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Use of complex adaptive systems metaphor to achieve professional and organizational change. | PSNet

psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change

November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…

Preventing medication errors. | PSNet

psnet.ahrq.gov/issue/preventing-medication-errors

May 30, 2018 - Commentary Preventing medication errors. Citation Text: Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. | PSNet

psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002

October 08, 2014 - Study Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. Citation Text: Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance of reporting suspected reactions. Arch Intern Med. 2005…

Kaiser Permanente's performance improvement system, part 4: creating a learning organization. | PSNet

psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization

July 19, 2023 - Commentary Kaiser Permanente's performance improvement system, part 4: creating a learning organization. Citation Text: Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011…

Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? | PSNet

psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough

November 16, 2022 - Study Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Citation Text: Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…

The role of the patient in patient safety: what can we learn from healthcare's history? | PSNet

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…

A root cause analysis project in a medication safety course. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course

October 07, 2020 - Commentary A root cause analysis project in a medication safety course. Citation Text: Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Is failure mode and effect analysis reliable? | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable

August 15, 2012 - Study Is failure mode and effect analysis reliable? Citation Text: Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. | PSNet

psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia

April 24, 2019 - Newspaper/Magazine Article Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. Citation Text: Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. | PSNet

psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and

September 27, 2017 - Study What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. Citation Text: Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and su…

Using the medication error prioritization system to improve patient safety. | PSNet

psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety

May 01, 2020 - Commentary Using the medication error prioritization system to improve patient safety. Citation Text: Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Critical incident reporting system in emergency medicine. | PSNet

psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine

August 07, 2019 - Review Critical incident reporting system in emergency medicine. Citation Text: Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82. Copy Citation Format: DOI Google Scholar PubMed …

The cost of nurse-sensitive adverse events. | PSNet

psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events

June 16, 2021 - Study The cost of nurse-sensitive adverse events. Citation Text: Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236. doi:10.1097/01.NNA.0000312770.19481.ce. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

Healthcare Systems Ergonomics and Patient Safety Triennial Conference. | PSNet

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February 10, 2015 - Meeting/Conference Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Citation Text: Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…

Advocate Health Care: a systemwide approach to quality and safety. | PSNet

psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety

July 19, 2023 - Commentary Advocate Health Care: a systemwide approach to quality and safety. Citation Text: Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. Copy Citation Format: Google Scholar PubMed BibTeX …

Residency program fills medication safety void. | PSNet

psnet.ahrq.gov/issue/residency-program-fills-medication-safety-void

May 04, 2022 - Newspaper/Magazine Article Residency program fills medication safety void. Citation Text: Young D. Residency program fills medication safety void. Am J Health Syst Pharm. 2005;62(23):2450-2451. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. | PSNet

psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report

April 06, 2022 - Book/Report AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Citation Text: AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …

Nil per os orders for imaging: a teachable moment. | PSNet

psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment

November 13, 2024 - Commentary Nil per os orders for imaging: a teachable moment. Citation Text: Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943. Copy Citation Format: DOI Googl…

Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. | PSNet

psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care

October 04, 2006 - Book/Report Classic Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Citation Text: Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Ba…

Why we need a single definition of disruptive behavior. | PSNet

psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior

November 01, 2017 - Review Why we need a single definition of disruptive behavior. Citation Text: Petrovic MA, Scholl AT. Why We Need a Single Definition of Disruptive Behavior. Cureus. 2018;10(3):e2339. doi:10.7759/cureus.2339. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

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