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psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
March 20, 2024 - Commentary
Munson Medical Center: embedding a culture of safety and QI into the organization.
Citation Text:
Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70.
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psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
February 04, 2009 - Commentary
OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record.
Citation Text:
Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…
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psnet.ahrq.gov/issue/application-electronic-health-records-joint-commissions-2011-national-patient-safety-goals
May 20, 2019 - Commentary
Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals.
Citation Text:
Radecki RP, Sittig DF. Application of electronic health records to the Joint Commission's 2011 National Patient Safety Goals. JAMA. 2011;306(1):92-3. doi:10.…
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
December 03, 2014 - Study
Implementing root cause analysis in an area health service: views of the participants.
Citation Text:
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8.
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psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy
June 20, 2018 - Review
Drug shortages: effect on parenteral nutrition therapy.
Citation Text:
Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052.
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psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety
February 16, 2011 - Newspaper/Magazine Article
E-prescribing first step to improved safety.
Citation Text:
Finkelstein JB. E-prescribing first step to improved safety. Journal of the National Cancer Institute. 2006;98(24):1763-5.
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
May 29, 2019 - Commentary
Effectiveness of surgical safety checklists in improving patient safety.
Citation Text:
Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02.
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psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
June 17, 2014 - Commentary
A surgical procedure grid for safety and operating room communication in multisite surgery.
Citation Text:
Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…
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psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships-and-leading
July 22, 2020 - Commentary
The evolving role of health educators in advancing patient safety: forging partnerships and leading change.
Citation Text:
Mercurio A. The evolving role of health educators in advancing patient safety: forging partnerships and leading change. Health Promot Pract. 2007;8(2):119…
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psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice
June 21, 2017 - Study
Nurse prescribing: reflections on safety in practice.
Citation Text:
Bradley E, Hynam B, Nolan P. Nurse prescribing: reflections on safety in practice. Soc Sci Med. 2007;65(3):599-609.
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care organizations deal with major failures.
Citation Text:
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11.
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psnet.ahrq.gov/issue/closed-medical-negligence-claims-can-drive-patient-safety-and-reduce-litigation
February 05, 2020 - Review
Closed medical negligence claims can drive patient safety and reduce litigation.
Citation Text:
Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5.
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psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors
June 22, 2022 - Commentary
Surgical data recording technology: a solution to address medical errors?
Citation Text:
Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510.
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psnet.ahrq.gov/issue/role-patient-patient-safety-what-can-we-learn-healthcares-history
June 12, 2024 - Commentary
The role of the patient in patient safety: what can we learn from healthcare's history?
Citation Text:
Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516…
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psnet.ahrq.gov/issue/safe-handover
December 21, 2017 - Commentary
Safe handover.
Citation Text:
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328.
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-nonverbal-involvement
June 14, 2017 - Study
Disclosing medical errors to patients: effects of nonverbal involvement.
Citation Text:
Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007.
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psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes
November 21, 2021 - Study
Statewide identification of adverse events using retrospective nurse review: methods and outcomes.
Citation Text:
Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. J Nurs Meas. 2007;15(3):220-…
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psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
October 20, 2010 - Study
Experience of wrong site surgery and surgical marking practices among clinicians in the UK.
Citation Text:
Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8.
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psnet.ahrq.gov/issue/financial-incentives-and-mortality-taking-pay-performance-step-too-far
December 21, 2017 - Commentary
Financial incentives and mortality: taking pay for performance a step too far.
Citation Text:
Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835.
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psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward
September 29, 2017 - Commentary
Improving the communication between teams managing boarded patients on a surgical specialty ward.
Citation Text:
Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:1…