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  1. Reducing administrative harm in medicine - clinicians and administrators together. | PSNet

    psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
    February 23, 2022 - Commentary Reducing administrative harm in medicine - clinicians and administrators together. Citation Text: O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174. Copy Citation …

  2. Quality and safety in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
    January 19, 2011 - Review Quality and safety in the intensive care unit. Citation Text: Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  3. Satisfaction of intensive care unit nurses with nurse-physician communication. | PSNet

    psnet.ahrq.gov/issue/satisfaction-intensive-care-unit-nurses-nurse-physician-communication
    March 18, 2009 - Study Satisfaction of intensive care unit nurses with nurse-physician communication. Citation Text: Manojlovich M, Antonakos C. Satisfaction of intensive care unit nurses with nurse-physician communication. J Nurs Adm. 2008;38(5):237-43. doi:10.1097/01.NNA.0000312769.19481.18. Copy C…

  4. Clinical alarms: improving efficiency and effectiveness. | PSNet

    psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
    February 22, 2010 - Study Clinical alarms: improving efficiency and effectiveness. Citation Text: Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  5. Learning safe prescribing during post-take ward rounds. | PSNet

    psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
    August 14, 2013 - Newspaper/Magazine Article Learning safe prescribing during post-take ward rounds. Citation Text: Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x. Copy Citation …

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

    psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
    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…

  7. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet

    psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
    July 02, 2019 - Commentary Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Citation Text: Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…

  8. Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. | PSNet

    psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-draft-report-congress-public
    June 16, 2021 - Press Release/Announcement Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. Citation Text: Public comment period extended for strategies to improve patient safety: Draft Re…

  9. Creating the web-based intensive care unit safety reporting system.  | PSNet

    psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
    October 13, 2018 - Commentary Creating the web-based intensive care unit safety reporting system.  Citation Text: Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408. Copy Citati…

  10. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry
    April 10, 2024 - Commentary Enhancing patient safety: improving the patient handoff process through appreciative inquiry. Citation Text: Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104. C…

  11. Sustainability-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Module 4: Sustainability Sustainability Tool Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…

  12. 'The ABC of Handover': impact on shift handover in the emergency department. | PSNet

    psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
    June 17, 2010 - Study 'The ABC of Handover': impact on shift handover in the emergency department. Citation Text: Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201. Copy Ci…

  13. The use of human factors methods to identify and mitigate safety issues in radiation therapy. | PSNet

    psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
    March 22, 2011 - Study The use of human factors methods to identify and mitigate safety issues in radiation therapy. Citation Text: Chan AJ, Islam MK, Rosewall T, et al. The use of human factors methods to identify and mitigate safety issues in radiation therapy. Radiother Oncol. 2010;97(3):596-600. do…

  14. Developing a tool for assessing competency in root cause analysis. | PSNet

    psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
    May 01, 2014 - Study Developing a tool for assessing competency in root cause analysis. Citation Text: Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42. Copy Citation Format: Google Scholar PubMed BibTeX E…

  15. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
    June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

  16. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. | PSNet

    psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events
    January 23, 2017 - Study The reliability of AHRQ Common Format Harm Scales in rating patient safety events. Citation Text: Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3…

  17. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. | PSNet

    psnet.ahrq.gov/issue/building-capacity-and-capability-patient-safety-education-train-trainers-programme-senior
    January 15, 2014 - Study Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. Citation Text: Ahmed M, Arora S, Baker P, et al. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. BMJ…

  18. Parenteral nutrition errors and potential errors reported over the past 10 years. | PSNet

    psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
    June 20, 2018 - Study Parenteral nutrition errors and potential errors reported over the past 10 years. Citation Text: Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/08845336177158…

  19. The Broselow tape as an effective medication dosing instrument: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/broselow-tape-effective-medication-dosing-instrument-review-literature
    April 09, 2009 - Review The Broselow tape as an effective medication dosing instrument: a review of the literature. Citation Text: Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…

  20. Assessment of adverse drug events among patients in a tertiary care medical center. | PSNet

    psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
    September 28, 2005 - Study Assessment of adverse drug events among patients in a tertiary care medical center. Citation Text: Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. Copy Cita…
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