual. 2007;22(2):164-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  19. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. | PSNet

    psnet.ahrq.gov/issue/assessing-impact-educational-program-decreasing-prescribing-errors-university-hospital
    October 19, 2011 - Study Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. Citation Text: Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. J Hosp Med. 2009;4(2):97-101. d…

  20. Nursing student medication errors: a case study using root cause analysis. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
    November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…
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