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  1. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
    April 13, 2011 - Study Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. Citation Text: Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…

  2. An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. | PSNet

    psnet.ahrq.gov/issue/organisation-without-memory-qualitative-study-hospital-staff-perceptions-reporting-and
    July 10, 2024 - Study An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. Citation Text: Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and organisation…

  3. Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. | PSNet

    psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame
    August 24, 2022 - Review Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. Citation Text: Brattebø G, Flaatten HK. Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame. Curr Opin Anaesthesiol. 2023;36(2):…

  4. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. | PSNet

    psnet.ahrq.gov/issue/identifying-causes-adverse-events-detected-automated-trigger-tool-through-depth-analysis
    October 05, 2011 - Study Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Citation Text: Muething SE, Conway PH, Kloppenborg E, et al. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Qual Saf Health…

  5. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. | PSNet

    psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
    January 19, 2016 - Study Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. Citation Text: Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…

  6. Translating patient safety legislation into health care practice. | PSNet

    psnet.ahrq.gov/issue/translating-patient-safety-legislation-health-care-practice
    February 15, 2011 - Commentary Translating patient safety legislation into health care practice. Citation Text: Rabinowitz ABK, Clarke JR, Marella WM, et al. Translating patient safety legislation into health care practice. Jt Comm J Qual Patient Saf. 2006;32(12):676-681. Copy Citation Format: …

  7. Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. | PSNet

    psnet.ahrq.gov/issue/best-practices-developing-proprietary-names-human-nonprescription-drug-products
    December 23, 2020 - Press Release/Announcement Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. Citation Text: Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. Rockville, MD: US Department of Health and Human Services, Food and Dr…

  8. Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. | PSNet

    psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
    July 11, 2018 - Book/Report Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Citation Text: Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…

  9. Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety. | PSNet

    psnet.ahrq.gov/issue/am-i-unsafe-here-chemotherapy-patients-perspectives-towards-engaging-their-safety
    February 01, 2011 - Study Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety. Citation Text: Schwappach DLB, Wernli M. Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.2009.033118. C…

  10. Teamwork behaviours and errors during neonatal resuscitation. | PSNet

    psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
    September 13, 2011 - Study Teamwork behaviours and errors during neonatal resuscitation. Citation Text: Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. Copy Citation Format…

  11. The role of patient safety culture in the causation of unintended events in hospitals. | PSNet

    psnet.ahrq.gov/issue/role-patient-safety-culture-causation-unintended-events-hospitals
    October 14, 2009 - Study The role of patient safety culture in the causation of unintended events in hospitals. Citation Text: Smits M, Wagner C, Spreeuwenberg P, et al. The role of patient safety culture in the causation of unintended events in hospitals. J Clin Nurs. 2012;21(23-24):3392-401. doi:10.1111…

  12. Using medical-error reporting to drive patient safety efforts. | PSNet

    psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
    September 18, 2024 - Commentary Using medical-error reporting to drive patient safety efforts. Citation Text: Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  13. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. | PSNet

    psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
    March 14, 2022 - Organizational Policy/Guidelines Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Citation Text: Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …

  14. Detection of medication-related problems in hospital practice: a review. | PSNet

    psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practice-review
    June 16, 2021 - Review Detection of medication-related problems in hospital practice: a review. Citation Text: Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol. 2013;76(1):7-20. doi:10.1111/bcp.12049. Copy Citation Format: DOI Google S…

  15. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. | PSNet

    psnet.ahrq.gov/issue/preventing-surgical-site-infections-implementing-strategies-throughout-perioperative
    January 15, 2025 - Commentary Preventing surgical site infections: implementing strategies throughout the perioperative continuum. Citation Text: Rosa R, Sposato K, Abbo LM. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. AORN J. 2023;117(5):300-311. doi…

  16. Patient safety: the what, how, and when. | PSNet

    psnet.ahrq.gov/issue/patient-safety-what-how-and-when
    June 23, 2021 - Commentary Patient safety: the what, how, and when. Citation Text: Albrecht RM. Patient safety: the what, how, and when. Am J Surg. 2015;210(6):978-82. doi:10.1016/j.amjsurg.2015.09.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  17. Stories from the sharp end: case studies in safety improvement. | PSNet

    psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
    October 07, 2008 - Study Stories from the sharp end: case studies in safety improvement. Citation Text: Stories from the sharp end: case studies in safety improvement. McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 Copy Citation Save Save to your library Print Dow…

  18. Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
    December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. Citation Text: Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…

  19. Wake Up Safe in the USA & international patient safety. | PSNet

    psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
    August 23, 2023 - Study Wake Up Safe in the USA & international patient safety. Citation Text: Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920. Copy Citation Format: DOI Google Scholar BibTeX En…

  20. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet

    psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
    September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…
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