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  1. Patient safety: latex allergy. | PSNet

    psnet.ahrq.gov/issue/patient-safety-latex-allergy
    October 07, 2013 - Commentary Patient safety: latex allergy. Citation Text: Reines D, Seifert PC. Patient safety: latex allergy. Surg Clin North Am. 2005;85(6):1329-40, xiv. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. Retained foreign bodies after surgery. | PSNet

    psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
    November 23, 2011 - Study Retained foreign bodies after surgery. Citation Text: Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  3. Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet

    psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
    May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …

  4. Safety with nebulized medications requires an interdisciplinary team approach. | PSNet

    psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
    December 27, 2018 - Newspaper/Magazine Article Safety with nebulized medications requires an interdisciplinary team approach. Citation Text: Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. Copy Ci…

  5. ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. | PSNet

    psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
    July 27, 2016 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. Citation Text: ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. ISMP Medication Safe…

  6. Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
    July 01, 2017 - Commentary Clinical faculty: taking the lead in teaching quality improvement and patient safety. Citation Text: Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…

  7. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
    October 19, 2022 - Commentary Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. Citation Text: Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.…

  8. Nearing zero...reducing grade C medication errors. | PSNet

    psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
    October 05, 2022 - Commentary Nearing zero...reducing grade C medication errors. Citation Text: Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3. Copy Citation Format: DOI …

  9. Evaluating safety and competency at the bedside. | PSNet

    psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
    November 16, 2022 - Commentary Evaluating safety and competency at the bedside. Citation Text: Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-90. doi:10.1097/NND.0b013e3182236634. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  10. Close calls in patient safety: should we be paying closer attention? | PSNet

    psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
    November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…

  11. Description of inpatient medication management using cognitive work analysis. | PSNet

    psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
    October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…

  12. The tangible handoff: a team approach for advancing structured communication in labor and delivery. | PSNet

    psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
    June 12, 2013 - Commentary The tangible handoff: a team approach for advancing structured communication in labor and delivery. Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…

  13. Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. | PSNet

    psnet.ahrq.gov/issue/minimizing-errors-omission-behavioural-reenforcement-heparin-avert-venous-emboli-behave-study
    April 24, 2018 - Study Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. Citation Text: McMullin J, Cook D, Griffith L, et al. Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study. Crit C…

  14. Injection practices among clinicians in United States health care settings. | PSNet

    psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
    January 06, 2017 - Study Injection practices among clinicians in United States health care settings. Citation Text: Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.00…

  15. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
    January 22, 2016 - Review The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Citation Text: Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…

  16. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet

    psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
    August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

  17. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

    psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

  18. In the wake of hospital inquiries: impact on staff and safety. | PSNet

    psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
    January 12, 2022 - Commentary In the wake of hospital inquiries: impact on staff and safety. Citation Text: Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. Copy Citation Format: Google Scholar PubMed BibTeX…

  19. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. | PSNet

    psnet.ahrq.gov/issue/creating-safety-culture-childrens-and-womens-health-centre-british-columbia
    June 03, 2020 - Commentary Creating a safety culture at the Children's and Women's Health Centre of British Columbia. Citation Text: Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6. …

  20. Handovers from the OR to the ICU. | PSNet

    psnet.ahrq.gov/issue/handovers-or-icu
    January 03, 2017 - Commentary Handovers from the OR to the ICU. Citation Text: Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…
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