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psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
April 19, 2011 - Study
Understanding safety culture in long-term care: a case study.
Citation Text:
Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7.
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psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
January 26, 2022 - Commentary
Successful remediation of patient safety incidents: a tale of two medication errors.
Citation Text:
Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…
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psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
December 22, 2018 - Commentary
Crib of horrors: one hospital's approach to promoting a culture of safety.
Citation Text:
Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843.
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psnet.ahrq.gov/issue/recognition-and-management-potential-drug-drug-interactions-patients-internal-medicine-wards
October 21, 2015 - Study
Recognition and management of potential drug-drug interactions in patients on internal medicine wards.
Citation Text:
Vonbach P, Dubied A, Beer JH, et al. Recognition and management of potential drug-drug interactions in patients on internal medicine wards. Eur J Clin Pharmacol. …
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psnet.ahrq.gov/issue/relationship-between-early-emergency-team-calls-and-serious-adverse-events
June 02, 2010 - Study
The relationship between early emergency team calls and serious adverse events.
Citation Text:
Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3…
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psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
June 15, 2011 - Study
Applying modern error theory to the problem of missed injuries in trauma.
Citation Text:
Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7.
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psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework
March 24, 2019 - Commentary
The effect of evidence in crisis learning: based on a perspective integration framework.
Citation Text:
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…
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psnet.ahrq.gov/issue/interpretability-doctor-identification-badges-uk-hospitals-survey-nurses-and-patients
October 07, 2013 - Study
The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients.
Citation Text:
Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
June 27, 2018 - Study
A multicomponent fall prevention strategy reduces falls at an academic medical center.
Citation Text:
France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safe…
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psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
November 16, 2022 - Study
Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit.
Citation Text:
Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. …
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psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
January 02, 2017 - Study
Medication errors resulting from computer entry by nonprescribers.
Citation Text:
Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208.
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psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
September 26, 2018 - Study
A multi-disciplinary approach to medication safety and the implication for nursing education and practice.
Citation Text:
Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…
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psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
November 16, 2022 - Study
The use of patient pictures and verification screens to reduce computerized provider order entry errors.
Citation Text:
Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(…
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psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
July 14, 2010 - Commentary
Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.
Citation Text:
Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…
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psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine
November 03, 2015 - Study
Spoons systematically bias dosing of liquid medicine.
Citation Text:
Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024.
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psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
May 29, 2024 - Study
Briefing and debriefing in the operating room using fighter pilot crew resource management.
Citation Text:
McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76.
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psnet.ahrq.gov/issue/importance-leadership-preventing-healthcare-associated-infection-results-multisite
April 13, 2011 - Study
The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.
Citation Text:
Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qu…
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psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - Study
Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.
Citation Text:
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…
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psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
January 03, 2017 - Study
A review of verbal order policies in acute care hospitals.
Citation Text:
Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33.
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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - Review
Team-based care: the changing face of cardiothoracic surgery.
Citation Text:
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
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