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psnet.ahrq.gov/issue/pediatric-medication-safety-adult-community-hospital-settings-glimpse-nationwide-practice
March 14, 2022 - Study
Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice.
Citation Text:
Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-…
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psnet.ahrq.gov/issue/global-oximetry-international-anaesthesia-quality-improvement-project
November 12, 2014 - Study
Global oximetry: an international anaesthesia quality improvement project.
Citation Text:
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
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psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
May 11, 2019 - Commentary
The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.
Citation Text:
Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…
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psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
December 21, 2014 - Commentary
When a surgical colleague makes an error.
Citation Text:
Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828.
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psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy-education
November 16, 2022 - Review
A scoping review of the hidden curriculum in pharmacy education.
Citation Text:
Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999.
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psnet.ahrq.gov/issue/communication-healthcare-narrative-review-literature-and-practical-recommendations
August 04, 2021 - Review
Communication in healthcare: a narrative review of the literature and practical recommendations.
Citation Text:
Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature and practical recommendations. Int J Clin Pract. 2015;69(11):…
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psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united-states
December 12, 2012 - Study
In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States.
Citation Text:
Hill A-M, Jacques A, Chandler M, et al. In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United States. Jt Comm J…
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psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment
May 30, 2008 - Commentary
Patient safety in an interprofessional learning environment.
Citation Text:
Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3.
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psnet.ahrq.gov/issue/effects-safety-checklists-medicine-systematic-review
December 07, 2011 - Review
The effects of safety checklists in medicine: a systematic review.
Citation Text:
Thomassen Ø, Storesund A, Søfteland E, et al. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiol Scand. 2014;58(1):5-18. doi:10.1111/aas.12207.
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psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
March 01, 2023 - Commentary
Using the patient safety huddle as a tool for high reliability.
Citation Text:
Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004.
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psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna
March 12, 2025 - Study
Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out?
Citation Text:
Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …
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psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education
August 10, 2022 - Study
A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution.
Citation Text:
Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …
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psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
August 04, 2021 - Study
Teaching medical error apologies: development of a multi-component intervention.
Citation Text:
Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6.
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psnet.ahrq.gov/issue/critical-care-checklists-keystone-project-and-office-human-research-protections-case
May 04, 2014 - Commentary
Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.
Citation Text:
Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, an…
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psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
January 22, 2017 - Commentary
Patient safety in obstetrics: what aviators, firefighters and others can teach us.
Citation Text:
Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x…
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psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection
January 08, 2016 - Study
Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors.
Citation Text:
Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005…
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psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses
September 16, 2020 - Commentary
Abdominal pain in the emergency department: missed diagnoses.
Citation Text:
Halsey-Nichols M, McCoin N. Abdominal pain in the emergency department: missed diagnoses. Emerg Med Clin North Am. 2021;39(4):703-717. doi:10.1016/j.emc.2021.07.005.
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psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
October 18, 2023 - Commentary
Impact of a restraint management bundle on restraint use in an intensive care unit.
Citation Text:
Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.00…
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psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
November 16, 2022 - Review
Quality and the health system: becoming a high reliability organization.
Citation Text:
Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010.
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psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
October 17, 2017 - Review
Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention.
Citation Text:
Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…