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  1. Embedding quality improvement and patient safety - the UCLA value analysis experience. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-ucla-value-analysis-experience
    October 02, 2019 - Commentary Embedding quality improvement and patient safety - the UCLA value analysis experience. Citation Text: Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. Copy C…

  2. ASHP guidelines on the safe use of automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices
    July 05, 2017 - Organizational Policy/Guidelines ASHP guidelines on the safe use of automated dispensing devices. Citation Text: Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325. …

  3. Cognitive biases associated with medical decisions: a systematic review. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
    March 01, 2023 - Review Cognitive biases associated with medical decisions: a systematic review. Citation Text: Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. Copy Citation Format: …

  4. Spinal surgery and patient safety: a systems approach. | PSNet

    psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
    January 12, 2022 - Review Spinal surgery and patient safety: a systems approach. Citation Text: Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  5. A mediation skills model to manage disclosure of errors and adverse events to patients. | PSNet

    psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
    May 31, 2017 - Commentary A mediation skills model to manage disclosure of errors and adverse events to patients. Citation Text: Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…

  6. Medically Induced Trauma Support Services (MITSS). | PSNet

    psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
    December 07, 2016 - Newspaper/Magazine Article Medically Induced Trauma Support Services (MITSS). Citation Text: Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013. Copy Citation Save Save to your library Print Do…

  7. Electronic fetal heart rate monitoring: applying principles of patient safety. | PSNet

    psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
    October 10, 2018 - Commentary Electronic fetal heart rate monitoring: applying principles of patient safety. Citation Text: Miller DA, Miller L. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206(4):278-83. doi:10.1016/j.ajog.2011.08.016. Copy C…

  8. Bundaberg and beyond: duty to disclose adverse events to patients. | PSNet

    psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
    January 12, 2022 - Commentary Bundaberg and beyond: duty to disclose adverse events to patients. Citation Text: Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  9. Hospital safety climate surveys: measurement issues. | PSNet

    psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
    December 16, 2009 - Review Hospital safety climate surveys: measurement issues. Citation Text: Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care. 2010;16(6):632-8. doi:10.1097/MCC.0b013e32833f0ee6. Copy Citation Format: DOI Google Scholar Pu…

  10. Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet

    psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
    May 20, 2009 - Book/Report Legislative Report to the General Assembly: Adverse Event Reporting. Citation Text: Legislative Report to the General Assembly: Adverse Event Reporting. Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October 2016. Copy Citati…

  11. 4 Tk2 T1-Medical Care Referral Form (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
    May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…

  12. Critical incident monitoring in anaesthesia. | PSNet

    psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
    September 04, 2024 - Review Critical incident monitoring in anaesthesia. Citation Text: Choy CY. Critical incident monitoring in anaesthesia. Curr Opin Anaesthesiol. 2008;21(2):183-6. doi:10.1097/ACO.0b013e3282f33592. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  13. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. | PSNet

    psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
    November 29, 2017 - Commentary Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Citation Text: Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…

  14. Medication bar coding: to scan or not to scan? | PSNet

    psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
    October 19, 2022 - Commentary Medication bar coding: to scan or not to scan? Citation Text: Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  15. Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet

    psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
    March 03, 2021 - Newspaper/Magazine Article Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. Citation Text: Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…

  16. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
    April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …

  17. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet

    psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
    December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

  18. Critical incident stress debriefing after adverse patient safety events. | PSNet

    psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
    April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. Citation Text: Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. Copy Citation Format: Google Scholar PubMed BibTeX E…

  19. Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. | PSNet

    psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
    February 24, 2016 - Newspaper/Magazine Article Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. Citation Text: Government and industry fail to protect the public when they suggest "carefully following instructions" i…

  20. Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. | PSNet

    psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
    March 10, 2021 - Newspaper/Magazine Article Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. Citation Text: Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…
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