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  1. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. | PSNet

    psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings
    November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…

  2. Factors that influence the expected length of operation: results of a prospective study. | PSNet

    psnet.ahrq.gov/issue/factors-influence-expected-length-operation-results-prospective-study
    August 11, 2021 - Study Factors that influence the expected length of operation: results of a prospective study. Citation Text: Gillespie BM, Chaboyer W, Fairweather N. Factors that influence the expected length of operation: results of a prospective study. BMJ Qual Saf. 2012;21(1):3-12. doi:10.1136/bmjqs…

  3. The effectiveness of assertiveness communication training programs for healthcare professionals and students: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-assertiveness-communication-training-programs-healthcare-professionals-and
    January 24, 2018 - Review The effectiveness of assertiveness communication training programs for healthcare professionals and students: a systematic review. Citation Text: Omura M, Maguire J, Levett-Jones T, et al. The effectiveness of assertiveness communication training programs for healthcare profession…

  4. Perceptions of rounding checklists in the intensive care unit: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/perceptions-rounding-checklists-intensive-care-unit-qualitative-study
    July 21, 2021 - Study Perceptions of rounding checklists in the intensive care unit: a qualitative study. Citation Text: Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.…

  5. Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

    psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
    September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

  6. Development of an instrument to measure the unintended consequences of EHRs. | PSNet

    psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs
    June 22, 2011 - Commentary Development of an instrument to measure the unintended consequences of EHRs. Citation Text: Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/019394591557608…

  7. Rapid response systems in adult academic medical centers. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
    February 16, 2011 - Study Rapid response systems in adult academic medical centers. Citation Text: Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. Copy Citation Format: Google Scholar PubMed BibTeX E…

  8. Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. | PSNet

    psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia
    February 14, 2018 - Study Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. Citation Text: Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…

  9. E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d-population-diabetes
    September 30, 2015 - Study E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. Citation Text: Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With Diabetes. Med …

  10. Identifying patient safety problems during team rounds: an ethnographic study. | PSNet

    psnet.ahrq.gov/issue/identifying-patient-safety-problems-during-team-rounds-ethnographic-study
    May 11, 2022 - Study Identifying patient safety problems during team rounds: an ethnographic study. Citation Text: Lamba R, Linn K, Fletcher KE. Identifying patient safety problems during team rounds: an ethnographic study. BMJ Qual Saf. 2014;23(8):667-9. doi:10.1136/bmjqs-2013-002324. Copy Citation …

  11. Inpatient housestaff discontinuity of care and patient adverse events. | PSNet

    psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
    July 02, 2008 - Study Inpatient housestaff discontinuity of care and patient adverse events. Citation Text: Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008. Copy Citation …

  12. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. | PSNet

    psnet.ahrq.gov/issue/identifying-adverse-events-reflections-imperfect-gold-standard-after-20-years-patient-safety
    September 09, 2015 - Commentary Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. Citation Text: Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.…

  13. Monitoring during sedation given by non-anaesthetic doctors. | PSNet

    psnet.ahrq.gov/issue/monitoring-during-sedation-given-non-anaesthetic-doctors
    August 30, 2023 - Study Monitoring during sedation given by non-anaesthetic doctors. Citation Text: Fanning RM. Monitoring during sedation given by non-anaesthetic doctors. Anaesthesia. 2008;63(4):370-374. doi:10.1111/j.1365-2044.2007.05378.x. Copy Citation Format: DOI Google Scholar PubMe…

  14. Patient safety: examining the adequacy of the 5 rights of medication administration. | PSNet

    psnet.ahrq.gov/issue/patient-safety-examining-adequacy-5-rights-medication-administration
    March 02, 2016 - Commentary Patient safety: examining the adequacy of the 5 rights of medication administration. Citation Text: Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f. Copy…

  15. Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts. | PSNet

    psnet.ahrq.gov/issue/it-time-pull-plug-12-hour-shifts-part-3-harm-reduction-strategies-if-keeping-12-hour-shifts
    February 01, 2012 - Commentary Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts. Citation Text: Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies if keeping 12-hour shifts. J Nurs Adm. 201…

  16. Handover after pediatric heart surgery: a simple tool improves information exchange. | PSNet

    psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
    July 03, 2016 - Study Handover after pediatric heart surgery: a simple tool improves information exchange. Citation Text: Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…

  17. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

    psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
    October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

  18. Tenfold therapeutic dosing errors in young children reported to US poison control centers. | PSNet

    psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
    July 10, 2024 - Study Tenfold therapeutic dosing errors in young children reported to US poison control centers. Citation Text: Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…

  19. Incidents and errors in neonatal intensive care: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature
    June 15, 2011 - Review Incidents and errors in neonatal intensive care: a review of the literature. Citation Text: Snijders C, van Lingen RA, Molendijk A, et al. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8. Copy Cit…

  20. Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. | PSNet

    psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams
    December 21, 2016 - Study Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. Citation Text: Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.11…
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