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Safer out of hours primary care. | PSNet

psnet.ahrq.gov/issue/safer-out-hours-primary-care

March 14, 2022 - Commentary Safer out of hours primary care. Citation Text: Cosford PA, Thomas JM. Safer out of hours primary care. BMJ. 2010;340:c3194. doi:10.1136/bmj.c3194. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. | PSNet

psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population

March 13, 2024 - Commentary Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. Citation Text: Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…

FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. | PSNet

psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias

November 06, 2024 - Newspaper/Magazine Article FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. Citation Text: Allen A. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. KFF Health News. October 07, 2024; Copy Citation Format: …

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…

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…

Economic measurement of medical errors using a hospital claims database. | PSNet

psnet.ahrq.gov/issue/economic-measurement-medical-errors-using-hospital-claims-database

March 03, 2011 - Study Economic measurement of medical errors using a hospital claims database. Citation Text: David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010. Copy Citati…

Artificial intelligence systems for complex decision-making in acute care medicine: a review. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review

March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…

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…

Incident reporting in one UK accident and emergency department. | PSNet

psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department

December 12, 2012 - Study Incident reporting in one UK accident and emergency department. Citation Text: Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency department. Accid Emerg Nurs. 2006;14(1):27-37. Copy Citation Format: Google Scholar PubMed …

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…

Reconciliation failures lead to medication errors. | PSNet

psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors

November 01, 2012 - Study Reconciliation failures lead to medication errors. Citation Text: Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

Measures of patient safety in developing and emerging countries: a review of the literature. | PSNet

psnet.ahrq.gov/issue/measures-patient-safety-developing-and-emerging-countries-review-literature

April 05, 2017 - Review Measures of patient safety in developing and emerging countries: a review of the literature. Citation Text: Carpenter KB, Duevel MA, Lee PW, et al. Measures of patient safety in developing and emerging countries: a review of the literature. Qual Saf Health Care. 2010;19(1):48-54…

A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. | PSNet

psnet.ahrq.gov/issue/comprehensive-perinatal-patient-safety-program-reduce-preventable-adverse-outcomes-and-costs

September 29, 2010 - Study A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. Citation Text: Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.…

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. | PSNet

psnet.ahrq.gov/issue/building-team-and-technical-competency-obstetric-emergencies-mobile-obstetric-emergencies

March 21, 2017 - Commentary Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. Citation Text: Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies …

Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. | PSNet

psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada

February 23, 2022 - Newspaper/Magazine Article Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. Citation Text: Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…

Patient misidentification in the neonatal intensive care unit: quantification of risk. | PSNet

psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk

April 11, 2011 - Study Patient misidentification in the neonatal intensive care unit: quantification of risk. Citation Text: Gray J, Suresh G, Ursprung R, et al. Patient misidentification in the neonatal intensive care unit: quantification of risk. Pediatrics. 2006;117(1):e43-e47. Copy Citation F…

Reporting medication errors: residents with diabetes. | PSNet

psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes

August 23, 2017 - Commentary Reporting medication errors: residents with diabetes. Citation Text: Milligan F, Gadsby R, Ghaleb MA, et al. Reporting medication errors: residents with diabetes. Nursing and Residential Care. 2014;16(11). doi:10.12968/nrec.2014.16.11.617. Copy Citation Format: D…

Eight critical factors in creating and implementing a successful simulation program. | PSNet

psnet.ahrq.gov/issue/eight-critical-factors-creating-and-implementing-successful-simulation-program

August 27, 2014 - Commentary Eight critical factors in creating and implementing a successful simulation program. Citation Text: Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. …

The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. | PSNet

psnet.ahrq.gov/issue/risk-adverse-drug-events-and-hospital-related-morbidity-and-mortality-among-older-adults

October 10, 2012 - Study The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. Citation Text: Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with po…

Building safer systems by ecological design: using restoration science to develop a medication safety intervention. | PSNet

psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety

February 14, 2024 - Study Building safer systems by ecological design: using restoration science to develop a medication safety intervention. Citation Text: Marck PB, Kwan JA, Preville B, et al. Building safer systems by ecological design: using restoration science to develop a medication safety intervent…

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