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6101. Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. | PSNet
      psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
      May 03, 2023 - Book/Report Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Citation Text: Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Massachusetts Protection …

6102. 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…

6103. The need for organizational change in patient safety initiatives. | PSNet
      psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
      May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…

6104. Legality of technicians' involvement in medication reconciliation not clear. | PSNet
      psnet.ahrq.gov/issue/legality-technicians-involvement-medication-reconciliation-not-clear
      June 13, 2011 - Newspaper/Magazine Article Legality of technicians' involvement in medication reconciliation not clear. Citation Text: Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the A…

6105. Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional). | PSNet
      psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-quality-point-care-r21r33-clinical
      July 22, 2024 - Grant Announcement Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional). Citation Text: Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional). Rockvill…

6106. Assessment of teamwork during structured interdisciplinary rounds on medical units. | PSNet
      psnet.ahrq.gov/issue/assessment-teamwork-during-structured-interdisciplinary-rounds-medical-units
      December 21, 2014 - Study Assessment of teamwork during structured interdisciplinary rounds on medical units. Citation Text: O'Leary KJ, Boudreau YN, Creden AJ, et al. Assessment of teamwork during structured interdisciplinary rounds on medical units. J Hosp Med. 2012;7(9):679-83. doi:10.1002/jhm.1970. …

6107. Medical errors education: a prospective study of a new educational tool. | PSNet
      psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
      March 20, 2024 - Study Medical errors education: a prospective study of a new educational tool. Citation Text: Paxton JH, Rubinfeld IS. Medical errors education: A prospective study of a new educational tool. Am J Med Qual. 2010;25(2):135-42. doi:10.1177/1062860609353345. Copy Citation Format: …

6108. Nursing student medication errors: a case study using root cause analysis. | PSNet
      psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
      November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…

6109. Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet
      psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
      August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…

6110. Use of health information technology to reduce diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/use-health-information-technology-reduce-diagnostic-errors
      April 30, 2014 - Review Use of health information technology to reduce diagnostic errors. Citation Text: El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. Copy Citation Format: …

6111. Same-hospital readmission rates as a measure of pediatric quality of care. | PSNet
      psnet.ahrq.gov/issue/same-hospital-readmission-rates-measure-pediatric-quality-care
      September 18, 2024 - Study Same-hospital readmission rates as a measure of pediatric quality of care. Citation Text: Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129. …

6112. The checklist--a tool for error management and performance improvement. | PSNet
      psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
      June 29, 2011 - Review The checklist--a tool for error management and performance improvement. Citation Text: Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

6113. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
      December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…

6114. Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. | PSNet
      psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel
      July 16, 2019 - Study Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. Citation Text: Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-…

6115. A daily dose of communication to improve quality and safety outcomes. | PSNet
      psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes
      September 15, 2009 - Review A daily dose of communication to improve quality and safety outcomes. Citation Text: Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. Copy Citation Format: DOI Google Scholar B…

6116. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. | PSNet
      psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
      March 18, 2011 - Study Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. Citation Text: White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory stu…

6117. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet
      psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
      April 06, 2022 - Study Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Citation Text: Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…

6118. Medication errors and response bias: the tip of the iceberg. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
      February 07, 2024 - Study Medication errors and response bias: the tip of the iceberg. Citation Text: Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

6119. Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet
      psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
      April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…

6120. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. | PSNet
      psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses
      January 08, 2020 - Study The relationship between safety culture and patient outcomes: results from pilot meta-analyses. Citation Text: Groves PS. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. West J Nurs Res. 2014;36(1):66-83. doi:10.1177/019394591349008…