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  1. Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. | PSNet

    psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-2-review-strategies-and
    January 04, 2010 - Review Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. Citation Text: Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of stra…

  2. Patient falls while under supervision: trends from incident reporting. | PSNet

    psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
    January 11, 2023 - Study Patient falls while under supervision: trends from incident reporting. Citation Text: Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508. Copy Citation Format: DOI Google S…

  3. Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. | PSNet

    psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi
    July 05, 2017 - Commentary Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. Citation Text: Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Int…

  4. Supporting structures for team situation awareness and decision making: insights from four delivery suites. | PSNet

    psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery
    October 13, 2010 - Study Supporting structures for team situation awareness and decision making: insights from four delivery suites. Citation Text: Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Cl…

  5. Nursing home patient safety culture perceptions among US and immigrant nurses. | PSNet

    psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-us-and-immigrant-nurses
    January 14, 2011 - Study Nursing home patient safety culture perceptions among US and immigrant nurses. Citation Text: Wagner LM, Brush BL, Castle NG, et al. Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses. J Patient Saf. 2020;16(3):238-244. doi:10.1097/pts.0000000000000271. …

  6. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement. | PSNet

    psnet.ahrq.gov/issue/impact-nursing-work-environments-patient-safety-outcomes-mediating-role-burnout-engagement
    July 23, 2010 - Study The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement. Citation Text: Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. J Nurs Adm. …

  7. Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. | PSNet

    psnet.ahrq.gov/issue/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
    June 21, 2016 - Study Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. Citation Text: Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010. C…

  8. Interprofessional education in team communication: working together to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
    April 24, 2018 - Study Interprofessional education in team communication: working together to improve patient safety. Citation Text: Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…

  9. Structured handover in general surgery: an audit of current practice. | PSNet

    psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
    August 08, 2018 - Study Structured handover in general surgery: an audit of current practice. Citation Text: Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. Copy Citation Format:…

  10. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. | PSNet

    psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
    October 19, 2022 - Review Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Citation Text: Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …

  11. Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. | PSNet

    psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
    May 25, 2022 - Study Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. Citation Text: doi:10.1001/jamaoncol.2022.0114. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  12. Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
    January 26, 2022 - Commentary Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. Citation Text: John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…

  13. Active-shooter response at a health care facility. | PSNet

    psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
    January 18, 2012 - Commentary Active-shooter response at a health care facility. Citation Text: Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582. Copy Citation Format: DOI Google Scholar PubM…

  14. Understanding whistleblowing: qualitative insights from nurse whistleblowers. | PSNet

    psnet.ahrq.gov/issue/understanding-whistleblowing-qualitative-insights-nurse-whistleblowers
    April 24, 2018 - Study Understanding whistleblowing: qualitative insights from nurse whistleblowers. Citation Text: Jackson D, Peters K, Andrew S, et al. Understanding whistleblowing: qualitative insights from nurse whistleblowers. J Adv Nurs. 2010;66(10):2194-201. doi:10.1111/j.1365-2648.2010.05365.x.…

  15. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
    February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

  16. Prescribing errors in hospital practice. | PSNet

    psnet.ahrq.gov/issue/prescribing-errors-hospital-practice
    July 01, 2017 - Review Prescribing errors in hospital practice. Citation Text: Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  17. Insufficient communication about medication use at the interface between hospital and primary care. | PSNet

    psnet.ahrq.gov/issue/insufficient-communication-about-medication-use-interface-between-hospital-and-primary-care
    February 03, 2021 - Study Insufficient communication about medication use at the interface between hospital and primary care. Citation Text: Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…

  18. Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet

    psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
    May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients and staff. Citation Text: Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. Copy…

  19. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. | PSNet

    psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans
    October 14, 2009 - Study Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. Citation Text: Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…

  20. A systemwide strategy to embed equity into patient safety event analysis. | PSNet

    psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
    November 16, 2022 - Study A systemwide strategy to embed equity into patient safety event analysis. Citation Text: Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004. …
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