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  1. Quality improvement initiative to reduce serious safety events and improve patient safety culture. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-serious-safety-events-and-improve-patient-safety
    July 24, 2017 - Study Quality improvement initiative to reduce serious safety events and improve patient safety culture. Citation Text: Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e…

  2. Business Intelligence dashboards for patient safety and quality: a narrative literature review. | PSNet

    psnet.ahrq.gov/issue/business-intelligence-dashboards-patient-safety-and-quality-narrative-literature-review
    February 09, 2022 - Review Business Intelligence dashboards for patient safety and quality: a narrative literature review. Citation Text: Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3…

  3. A safety maturity model for technology-induced errors. | PSNet

    psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
    June 15, 2022 - Review A safety maturity model for technology-induced errors. Citation Text: Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954. Copy Citation Format: DOI Google Scholar BibTe…

  4. Correlates of the third victim phenomenon. | PSNet

    psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
    September 18, 2019 - Review Correlates of the third victim phenomenon. Citation Text: Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  5. Process indicators of quality clinical pharmacy services during transitions of care. | PSNet

    psnet.ahrq.gov/issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Process indicators of quality clinical pharmacy services during transitions of care. Citation Text: Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi…

  6. Lessons from the Covid War: An Investigative Report. | PSNet

    psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
    March 09, 2022 - Book/Report Lessons from the Covid War: An Investigative Report. Citation Text: Lessons from the Covid War: An Investigative Report. Covid Crisis Group. New York: Public Affairs; 2023. ISBN‏: ‎9781541703803. Copy Citation Save Save to your library Print …

  7. Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. | PSNet

    psnet.ahrq.gov/issue/ensuring-healthcare-safety-throughout-covid-19-pandemic
    January 13, 2021 - Webinar Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. Citation Text: Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…

  8. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. | PSNet

    psnet.ahrq.gov/issue/comparing-usability-and-reliability-generic-and-domain-specific-medical-error-taxonomy
    June 29, 2011 - Study Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Citation Text: Taib IA, McIntosh AS, Caponecchia C, et al. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Saf Sci. 2012;50(9):1801…

  9. Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. | PSNet

    psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm
    October 17, 2018 - Newspaper/Magazine Article Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. Citation Text: Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. ISMP Medication Safety Alert! Acute Care Edition…

  10. Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature. | PSNet

    psnet.ahrq.gov/issue/medication-errors-chemotherapy-incidence-types-and-involvement-patients-prevention-review
    February 01, 2011 - Review Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature. Citation Text: Schwappach DLB, Wernli M. Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the lite…

  11. The association between organizational culture and the ability to benefit from "just culture" training. | PSNet

    psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…

  12. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
    September 07, 2016 - Organizational Policy/Guidelines ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Citation Text: Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…

  13. Artificial intelligence systems for complex decision-making in acute care medicine: a review. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
    March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…

  14. Medical emergency teams: a strategy for improving patient care and nursing work environments. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-teams-strategy-improving-patient-care-and-nursing-work-environments
    March 24, 2011 - Study Medical emergency teams: a strategy for improving patient care and nursing work environments. Citation Text: Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-7. Copy C…

  15. Appropriateness of use of medicines in elderly inpatients: qualitative study. | PSNet

    psnet.ahrq.gov/issue/appropriateness-use-medicines-elderly-inpatients-qualitative-study
    December 14, 2016 - Study Appropriateness of use of medicines in elderly inpatients: qualitative study. Citation Text: Spinewine A, Swine C, Dhillon S, et al. Appropriateness of use of medicines in elderly inpatients: qualitative study. BMJ. 2005;331(7522). doi:10.1136/bmj.38551.410012.06. Copy Citation…

  16. Evaluation of an inpatient computerized medication reconciliation system. | PSNet

    psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
    February 15, 2011 - Study Evaluation of an inpatient computerized medication reconciliation system. Citation Text: Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561. Copy C…

  17. Pediatric antidepressant medication errors in a national error reporting database. | PSNet

    psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
    September 21, 2008 - Study Pediatric antidepressant medication errors in a national error reporting database. Citation Text: Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…

  18. Preventable mortality after common urological surgery: failing to rescue? | PSNet

    psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
    July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

  19. Improving medication safety in the ICU: the pharmacist's role. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
    April 20, 2022 - Commentary Improving medication safety in the ICU: the pharmacist's role. Citation Text: Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337. Copy Citation Format: DOI Google…

  20. The hidden risk of wheelchair use. | PSNet

    psnet.ahrq.gov/issue/hidden-risk-wheelchair-use
    March 09, 2022 - Commentary The hidden risk of wheelchair use. Citation Text: Quesenberry M. The hidden risk of wheelchair use. Patient Safety. 2022;4(3):6-9. doi:10.33940/alert/2022.9.1. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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