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Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. | PSNet

psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient-retrieval-systems

March 09, 2016 - Commentary Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Citation Text: Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):9…

The power of written word: reflection reduces errors of omission. | PSNet

psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission

April 24, 2018 - Study The power of written word: reflection reduces errors of omission. Citation Text: Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. Copy Citation Format: DOI Go…

Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/performance-characteristics-methodology-quantify-adverse-events-over-time-hospitalized

December 01, 2010 - Study Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Citation Text: Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Se…

Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after

April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. | PSNet

psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or

October 26, 2022 - Study Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Citation Text: Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …

Unintended adverse consequences of a clinical decision support system: two cases. | PSNet

psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases

October 23, 2018 - Commentary Unintended adverse consequences of a clinical decision support system: two cases. Citation Text: Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096. Copy Citation …

Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. | PSNet

psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons

January 10, 2018 - Review Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. Citation Text: Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying …

Medication errors and adverse drug events in pediatric inpatients. | PSNet

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January 19, 2011 - Study Classic Medication errors and adverse drug events in pediatric inpatients. Citation Text: Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20. Copy Citation Format: …

Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. | PSNet

psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication

May 27, 2011 - Commentary Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. Citation Text: Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…

Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." | PSNet

psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose

September 16, 2015 - Study Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." Citation Text: Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. | PSNet

psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome

August 02, 2023 - Commentary A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Citation Text: Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…

Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet

psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department

October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department. Citation Text: Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …

Bedside shift report improves patient safety and nurse accountability. | PSNet

psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability

April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. Citation Text: Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. | PSNet

psnet.ahrq.gov/issue/use-and-implementation-standard-operating-procedures-and-checklists-prehospital-emergency

August 28, 2024 - Review Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. Citation Text: Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a lit…

Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. | PSNet

psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and

August 02, 2011 - Study Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. Citation Text: Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care uni…

Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. | PSNet

psnet.ahrq.gov/issue/implementation-patient-safety-incident-management-system-viewed-doctors-nurses-and-allied

March 23, 2011 - Study Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. Citation Text: Travaglia J, Westbrook MT, Braithwaite J. Implementation of a patient safety incident management system as viewed by doctors, nurses and alli…

What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. | PSNet

psnet.ahrq.gov/issue/what-makes-maternity-teams-effective-and-safe-lessons-series-research-teamwork-leadership-and

May 25, 2011 - Commentary What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. Citation Text: Siassakos D, Fox R, Bristowe K, et al. What makes maternity teams effective and safe? Lessons from a series of research on teamwork, lead…

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery

February 09, 2011 - Study ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Citation Text: Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…

Human factors systems approach to healthcare quality and patient safety. | PSNet

psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety

October 03, 2013 - Commentary Human factors systems approach to healthcare quality and patient safety. Citation Text: Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…

Safety of using a computerized rounding and sign-out system to reduce resident duty hours. | PSNet

psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours

June 23, 2009 - Study Safety of using a computerized rounding and sign-out system to reduce resident duty hours. Citation Text: Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…

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