-
psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-moving-ahead-next
November 15, 2018 - Commentary
Improving ambulatory patient safety: learning from the last decade, moving ahead in the next.
Citation Text:
Wynia MK, Classen DC. Improving Ambulatory Patient Safety. JAMA. 2011;306(22):2504-2505. doi:10.1001/jama.2011.1820.
Copy Citation
Format:
DOI Google Sc…
-
psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
March 27, 2024 - Commentary
Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department.
Citation Text:
McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Pat…
-
psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
April 20, 2016 - Study
Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness.
Citation Text:
Karasin B, Maund C. Using Multidisciplinary Rounds to Improve Patient Safety Through Venous Thromboembolism Prevention Awareness. Jt Comm J Qual Patient Saf.…
-
psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
June 14, 2011 - Study
Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error.
Citation Text:
Raab SS, Grzybicki DM, Sudilovsky D, et al. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. Am J Clin Pathol. 2006;126(…
-
psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
Copy Citation
For…
-
psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication
January 09, 2013 - Study
Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.
Citation Text:
Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commissio…
-
psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
February 10, 2015 - Meeting/Conference
Healthcare Systems Ergonomics and Patient Safety Triennial Conference.
Citation Text:
Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…
-
psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
September 27, 2017 - Study
Individual and team-based medical error disclosure: dialectical tensions among health care providers.
Citation Text:
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…
-
psnet.ahrq.gov/issue/development-checklist-documenting-team-and-collaborative-behaviors-during-multidisciplinary
November 08, 2012 - Study
Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside rounds.
Citation Text:
Henneman EA, Kleppel R, Hinchey KT. Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside r…
-
psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - Commentary
Classic
Problem doctors: is there a system-level solution?
Citation Text:
Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15.
Copy Citation
Format:
Google Scholar PubMed BibTeX End…
-
psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet
April 14, 2021 - Commentary
Fixing patient safety: are we nearly there yet?
Citation Text:
McCulloch P. Fixing patient safety: are we nearly there yet? BMJ Qual Saf. 2024;33(8):539-542. doi:10.1136/bmjqs-2023-016589.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
-
psnet.ahrq.gov/issue/assessing-hospital-safety-nights-and-weekends-swan-tool
September 28, 2010 - Commentary
Assessing hospital safety on nights and weekends: the SWAN tool.
Citation Text:
Shulkin DJ. Assessing hospital safety on nights and weekends: the SWAN tool. J Patient Saf. 2009;5(2):75-8. doi:10.1097/PTS.0b013e3181a5db10.
Copy Citation
Format:
DOI Google Schola…
-
psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
June 14, 2017 - Commentary
Moving beyond readmission penalties: creating an ideal process to improve transitional care.
Citation Text:
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…
-
psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
January 09, 2025 - Tools/Toolkit
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide.
Citation Text:
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.
Copy Citation
Sav…
-
psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
March 21, 2017 - Study
Reasons for after-hours calls by hospital floor nurses to on-call physicians.
Citation Text:
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
Copy Citation
F…
-
psnet.ahrq.gov/issue/patient-safety-and-end-life-care-common-issues-perspectives-and-strategies-improving-care
June 30, 2021 - Review
Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care.
Citation Text:
Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…
-
psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement
January 19, 2016 - Review
Systems approaches to surgical quality and safety: from concept to measurement.
Citation Text:
Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/impact-patient-safety-mandates-medical-education-united-states
June 01, 2011 - Review
Impact of patient safety mandates on medical education in the United States.
Citation Text:
Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5.
Copy Citation…
-
psnet.ahrq.gov/issue/improving-patient-safety-using-interactive-evidence-based-decision-support-tools
September 14, 2022 - Commentary
Improving patient safety using interactive, evidence-based decision support tools.
Citation Text:
Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683.
Copy Citation
Form…
-
psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility
June 26, 2015 - Commentary
Classic
A piece of my mind. Coping with fallibility.
Citation Text:
Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…