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  1. Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. | PSNet

    psnet.ahrq.gov/issue/speaking-across-drapes-communication-strategies-anesthesiologists-and-obstetricians-during
    May 08, 2017 - Study Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. Citation Text: Minehart RD, Pian-Smith MCM, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetrician…

  2. A practical approach to measure the quality of handwritten medication orders: a tool for improvement. | PSNet

    psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
    September 24, 2010 - Study A practical approach to measure the quality of handwritten medication orders: a tool for improvement. Citation Text: Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…

  3. The dangers of ignoring the Beers criteria—the prescribing cascade. | PSNet

    psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
    October 10, 2018 - Commentary The dangers of ignoring the Beers criteria—the prescribing cascade. Citation Text: DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288. Copy Citation Format: DO…

  4. Deprescribing: a simple method for reducing polypharmacy. | PSNet

    psnet.ahrq.gov/issue/deprescribing-simple-method-reducing-polypharmacy
    September 09, 2015 - Commentary Deprescribing: a simple method for reducing polypharmacy. Citation Text: McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice-management/de…

  5. Paramedic self-reported medication errors. | PSNet

    psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors-0
    October 27, 2010 - Study Paramedic self-reported medication errors. Citation Text: Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2007;11(1):80-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  6. Innovation and teamwork: introducing multidisciplinary team ward rounds. | PSNet

    psnet.ahrq.gov/issue/innovation-and-teamwork-introducing-multidisciplinary-team-ward-rounds
    May 25, 2022 - Newspaper/Magazine Article Innovation and teamwork: introducing multidisciplinary team ward rounds. Citation Text: Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing management (Harrow, London, England : 1994). 2006;13(1):28-31. Copy…

  7. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest
    August 02, 2013 - Study Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Citation Text: Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/…

  8. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. | PSNet

    psnet.ahrq.gov/issue/using-ora-explore-relationship-nursing-unit-communication-patient-safety-and-quality-outcomes
    December 11, 2008 - Study Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Citation Text: Effken JA, Carley KM, Gephart SM, et al. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Int J Me…

  9. Improving diagnosis in health care—the next imperative for patient safety. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
    July 15, 2015 - Commentary Classic Improving diagnosis in health care—the next imperative for patient safety. Citation Text: Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33620/psn-pdf
    September 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005) September 1, 2005 Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005 In response to "Getting to the R…

  11. An innovative collaborative model of care for undiagnosed complex medical conditions. | PSNet

    psnet.ahrq.gov/issue/innovative-collaborative-model-care-undiagnosed-complex-medical-conditions
    November 21, 2021 - Commentary An innovative collaborative model of care for undiagnosed complex medical conditions. Citation Text: Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.154…

  12. System weaknesses as contributing causes of accidents in health care. | PSNet

    psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

  13. Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. | PSNet

    psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
    February 08, 2023 - Commentary Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. Citation Text: Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558. Copy Citation Format…

  14. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
    July 03, 2014 - Study Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. Citation Text: Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. BMJ Open. 2013;3(6). doi:10…

  15. Close calls in patient safety: should we be paying closer attention? | PSNet

    psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
    November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…

  16. Improving patient safety in the ED waiting room. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-ed-waiting-room
    January 07, 2011 - Commentary Improving patient safety in the ED waiting room. Citation Text: Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2007;33(4):331-5…

  17. Description of inpatient medication management using cognitive work analysis. | PSNet

    psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
    October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…

  18. Student-observed surgical safety practices across an urban regional health authority. | PSNet

    psnet.ahrq.gov/issue/student-observed-surgical-safety-practices-across-urban-regional-health-authority
    August 12, 2020 - Study Student-observed surgical safety practices across an urban regional health authority. Citation Text: Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.04…

  19. Handing over patient care: is it just the old broken telephone game? | PSNet

    psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
    March 01, 2017 - Study Handing over patient care: is it just the old broken telephone game? Citation Text: Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. Copy Citation Form…

  20. A systematic quantitative assessment of risks associated with poor communication in surgical care. | PSNet

    psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care
    August 11, 2010 - Study A systematic quantitative assessment of risks associated with poor communication in surgical care. Citation Text: Nagpal K, Vats A, Ahmed K, et al. A systematic quantitative assessment of risks associated with poor communication in surgical care. Arch Surg. 2010;145(6):582-8. doi:1…
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