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Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". | PSNet

psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event

September 21, 2022 - Commentary Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". Citation Text: Barth RJ, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". JAMA Surg. 2020;155(7):543-544. doi:10.…

A novel process audit for standardized perioperative handoff protocols. | PSNet

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June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

Disclosing clinical adverse events to patients: can practice inform policy? | PSNet

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September 29, 2017 - Study Disclosing clinical adverse events to patients: can practice inform policy? Citation Text: Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. Cop…

Disruptive behaviour in the perioperative setting: a contemporary review. | PSNet

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March 06, 2024 - Review Disruptive behaviour in the perioperative setting: a contemporary review. Citation Text: Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. Copy …

The relationship between safety climate and safety performance: a review. | PSNet

psnet.ahrq.gov/issue/relationship-between-safety-climate-and-safety-performance-review

February 03, 2021 - Review The relationship between safety climate and safety performance: a review. Citation Text: Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008. Copy Citation …

Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review. | PSNet

psnet.ahrq.gov/issue/checklists-assessment-and-certification-clinical-procedural-skills-omit-essential

June 07, 2023 - Review Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review. Citation Text: McKinley RK, Strand J, Ward L, et al. Checklists for assessment and certification of clinical procedural skills omit essential competencies: …

In-home medication reviews: a novel approach to improving patient care through coordination of care. | PSNet

psnet.ahrq.gov/issue/home-medication-reviews-novel-approach-improving-patient-care-through-coordination-care

July 01, 2016 - Study In-home medication reviews: a novel approach to improving patient care through coordination of care. Citation Text: Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…

Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. | PSNet

psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals

September 03, 2011 - Study Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Citation Text: Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediat…

Mix of methods is needed to identify adverse events in general practice: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study

April 15, 2009 - Study Mix of methods is needed to identify adverse events in general practice: a prospective observational study. Citation Text: Wetzels R, Wolters R, van Weel C, et al. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam P…

Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. | PSNet

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February 03, 2011 - Study Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Citation Text: Parnes B, Fernald D, Quintela J, et al. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Qual Saf Health Care. 2007;16(1):12-6. Copy Citation …

The role of purple pens in learning to prescribe. | PSNet

psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe

June 17, 2020 - Commentary The role of purple pens in learning to prescribe. Citation Text: Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. | PSNet

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July 10, 2013 - Study Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. Citation Text: Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICU…

Gaps in the continuity of care and progress on patient safety. | PSNet

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January 16, 2017 - Commentary Classic Gaps in the continuity of care and progress on patient safety. Citation Text: Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. Copy Citation Format: Google Sch…

Barriers and facilitators to injection safety in ambulatory care settings. | PSNet

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November 18, 2016 - Review Barriers and facilitators to injection safety in ambulatory care settings. Citation Text: Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82.…

Patient safety and quality improvement: reducing risk of harm. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm

November 15, 2011 - Review Patient safety and quality improvement: reducing risk of harm. Citation Text: Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. Copy Citation Format: DOI Google Scholar Pu…

Two cultures in modern science and technology: for safety and validity does medicine have to update? | PSNet

psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update

January 12, 2022 - Commentary Two cultures in modern science and technology: for safety and validity does medicine have to update? Citation Text: Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pt…

Outcomes after out-of-hospital endotracheal intubation errors. | PSNet

psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors

July 20, 2010 - Study Outcomes after out-of-hospital endotracheal intubation errors. Citation Text: Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. Copy Citation Format…

Making the Patient Safety and Quality Improvement Act of 2005 work. | PSNet

psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work

July 11, 2018 - Commentary Making the Patient Safety and Quality Improvement Act of 2005 work. Citation Text: Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10. Copy Citation Format: Google Scholar PubMed B…

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. | PSNet

psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting

September 27, 2010 - Study Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. Citation Text: Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam M…

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. | PSNet

psnet.ahrq.gov/issue/pharmacy-clarification-prescriptions-ordered-primary-care-report-applied-strategies-improving

March 28, 2011 - Commentary Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. Citation Text: Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary ca…

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