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  1. Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. | PSNet

    psnet.ahrq.gov/issue/horus-meets-nightingale-modern-age-how-nursing-communicates-pharmacy-hcit-era
    July 10, 2008 - Study Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. Citation Text: Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6. Copy Cit…

  2. Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
    March 24, 2011 - Study Medication error reporting in nursing homes: identifying targets for patient safety improvement. Citation Text: Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…

  3. Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. | PSNet

    psnet.ahrq.gov/issue/crisis-management-surgical-wards-simulation-based-approach-enhancing-technical-teamwork-and
    January 27, 2012 - Study Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. Citation Text: Arora S, Hull L, Fitzpatrick M, et al. Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork…

  4. Economic evaluations of maintaining patient safety systems in teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/economic-evaluations-maintaining-patient-safety-systems-teaching-hospitals
    January 15, 2009 - Study Economic evaluations of maintaining patient safety systems in teaching hospitals. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Economic evaluations of maintaining patient safety systems in teaching hospitals. Health Policy (New York). 2008;88(2-3):381-91. doi:10.1016/j.he…

  5. Using prospective clinical surveillance to identify adverse events in hospital. | PSNet

    psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital
    November 11, 2015 - Study Using prospective clinical surveillance to identify adverse events in hospital. Citation Text: Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…

  6. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? | PSNet

    psnet.ahrq.gov/issue/obstetriciangynecologist-hospitalists-can-we-improve-safety-and-outcomes-patients-and
    August 04, 2021 - Review Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? Citation Text: Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patient…

  7. The safety of Australian healthcare: 10 years after QAHCS. | PSNet

    psnet.ahrq.gov/issue/safety-australian-healthcare-10-years-after-qahcs
    January 12, 2022 - Commentary The safety of Australian healthcare: 10 years after QAHCS. Citation Text: Wilson RML, Van Der Weyden MB. The safety of Australian healthcare: 10 years after QAHCS. Med J Aust. 2005;182(6):260-1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  8. Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
    September 27, 2016 - Commentary Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. Citation Text: Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…

  9. Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients. | PSNet

    psnet.ahrq.gov/issue/specificity-computerized-physician-order-entry-has-significant-effect-efficiency-workflow
    March 14, 2022 - Study Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients. Citation Text: Ali NA, Mekhjian HS, Kuehn L, et al. Specificity of computerized physician order entry has a significant effect on the efficiency o…

  10. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
    December 22, 2018 - Study Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Citation Text: Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …

  11. Responding to medical errors — implementing the modern ethical paradigm. | PSNet

    psnet.ahrq.gov/issue/responding-medical-errors-implementing-modern-ethical-paradigm
    August 18, 2021 - Commentary Responding to medical errors — implementing the modern ethical paradigm. Citation Text: Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554. Copy Citation Format:…

  12. Error reporting and disclosure systems: views from hospital leaders. | PSNet

    psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders
    June 16, 2010 - Study Classic Error reporting and disclosure systems: views from hospital leaders. Citation Text: Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. Copy Citation For…

  13. What are we doing when we double check? | PSNet

    psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
    June 10, 2020 - Commentary What are we doing when we double check? Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  14. Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. | PSNet

    psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
    November 13, 2024 - Study Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. Citation Text: Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-2004 from closed …

  15. Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-orders-pediatric-continuous-drug-infusions-detecting-infusion-pump
    February 02, 2011 - Study Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study. Citation Text: Sowan AK, Gaffoor MI, Soeken K, et al. Impact of Computerized Orders for Pediatric Continuous Drug Infusions on Detecting Infusion…

  16. On the ball: leadership for patient safety and learning in critical care. | PSNet

    psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
    October 16, 2013 - Study On the ball: leadership for patient safety and learning in critical care. Citation Text: Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653. Copy Citatio…

  17. Strategies for detecting adverse drug events among older persons in the ambulatory setting. | PSNet

    psnet.ahrq.gov/issue/strategies-detecting-adverse-drug-events-among-older-persons-ambulatory-setting
    February 09, 2011 - Study Strategies for detecting adverse drug events among older persons in the ambulatory setting. Citation Text: Field T, Gurwitz JH, Harrold LR, et al. Strategies for detecting adverse drug events among older persons in the ambulatory setting. J Am Med Inform Assoc. 2004;11(6):492-8. …

  18. Dementia and risk of adverse warfarin-related events in the nursing home setting. | PSNet

    psnet.ahrq.gov/issue/dementia-and-risk-adverse-warfarin-related-events-nursing-home-setting
    February 23, 2011 - Study Dementia and risk of adverse warfarin-related events in the nursing home setting. Citation Text: Tjia J, Field T, Mazor KM, et al. Dementia and risk of adverse warfarin-related events in the nursing home setting. Am J Geriatr Pharmacother. 2012;10(5):323-30. doi:10.1016/j.amjopha…

  19. Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

    psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
    June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

  20. Safety-II and the study of healthcare safety routines: two paths forward for research. | PSNet

    psnet.ahrq.gov/issue/safety-ii-and-study-healthcare-safety-routines-two-paths-forward-research
    May 25, 2022 - Commentary Safety-II and the study of healthcare safety routines: two paths forward for research. Citation Text: Rydenfält C. Safety-II and the study of healthcare safety routines: two paths forward for research. J Patient Saf Risk Manag. 2022;27(3):124-128. doi:10.1177/25160435221102129…
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