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  1. 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…

  2. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. | PSNet

    psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
    October 02, 2024 - Special or Theme Issue Life of the Mother. How Abortion Bans Lead to Preventable Deaths. Citation Text: Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. Copy Citation Format: …

  3. 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…

  4. 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. …

  5. 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…

  6. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
    September 07, 2016 - Organizational Policy/Guidelines ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Citation Text: Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…

  7. Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. | PSNet

    psnet.ahrq.gov/issue/only-1-5-people-opioid-addiction-get-medications-treat-it-study-finds
    October 21, 2020 - Newspaper/Magazine Article Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. Citation Text: Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. Mann B. Health Shots. National Public Radio. August 7, 2023. Copy Ci…

  8. 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…

  9. 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…

  10. ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
    December 27, 2018 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. Citation Text: ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…

  11. ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. | PSNet

    psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results
    March 14, 2023 - Newspaper/Magazine Article ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. Citation Text: ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. ISMP Medication Safety Alert! Acute care edition. …

  12. 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…

  13. Moving beyond readmission penalties: creating an ideal process to improve transitional care. | PSNet

    psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
    June 14, 2017 - Commentary Moving beyond readmission penalties: creating an ideal process to improve transitional care. Citation Text: Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…

  14. A system-based approach to managing patient safety in ambulatory care (and beyond). | PSNet

    psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
    December 09, 2020 - Newspaper/Magazine Article A system-based approach to managing patient safety in ambulatory care (and beyond). Citation Text: A system-based approach to managing patient safety in ambulatory care (and beyond). Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.…

  15. 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.…

  16. 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 …

  17. Tablet-splitting: a common yet not so innocent practice. | PSNet

    psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
    August 31, 2022 - Study Tablet-splitting: a common yet not so innocent practice. Citation Text: Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x. Copy Citation Format: DOI Goog…

  18. Potential medication dosing errors in outpatient pediatrics. | PSNet

    psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
    July 29, 2020 - Study Potential medication dosing errors in outpatient pediatrics. Citation Text: McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  19. The Future of Emergency Care in the United States Health System. | PSNet

    psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
    June 16, 2012 - Book/Report The Future of Emergency Care in the United States Health System. Citation Text: The Future of Emergency Care in the United States Health System. Institute of Medicine. Washington DC; National Academies Press: 2007. Copy Citation Save Save to your l…

  20. Nighttime and weekend medication error rates in an inpatient pediatric population. | PSNet

    psnet.ahrq.gov/issue/nighttime-and-weekend-medication-error-rates-inpatient-pediatric-population
    October 19, 2022 - Study Nighttime and weekend medication error rates in an inpatient pediatric population. Citation Text: Miller AD, Piro CC, Rudisill CN, et al. Nighttime and weekend medication error rates in an inpatient pediatric population. Ann Pharmacother. 2010;44(11):1739-46. doi:10.1345/aph.1P25…
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