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psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
December 18, 2013 - Study
"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.
Citation Text:
Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…
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psnet.ahrq.gov/issue/comparative-review-patient-safety-initiatives-national-health-information-technology
November 03, 2015 - Review
A comparative review of patient safety initiatives for national health information technology.
Citation Text:
Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. d…
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psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
February 14, 2024 - Commentary
Classic
Errors in laboratory medicine: practical lessons to improve patient safety.
Citation Text:
Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261.
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psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
September 10, 2014 - Book/Report
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.
Citation Text:
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…
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psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients
October 09, 2024 - Commentary
Safety first! Using a checklist for intrafacility transport of adult intensive care patients.
Citation Text:
Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16…
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psnet.ahrq.gov/issue/transition-planning-senior-surgeon-guidance-and-recommendations-society-surgical-chairs
August 14, 2019 - Commentary
Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs.
Citation Text:
Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs.…
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psnet.ahrq.gov/issue/shape-matters-neglected-feature-medication-safety-why-regulating-shape-medication-containers
December 09, 2020 - Commentary
Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety.
Citation Text:
Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication contain…
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psnet.ahrq.gov/issue/pharmacologically-inappropriate-prescriptions-elderly-patients-general-practice-how-common
March 08, 2023 - Study
Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common?
Citation Text:
Brekke M, Rognstad S, Straand J, et al. Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Pr…
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psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
November 17, 2014 - Study
Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial.
Citation Text:
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…
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psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients
October 03, 2017 - Study
Active surveillance using electronic triggers to detect adverse events in hospitalized patients.
Citation Text:
Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…
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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Commentary
Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
Citation Text:
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
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psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
January 16, 2019 - Study
A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study.
Citation Text:
Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;…
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psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
September 24, 2016 - Study
Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.
Citation Text:
Gjøvikli K, Valeberg BT. Closed-loop communication in interprofessional emergency teams: a cross-se…
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psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
March 13, 2013 - Study
Retained guidewires in the Veterans Health Administration: getting to the root of the problem.
Citation Text:
Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…
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psnet.ahrq.gov/issue/ambulance-diversion-associated-reduced-access-cardiac-technology-and-increased-one-year
October 27, 2016 - Study
Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality.
Citation Text:
Shen Y-C, Hsia RY. Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. Health Aff (Millwood). 2015;34(8):…
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psnet.ahrq.gov/issue/barriers-implementation-checklists-office-based-procedural-setting
February 18, 2019 - Study
Barriers to the implementation of checklists in the office-based procedural setting.
Citation Text:
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141…
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psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - Study
Department of anesthesiology skilled peer support program outcomes: second victim perceptions.
Citation Text:
Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…
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psnet.ahrq.gov/issue/new-category-never-events-ending-harmful-hospital-policies
September 07, 2022 - Commentary
A new category of "never events"-ending harmful hospital policies.
Citation Text:
Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703.
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - Study
A human right-based approach to dealing with adverse events in residential care facilities.
Citation Text:
McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - Development and Implementation of The University of Texas Close Call Reporting System
149
Development and Implementation
of The University of Texas
Close Call Reporting System
Sharon K. Martin, Jason M. Etchegaray, Debora Simmons,
W. Thomas Belt, Kelly Clark
Abstract
This report describes the development…