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  1. Failure mode and effects analysis: too little for too much? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
    November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? Citation Text: Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723. Copy Citation Format: DOI Goo…

  2. The interrelationship of isolation precautions and adverse events in an acute care facility. | PSNet

    psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
    September 24, 2010 - Study The interrelationship of isolation precautions and adverse events in an acute care facility. Citation Text: Spence MR, McQuaid M. The interrelationship of isolation precautions and adverse events in an acute care facility. Am J Infect Control. 2011;39(2):154-155. doi:10.1016/j.aj…

  3. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-trial
    August 27, 2008 - Study The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Citation Text: Wheeler DW, Carter JJ, Murray LJ, et al. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Ann Intern Med. 2008;148(1):11-4. …

  4. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

  5. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. | PSNet

    psnet.ahrq.gov/issue/professional-values-and-reported-behaviours-doctors-usa-and-uk-quantitative-survey
    February 17, 2011 - Study Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. Citation Text: Roland M, Rao SR, Sibbald B, et al. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. BMJ Qual Saf. 2011;20(6):515-21. doi:10…

  6. Physicians and electronic health records: a statewide survey. | PSNet

    psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
    December 31, 2014 - Study Physicians and electronic health records: a statewide survey. Citation Text: Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167(5):507-12. Copy Citation Format: Google Scholar PubMed BibTeX …

  7. Reporting of hazards and near-misses in the ambulatory care setting. | PSNet

    psnet.ahrq.gov/issue/reporting-hazards-and-near-misses-ambulatory-care-setting
    October 19, 2011 - Study Reporting of hazards and near-misses in the ambulatory care setting. Citation Text: Schnall R, Bakken S. Reporting of hazards and near-misses in the ambulatory care setting. J Nurs Care Qual. 2011;26(4):328-334. doi:10.1097/NCQ.0b013e3182109204. Copy Citation Format: …

  8. Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
    July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

  9. Managing the care of patients discharged from home health: a quiet threat to patient safety? | PSNet

    psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
    October 16, 2012 - Study Managing the care of patients discharged from home health: a quiet threat to patient safety? Citation Text: Flynn L. Managing the care of patients discharged from home health: a quiet threat to patient safety? Home Healthc Nurse. 2007;25(3):184-90. Copy Citation Format: …

  10. A statewide voluntary patient safety initiative: the Georgia experience. | PSNet

    psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience
    October 04, 2011 - Commentary A statewide voluntary patient safety initiative: the Georgia experience. Citation Text: Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72. Copy Citation Format: …

  11. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
    March 19, 2019 - Commentary Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Citation Text: Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…

  12. Ethical issues in patient safety: implications for nursing management. | PSNet

    psnet.ahrq.gov/issue/ethical-issues-patient-safety-implications-nursing-management
    June 10, 2020 - Commentary Ethical issues in patient safety: implications for nursing management. Citation Text: Kangasniemi M, Vaismoradi M, Jasper M, et al. Ethical issues in patient safety: Implications for nursing management. Nurs Ethics. 2013;20(8):904-16. doi:10.1177/0969733013484488. Copy Cit…

  13. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0068_01-30-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number(s): 0120 Document Completion Date: 6-8-09 1 Results of Topic Selection Process & Next Steps  Antinuclear autoantibody and rheumatoid factor testing in children will move forward to be refined as an effectiveness review via the AHRQ Evidence-based Practice Ce…

  14. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. | PSNet

    psnet.ahrq.gov/issue/vha-new-england-medication-error-prevention-initiative-model-long-term-improvement
    January 04, 2017 - Commentary The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. Citation Text: Lesar TS, Anderson ER, Fields J, et al. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives…

  15. Applying trigger tools to detect adverse events associated with outpatient surgery. | PSNet

    psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
    November 10, 2015 - Study Applying trigger tools to detect adverse events associated with outpatient surgery. Citation Text: Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e3182…

  16. Analgesic prescribing errors and associated medication characteristics. | PSNet

    psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
    November 01, 2003 - Study Analgesic prescribing errors and associated medication characteristics. Citation Text: Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…

  17. Why talking is not cheap: adverse events and informal communication. | PSNet

    psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
    September 24, 2014 - Commentary Why talking is not cheap: adverse events and informal communication. Citation Text: Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635. Copy Citation …

  18. The inevitability of physician burnout: implications for interventions. | PSNet

    psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
    April 17, 2024 - Commentary The inevitability of physician burnout: implications for interventions. Citation Text: Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002. Copy Citation Format: DOI Google Scho…

  19. Joint Statement on Multiple Patients Per Ventilator. | PSNet

    psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
    May 24, 2015 - Organizational Policy/Guidelines Joint Statement on Multiple Patients Per Ventilator. Citation Text: Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…

  20. An elusive balance — residents' work hours and the continuity of care. | PSNet

    psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
    July 19, 2017 - Commentary An elusive balance — residents' work hours and the continuity of care. Citation Text: Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …
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