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  1. Elimination of emergency department medication errors due to estimated weights. | PSNet

    psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights
    July 08, 2020 - Commentary Elimination of emergency department medication errors due to estimated weights. Citation Text: Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5…

  2. Diagnostic error as a result of drug-laboratory test interactions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
    November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

  3. An institution-wide handoff task force to standardise and improve physician handoffs. | PSNet

    psnet.ahrq.gov/issue/institution-wide-handoff-task-force-standardise-and-improve-physician-handoffs
    January 07, 2015 - Study An institution-wide handoff task force to standardise and improve physician handoffs. Citation Text: Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71. Copy Citation …

  4. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  5. Hospitalist handoffs: a systematic review and task force recommendations. | PSNet

    psnet.ahrq.gov/issue/hospitalist-handoffs-systematic-review-and-task-force-recommendations
    September 09, 2013 - Review Hospitalist handoffs: a systematic review and task force recommendations. Citation Text: Arora VM, Manjarrez E, Dressler DD, et al. Hospitalist handoffs: A systematic review and task force recommendations. J Hosp Med. 2009;4(7). doi:10.1002/jhm.573. Copy Citation Format: …

  6. Quality and safety in surgery: challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-surgery-challenges-and-opportunities
    September 02, 2020 - Commentary Quality and safety in surgery: challenges and opportunities. Citation Text: Nasca BJ, Bilimoria KY, Yang AD. Quality and safety in surgery: challenges and opportunities. Jt Comm J Qual Patient Saf. 2021;47(9):604-607. doi:10.1016/j.jcjq.2021.05.003. Copy Citation Format:…

  7. Bar-code verification: reducing but not eliminating medication errors. | PSNet

    psnet.ahrq.gov/issue/bar-code-verification-reducing-not-eliminating-medication-errors
    September 27, 2016 - Study Bar-code verification: reducing but not eliminating medication errors. Citation Text: Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545. Copy Citation…

  8. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. | PSNet

    psnet.ahrq.gov/issue/use-briefings-and-debriefings-tool-improving-team-work-efficiency-and-communication-operating
    September 07, 2011 - Study Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. Citation Text: Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the…

  9. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
    May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

  10. Potentially inappropriate medications and adverse drug effects in elders in the ED. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
    December 23, 2020 - Study Potentially inappropriate medications and adverse drug effects in elders in the ED. Citation Text: Nixdorff N, Hustey FM, Brady AK, et al. Potentially inappropriate medications and adverse drug effects in elders in the ED. Am J Emerg Med. 2008;26(6):697-700. doi:10.1016/j.ajem.20…

  11. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet

    psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
    May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

  12. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet

    psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
    June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

  13. Strategies used by critical care nurses to identify, interrupt, and correct medical errors. | PSNet

    psnet.ahrq.gov/issue/strategies-used-critical-care-nurses-identify-interrupt-and-correct-medical-errors
    September 27, 2016 - Study Strategies used by critical care nurses to identify, interrupt, and correct medical errors. Citation Text: Henneman EA, Gawlinski A, Blank FS, et al. Strategies used by critical care nurses to identify, interrupt, and correct medical errors. Am J Crit Care. 2010;19(6):500-9. doi:10…

  14. Talking behind their backs: negative gossip and burnout in hospitals. | PSNet

    psnet.ahrq.gov/issue/talking-behind-their-backs-negative-gossip-and-burnout-hospitals
    April 17, 2024 - Study Talking behind their backs: negative gossip and burnout in hospitals. Citation Text: Georganta K, Panagopoulou E, Montgomery A. Talking behind their backs: Negative gossip and burnout in Hospitals. Burn Res. 2014;1(2). doi:10.1016/j.burn.2014.07.003. Copy Citation Format: …

  15. Medication orders with future start dates: how far away is too far? | PSNet

    psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
    March 15, 2022 - Newspaper/Magazine Article Medication orders with future start dates: how far away is too far? Citation Text: Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. Copy Citation Sa…

  16. Awareness of human factors in the operating theatres during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic
    October 27, 2021 - Study Awareness of human factors in the operating theatres during the COVID-19 pandemic. Citation Text: Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858. …

  17. Randomized trial to improve prescribing safety during pregnancy. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-during-pregnancy
    October 06, 2011 - Study Randomized trial to improve prescribing safety during pregnancy. Citation Text: Raebel MA, Carroll NM, Kelleher JA, et al. Randomized trial to improve prescribing safety during pregnancy. J Am Med Inform Assoc. 2007;14(4):440-450. Copy Citation Format: Google Schola…

  18. Addressing health care disparities by improving quality and safety. | PSNet

    psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
    January 27, 2021 - Sentinel Event Alerts Addressing health care disparities by improving quality and safety. Citation Text: Addressing health care disparities by improving quality and safety. Sentinel Event Alert. Nov 10 2021;(64):1-7. Copy Citation Save Save to your library …

  19. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. | PSNet

    psnet.ahrq.gov/issue/severe-drug-interactions-and-potentially-inappropriate-medication-usage-elderly-cancer
    November 11, 2020 - Study Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Citation Text: Alkan A, Yaşar A, Karcı E, et al. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Support Care Cancer. 2017;25(1):2…

  20. Risk management, or just a different risk? | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk
    April 12, 2011 - Study Risk management, or just a different risk? Citation Text: Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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