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Patient safety in North America: beyond "operate through your initials" and "sign your site." | PSNet

psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site

March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…

The association between culture, climate and quality of care in primary health care teams. | PSNet

psnet.ahrq.gov/issue/association-between-culture-climate-and-quality-care-primary-health-care-teams

May 30, 2011 - Commentary The association between culture, climate and quality of care in primary health care teams. Citation Text: Hann M, Bower P, Campbell S, et al. The association between culture, climate and quality of care in primary health care teams. Fam Pract. 2007;24(4):323-9. Copy Citati…

Operating room fires. | PSNet

psnet.ahrq.gov/issue/operating-room-fires

March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Information chaos in primary care: implications for physician performance and patient safety. | PSNet

psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety

July 02, 2019 - Commentary Information chaos in primary care: implications for physician performance and patient safety. Citation Text: Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…

Computerized physician order entry: helpful or harmful? | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful

January 06, 2018 - Commentary Classic Computerized physician order entry: helpful or harmful? Citation Text: Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. Copy Citation Format: Google Scholar …

Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. | PSNet

psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists

March 14, 2022 - Organizational Policy/Guidelines Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Citation Text: Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …

Applying hierarchical task analysis to medication administration errors. | PSNet

psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors

December 18, 2017 - Commentary Applying hierarchical task analysis to medication administration errors. Citation Text: Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79. Copy Citation Format: Google Scholar…

Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident

October 13, 2010 - Commentary Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. Citation Text: Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;…

Failure mode and effects analysis application to critical care medicine. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-application-critical-care-medicine

June 10, 2013 - Review Failure mode and effects analysis application to critical care medicine. Citation Text: Duwe B, Fuchs BD, Hansen-Flaschen J. Failure mode and effects analysis application to critical care medicine. Crit Care Clin. 2005;21(1):21-30, vii. Copy Citation Format: Google…

National Patient Safety Agency: combining stories with statistics to minimise harm. | PSNet

psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm

November 18, 2020 - Study National Patient Safety Agency: combining stories with statistics to minimise harm. Citation Text: Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489. Copy Citation Format: …

Frontline hospital workers and the worker safety/patient safety nexus. | PSNet

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July 05, 2017 - Commentary Frontline hospital workers and the worker safety/patient safety nexus. Citation Text: Sokas R, Braun B, Chenven L, et al. Frontline hospital workers and the worker safety/patient safety nexus. Jt Comm J Qual Patient Saf. 2013;39(4):185-192. Copy Citation Format: …

Implementing a distraction-free practice with the Red Zone Medication Safety initiative. | PSNet

psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative

November 16, 2022 - Commentary Implementing a distraction-free practice with the Red Zone Medication Safety initiative. Citation Text: Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…

Reality check for checklists. | PSNet

psnet.ahrq.gov/issue/reality-check-checklists

April 21, 2015 - Commentary Classic Reality check for checklists. Citation Text: Bosk CL, Dixon-Woods M, Goeschel CA, et al. Reality check for checklists. Lancet. 2009;374(9688):444-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

A framework for classifying patient safety practices: results from an expert consensus process. | PSNet

psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process

September 20, 2011 - Study A framework for classifying patient safety practices: results from an expert consensus process. Citation Text: Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10…

Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. | PSNet

psnet.ahrq.gov/issue/comparison-quality-care-patients-veterans-health-administration-and-patients-national-sample

February 24, 2011 - Study Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. Citation Text: Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sam…

Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. | PSNet

psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor

January 19, 2016 - Study Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. Citation Text: Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…

Is WHO's surgical safety checklist being hyped? | PSNet

psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped

February 07, 2018 - Commentary Is WHO's surgical safety checklist being hyped? Citation Text: Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

Quality and safety in surgery: challenges and opportunities. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-surgery-challenges-and-opportunities

September 02, 2020 - Commentary Quality and safety in surgery: challenges and opportunities. Citation Text: Nasca BJ, Bilimoria KY, Yang AD. Quality and safety in surgery: challenges and opportunities. Jt Comm J Qual Patient Saf. 2021;47(9):604-607. doi:10.1016/j.jcjq.2021.05.003. Copy Citation Format:…

Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. | PSNet

psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci

April 15, 2015 - Commentary Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. Citation Text: Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…

What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549

February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

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