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psnet.ahrq.gov/node/37549/psn-pdf
September 09, 2008 - Transition from a traditional code team to a medical
emergency team and categorization of cardiopulmonary
arrests in a children's center.
September 9, 2008
Hunt EA, Zimmer KP, Rinke ML, et al. Transition from a traditional code team to a medical emergency
team and categorization of cardiopulmonary arrests in a chi…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/44977/psn-pdf
March 01, 2020 - Choosing a Patient Safety Organization
March 1, 2020
Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0030.
https://psnet.ahrq.gov/issue/choosing-patient-safety-organization
Patient safety organizations (PSOs) collect and analyze protected incident data from across the …
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psnet.ahrq.gov/node/38823/psn-pdf
July 29, 2009 - Attending physician work hours: ethical considerations
and the last doctor standing.
July 29, 2009
Mercurio MR, Peterec SM. Attending physician work hours: ethical considerations and the last doctor
standing. Pediatrics. 2009;124(2):758-62. doi:10.1542/peds.2008-2953.
https://psnet.ahrq.gov/issue/attending-physici…
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psnet.ahrq.gov/node/854266/psn-pdf
October 04, 2023 - Smart Healthcare Safety.
October 4, 2023
Plymouth Meeting PA, ECRI. 2019-2023.
https://psnet.ahrq.gov/issue/smart-healthcare-safety
A wide variety of considerations must converge to inform an understanding of system vulnerabilities and
the application of strategies to address them. This series of webinars covers a…
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psnet.ahrq.gov/node/38606/psn-pdf
January 02, 2017 - Using an electronic prescribing system to ensure
accurate medication lists in a large multidisciplinary
medical group.
January 2, 2017
Stock R, Scott J, Gurtel S. Using an electronic prescribing system to ensure accurate medication lists in a
large multidisciplinary medical group. Jt Comm J Qual Patient Saf. 2009;…
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psnet.ahrq.gov/node/866697/psn-pdf
September 11, 2024 - Patient Safety: Emerging Applications of Safety Science.
September 11, 2024
Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK:
Class Publishing; 2024. ISBN 9781801610834.
https://psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
Patient safety…
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psnet.ahrq.gov/node/41553/psn-pdf
December 02, 2014 - Quality improvement initiative to reduce serious safety
events and improve patient safety culture.
December 2, 2014
Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events
and improve patient safety culture. Pediatrics. 2012;130(2):e423-31. doi:10.1542/peds.2011-35…
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psnet.ahrq.gov/node/38190/psn-pdf
May 14, 2009 - Oncology medication safety: a 3D status report 2008.
May 14, 2009
Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm
Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634.
https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008
This survey di…
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psnet.ahrq.gov/node/44480/psn-pdf
October 14, 2015 - Improving radiology report quality by rapidly notifying
radiologist of report errors.
October 14, 2015
Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of
Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-9.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/40241/psn-pdf
June 20, 2011 - Computerized physician order entry in the critical care
environment: a review of current literature.
June 20, 2011
Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A
Review of Current Literature. J Intensive Care Med. 2011;26(3). doi:10.1177/0885066610387984.
https…
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psnet.ahrq.gov/node/38278/psn-pdf
January 15, 2009 - The impact of introducing medical emergency team
system on the documentations of vital signs.
January 15, 2009
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/j.resuscitation.2008.10.009.
http…
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psnet.ahrq.gov/node/43010/psn-pdf
March 19, 2014 - Why pediatricians fail to diagnose hypertension: a
multicenter survey.
March 19, 2014
Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a
multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066.
https://psnet.ahrq.gov/issue/why-pediatrician…
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psnet.ahrq.gov/node/36969/psn-pdf
May 21, 2014 - Evaluation of the Patient Safety Improvement Corps:
Experiences of the First Two Groups of Trainees.
May 21, 2014
Teleki S, Santa Monica, CA: RAND Corporation; 2006. ISBN: 978-0-8330-3992-7
https://psnet.ahrq.gov/issue/evaluation-patient-safety-improvement-corps-experiences-first-two-groups-
trainees
This report …
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psnet.ahrq.gov/node/44964/psn-pdf
March 09, 2016 - EHRs in the ER: as doctors adapt, concerns emerge
about medical errors.
March 9, 2016
Luthra S.
https://psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
Many emergency departments have recently implemented electronic health records, which has introduced
new safety hazards. This news…
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psnet.ahrq.gov/node/35482/psn-pdf
May 27, 2011 - The introduction of computerized physician order entry
and change management in a tertiary pediatric hospital.
May 27, 2011
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change
management in a tertiary pediatric hospital. Pediatrics. 2005;116(5):e634-42.
https:/…
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psnet.ahrq.gov/node/42861/psn-pdf
January 15, 2014 - Transitioning Newborns From NICU to Home: A Resource
Toolkit.
January 15, 2014
Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No.
12(14)-0054-EF.
https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
Infants discharged from the neonatal intensiv…
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psnet.ahrq.gov/node/43562/psn-pdf
September 24, 2014 - What's that sound? Managing alarm fatigue.
September 24, 2014
George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!.
2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f.
https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
Alarm fatigue has been described as a cont…
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psnet.ahrq.gov/node/43984/psn-pdf
November 16, 2015 - Improving resident handoffs for children transitioning
from the intensive care unit.
November 16, 2015
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the
intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2014-0067.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/43100/psn-pdf
April 02, 2014 - Taking National Action to Prevent and Eliminate
Healthcare-Associated Infections.
April 2, 2014
Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
This special issue explores a national initiativ…