-
psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Commentary
The limits of checklists: handoff and narrative thinking.
Citation Text:
Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705.
Copy Citation
Format:
DOI Google Scho…
-
psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
July 07, 2021 - Commentary
Safety culture as a patient safety practice for alarm fatigue.
Citation Text:
Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316.
Copy Citation
Format:
DOI Go…
-
psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
May 27, 2011 - Commentary
Case study: preventing surgical complications at Baystate Medical Center.
Citation Text:
Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:…
-
psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
April 04, 2011 - Commentary
Miles to go: an introduction to the 5 Million Lives Campaign.
Citation Text:
McCannon J, Hackbarth AD, Griffin F. Miles to go: an introduction to the 5 Million Lives Campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-84.
Copy Citation
Format:
Google Scholar Pub…
-
psnet.ahrq.gov/issue/clinical-care-checklists-salvations-or-frustrations
September 01, 2018 - Commentary
Clinical care checklists: salvations or frustrations?
Citation Text:
Jones JW, McCullough LB. Clinical care checklists: salvations or frustrations? J Vasc Surg. 2011;53(5):1429-30. doi:10.1016/j.jvs.2011.02.024.
Copy Citation
Format:
DOI Google Scholar PubMed B…
-
psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
August 26, 2020 - Commentary
Eliminating adverse drug events at Ascension Health.
Citation Text:
Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(9):527-36.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X…
-
psnet.ahrq.gov/issue/improving-doctor-patient-communication-digital-world
March 02, 2022 - Audiovisual
Improving doctor–patient communication in a digital world.
Citation Text:
Improving doctor–patient communication in a digital world. Lakshmanan I. The Diane Rehm Show. February 9, 2016.
Copy Citation
Save
Save to your library
Print
Download P…
-
psnet.ahrq.gov/issue/how-stay-right-side-infection-control-code
November 02, 2016 - Newspaper/Magazine Article
How to stay on the right side of the infection control code.
Citation Text:
Harrison S. How to stay on the right side of the infection control code. Nurs Stand. 2016;19(38):14-16. doi:10.7748/ns.19.38.14.s15.
Copy Citation
Format:
DOI Google Sch…
-
psnet.ahrq.gov/issue/mitigating-error-vulnerability-transition-care-through-use-health-it-applications
January 23, 2019 - Commentary
Mitigating error vulnerability at the transition of care through the use of health IT applications.
Citation Text:
Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications. J Med Syst. 2012;36(6). d…
-
psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-clabsi-simulation-experience
February 14, 2017 - Commentary
Incorporating quality and safety values into a CLABSI simulation experience.
Citation Text:
Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience. Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
October 22, 2008 - Review
Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings.
Citation Text:
Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation …
-
psnet.ahrq.gov/issue/pediatric-medication-errors-postanesthesia-care-unit-analysis-medmarx-data
January 06, 2017 - Study
Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.
Citation Text:
Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4.
Copy Citati…
-
psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
July 08, 2020 - Study
Medication administration errors by nurses: adherence to guidelines.
Citation Text:
Kim J, Bates DW. Medication administration errors by nurses: adherence to guidelines. J Clin Nurs. 2013;22(3-4):590-8. doi:10.1111/j.1365-2702.2012.04344.x.
Copy Citation
Format:
DOI …
-
psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
April 19, 2013 - Commentary
ASHP guidelines on remote medication order processing.
Citation Text:
Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
October 12, 2022 - Review
Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review.
Citation Text:
Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res…
-
psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors
May 15, 2024 - Newspaper/Magazine Article
Rethinking use of air-safety principles to reduce fatal hospital errors.
Citation Text:
Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377/forefront.20220824.965364.
Copy Citation
Format:
DOI Google Scholar BibTeX…
-
psnet.ahrq.gov/issue/impact-introducing-medical-emergency-team-system-documentations-vital-signs
January 18, 2011 - Study
The impact of introducing medical emergency team system on the documentations of vital signs.
Citation Text:
Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/…
-
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…
-
psnet.ahrq.gov/issue/effect-comprehensive-obstetric-patient-safety-program-compensation-payments-and-sentinel
July 26, 2010 - Study
Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.
Citation Text:
Grunebaum A, Chervenak F, Skupski D. Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. Am J Obstet Gyneco…
-
psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
June 19, 2019 - Newspaper/Magazine Article
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.
Citation Text:
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…