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  1. 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 …

  2. 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…

  3. 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…

  4. 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…

  5. 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. …

  6. 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…

  7. 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…

  8. Roadmap for patient safety research: approaches and roadforks. | PSNet

    psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
    July 17, 2019 - Review Roadmap for patient safety research: approaches and roadforks. Citation Text: Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public Health. 2008;36(8):812-7. doi:10.1177/1403494808096168. Copy Citation Format: DOI Google S…

  9. Creating a fair and just culture: one institution's path toward organizational change. | PSNet

    psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
    July 23, 2014 - Commentary Creating a fair and just culture: one institution's path toward organizational change. Citation Text: Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. …

  10. Variation in caregiver perceptions of teamwork climate in labor and delivery units. | PSNet

    psnet.ahrq.gov/issue/variation-caregiver-perceptions-teamwork-climate-labor-and-delivery-units
    August 04, 2021 - Study Variation in caregiver perceptions of teamwork climate in labor and delivery units. Citation Text: Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006;26(8):463-70. Copy Citation …

  11. Interdisciplinary team training identifies discrepancies in institutional policies and practices. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
    November 26, 2012 - Study Interdisciplinary team training identifies discrepancies in institutional policies and practices. Citation Text: Andreatta P, Frankel J, Smith SB, et al. Interdisciplinary team training identifies discrepancies in institutional policies and practices. Am J Obstet Gynecol. 2011;20…

  12. Patient safety initiatives in obstetrics: a rapid review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
    September 23, 2020 - Review Patient safety initiatives in obstetrics: a rapid review. Citation Text: Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. Copy Citation Format: DOI Google Schola…

  13. Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
    September 29, 2017 - Commentary Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. Citation Text: Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…

  14. The value of library and information services in patient care: results of a multisite study. | PSNet

    psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
    April 24, 2018 - Study The value of library and information services in patient care: results of a multisite study. Citation Text: Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013;1…

  15. Deploying and measuring a risk and patient safety program. | PSNet

    psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-program
    January 19, 2022 - Commentary Deploying and measuring a risk and patient safety program. Citation Text: Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266. Copy Citation Format: DOI Goog…

  16. Waiting for urgent procedures on the weekend among emergently hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/waiting-urgent-procedures-weekend-among-emergently-hospitalized-patients
    September 04, 2019 - Study Waiting for urgent procedures on the weekend among emergently hospitalized patients. Citation Text: Bell CM, Redelmeier DA. Waiting for urgent procedures on the weekend among emergently hospitalized patients. Am J Med. 2004;117(3):175-81. Copy Citation Format: Googl…

  17. The fallacy of a single diagnosis. | PSNet

    psnet.ahrq.gov/issue/fallacy-single-diagnosis
    October 05, 2022 - Study The fallacy of a single diagnosis. Citation Text: Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  18. Imitating incidents: how simulation can improve safety investigation and learning from adverse events. | PSNet

    psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
    February 28, 2024 - Commentary Imitating incidents: how simulation can improve safety investigation and learning from adverse events. Citation Text: Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…

  19. Underdiagnosis of hypertension using electronic health records. | PSNet

    psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
    November 16, 2022 - Study Underdiagnosis of hypertension using electronic health records. Citation Text: Banerjee D, Chung S, Wong EC, et al. Underdiagnosis of hypertension using electronic health records. Am J Hypertens. 2012;25(1):97-102. doi:10.1038/ajh.2011.179. Copy Citation Format: DOI…

  20. Barriers and facilitators to nursing handoffs: recommendations for redesign. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
    January 22, 2016 - Study Barriers and facilitators to nursing handoffs: recommendations for redesign. Citation Text: Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005. Copy …
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