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Medication-administration errors in an urban mental health hospital: a direct observation study. | PSNet

psnet.ahrq.gov/issue/medication-administration-errors-urban-mental-health-hospital-direct-observation-study

September 03, 2014 - Study Medication-administration errors in an urban mental health hospital: a direct observation study. Citation Text: Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111…

The trigger tool as a method to measure harmful medication errors in children. | PSNet

psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children

August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. | PSNet

psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality-based-clinical

July 27, 2022 - Study Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Citation Text: Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2…

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. | PSNet

psnet.ahrq.gov/issue/factors-influencing-family-member-perspectives-safety-intensive-care-unit-systematic-review

July 21, 2021 - Review Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Citation Text: Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Int J Qual H…

Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing

August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. Citation Text: Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…

An analysis of electronic health record–related patient safety incidents. | PSNet

psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents

August 19, 2020 - Study An analysis of electronic health record–related patient safety incidents. Citation Text: Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. Copy…

Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. | PSNet

psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients

April 13, 2011 - Study Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. Citation Text: Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. Copy…

Abusive supervision: a systematic review and fundamental rethink. | PSNet

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May 18, 2022 - Review Abusive supervision: a systematic review and fundamental rethink. Citation Text: Fischer T, Tian AW, Lee A, et al. Abusive supervision: a systematic review and fundamental rethink. The Leadership Q. 2021;32(6):101540. doi:10.1016/j.leaqua.2021.101540. Copy Citation Format: …

Medication reconciliation and patient safety in trauma: Applicability of existing strategies. | PSNet

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September 23, 2020 - Review Medication reconciliation and patient safety in trauma: Applicability of existing strategies. Citation Text: DeAntonio JH, Leichtle SW, Hobgood S, et al. Medication reconciliation and patient safety in trauma: Applicability of existing strategies. J Surg Res. 2019;246:482-489. doi…

Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. | PSNet

psnet.ahrq.gov/issue/validating-decision-tree-serious-infection-diagnostic-accuracy-acutely-ill-children

December 02, 2020 - Study Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. Citation Text: Verbakel JY, Lemiengre MB, De Burghgraeve T, et al. Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambu…

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. | PSNet

psnet.ahrq.gov/issue/advancing-interprofessional-patient-safety-education-medical-nursing-and-pharmacy-learners

May 18, 2022 - Commentary Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. Citation Text: Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during…

Creating champions for health care quality and safety. | PSNet

psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety

August 04, 2021 - Study Creating champions for health care quality and safety. Citation Text: Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. Copy Citation Format: DOI Google S…

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet

psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects

July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…

Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet

psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients

August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…

A patient safety approach to setting pass/fail standards for basic procedural skills checklists. | PSNet

psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists

July 28, 2010 - Commentary A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Citation Text: Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…

Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/separate-medication-preparation-rooms-reduce-interruptions-and-medication-errors-hospital

March 11, 2013 - Study Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. Citation Text: Huckels-Baumgart S, Baumgart A, Buschmann U, et al. Separate Medication Preparation Rooms Reduce Interruptions and Medication …

A survey of hospital quality improvement activities. | PSNet

psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities

January 27, 2019 - Study A survey of hospital quality improvement activities. Citation Text: Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. Copy Citation Format: DOI Google Sch…

Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. | PSNet

psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency

April 24, 2018 - Review Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Citation Text: Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. A…

First-year analysis of the Operating Room Black Box study. | PSNet

psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study

October 16, 2019 - Study Emerging Classic First-year analysis of the Operating Room Black Box study. Citation Text: Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. Copy…

Transforming team performance through reimplementation of the surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist

March 09, 2022 - Study Transforming team performance through reimplementation of the surgical safety checklist. Citation Text: Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…

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