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A medication-based trigger tool to identify adverse events in pediatric anesthesiology. | PSNet

psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology

April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Citation Text: Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. C…

Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. | PSNet

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June 16, 2011 - Study Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. Citation Text: Gaugler JE, Ascher-Svanum H, Roth DL, et al. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use:…

Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. | PSNet

psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production

June 19, 2019 - Commentary Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Citation Text: Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…

The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. | PSNet

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January 21, 2019 - Study The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. Citation Text: Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141. doi:10.1097/0b013e31814258db. Copy Citation Format: DOI Google S…

Driving surgical quality using operative video. | PSNet

psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video

July 29, 2020 - Commentary Driving surgical quality using operative video. Citation Text: O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616. Copy Citation Format: DOI Google Scholar PubMed Bib…

Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. | PSNet

psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health

July 08, 2015 - Commentary Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Citation Text: Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Il…

Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. | PSNet

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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.…

Individual and team-based medical error disclosure: dialectical tensions among health care providers. | PSNet

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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…

Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside rounds. | PSNet

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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…

Implementation of patient centeredness to enhance patient safety. | PSNet

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June 24, 2010 - Commentary Implementation of patient centeredness to enhance patient safety. Citation Text: Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual. 2006;21(1):15-19. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. | PSNet

psnet.ahrq.gov/issue/setting-quality-and-safety-priorities-target-rich-environment-academic-medical-centers

September 24, 2018 - Study Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Citation Text: Mort E, Demehin AA, Marple KB, et al. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Acad Med. 20…

Improving self-reporting of adverse drug events in a West Virginia hospital. | PSNet

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March 10, 2011 - Study Improving self-reporting of adverse drug events in a West Virginia hospital. Citation Text: Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41. Copy Citation Format: Go…

Getting moving on patient safety—harnessing electronic data for safer care. | PSNet

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April 05, 2013 - Commentary Getting moving on patient safety—harnessing electronic data for safer care. Citation Text: Jha AK, Classen D. Getting moving on patient safety--harnessing electronic data for safer care. N Engl J Med. 2011;365(19):1756-8. doi:10.1056/NEJMp1109398. Copy Citation Format:…

The need for risk profiling in patient safety. | PSNet

psnet.ahrq.gov/issue/need-risk-profiling-patient-safety

August 08, 2010 - Commentary The need for risk profiling in patient safety. Citation Text: Donaldson LJ, Noble DJ. The need for risk profiling in patient safety. J Patient Saf. 2010;6(3):125-7. doi:10.1097/PTS.0b013e3181ed73a3. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

A handoff is not a telegram: an understanding of the patient is co-constructed. | PSNet

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September 03, 2014 - Commentary A handoff is not a telegram: an understanding of the patient is co-constructed. Citation Text: Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536. Copy Citation…

Impact of organizations on healthcare-associated infections. | PSNet

psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections

December 11, 2024 - Commentary Impact of organizations on healthcare-associated infections. Citation Text: Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012. Copy Citation Format: DOI Googl…

The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. | PSNet

psnet.ahrq.gov/issue/trainees-voice-recognising-importance-preoperative-briefings-surgical-trainees

October 09, 2019 - Commentary The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. Citation Text: Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. Copy C…

Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. | PSNet

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(…

Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. | PSNet

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…

Improving ambulatory patient safety: learning from the last decade, moving ahead in the next. | PSNet

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…

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