-
psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
February 12, 2020 - Study
The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.
Citation Text:
Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…
-
psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
September 09, 2020 - Commentary
A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system.
Citation Text:
Abdelmalak BB, Adhami T, Simmons W, et al. A blueprint for success: implementation of the…
-
psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work
April 13, 2022 - Commentary
Safety cases for digital health innovations: can they work?
Citation Text:
Sujan M, Habli I. Safety cases for digital health innovations: can they work? BMJ Qual Saf. 2021;30(12):1047-1050. doi:10.1136/bmjqs-2021-012983.
Copy Citation
Format:
DOI Google Scholar B…
-
psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community
November 16, 2022 - Study
Pharmacist linkage in care transitions: from academic medical center to community.
Citation Text:
Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j…
-
psnet.ahrq.gov/issue/mobilising-or-standing-still-narrative-review-surgical-safety-checklist-knowledge-developed
August 21, 2019 - Review
Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.
Citation Text:
Mitchell B, Cristancho S, Nyhof BB, et al. Mobilising or standing still?A narrative review of Surgical Safety Checklist …
-
psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
March 30, 2022 - Commentary
Five reasons for optimism on World Patient Safety Day.
Citation Text:
Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8.
Copy Citation
Format:
DOI …
-
psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
October 16, 2019 - Study
Emerging Classic
First-year analysis of the Operating Room Black Box study.
Citation Text:
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
Copy…
-
psnet.ahrq.gov/issue/impact-improving-teamwork-patient-outcomes-surgery-systematic-review
May 13, 2020 - Review
The impact of improving teamwork on patient outcomes in surgery: a systematic review.
Citation Text:
Sun R, Marshall DC, Sykes MC, et al. The impact of improving teamwork on patient outcomes in surgery: A systematic review. Int J Surg. 2018;53:171-177. doi:10.1016/j.ijsu.2018.03.0…
-
psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety
July 12, 2017 - Study
Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities.
Citation Text:
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…
-
psnet.ahrq.gov/issue/deficiencies-provider-reported-interpreter-use-clinical-trial-comparing-telephonic-and-video
August 12, 2020 - Study
Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department.
Citation Text:
Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial compa…
-
psnet.ahrq.gov/issue/identifying-what-known-about-improving-operating-room-intensive-care-handovers-scoping-review
September 23, 2020 - Review
Identifying what is known about improving operating room to intensive care handovers: a scoping review.
Citation Text:
Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…
-
psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care
June 30, 2021 - Commentary
Hospital at Home: setting a regulatory course to ensure safe, high-quality care.
Citation Text:
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…
-
psnet.ahrq.gov/issue/untangling-infusion-confusion-comparative-evaluation-interventions-simulated-intensive-care
September 01, 2021 - Study
Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.
Citation Text:
Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit …
-
psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
September 23, 2020 - Review
Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review.
Citation Text:
O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review. J Am Geriatr Soc.…
-
psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - Study
Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
Citation Text:
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…
-
psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety
October 29, 2017 - Commentary
From box ticking to the black box: the evolution of operating room safety.
Citation Text:
Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5.
Copy Citation
…
-
psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anesthetists
February 15, 2023 - Commentary
Design of an evidence-based "second victim" curriculum for nurse anesthetists.
Citation Text:
Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists. AANA J. 2016;84(2):107-113.
Copy Citation
Format:
Google Scholar P…
-
psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and
April 21, 2015 - Review
Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.
Citation Text:
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…
-
psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
-
psnet.ahrq.gov/issue/medical-team-training-improves-team-performance-aoa-critical-issues
April 24, 2018 - Commentary
Medical team training improves team performance: AOA critical issues.
Citation Text:
Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290.
Copy …