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  1. Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

    psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine
    August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

  2. Learning from litigation. The role of claims analysis in patient safety. | PSNet

    psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
    November 21, 2018 - Study Learning from litigation. The role of claims analysis in patient safety. Citation Text: Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. Copy Citation Format: Google S…

  3. Changing conversations: teaching safety and quality in residency training. | PSNet

    psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
    January 02, 2017 - Study Changing conversations: teaching safety and quality in residency training. Citation Text: Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. Copy Citati…

  4. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. | PSNet

    psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial
    March 05, 2010 - Study Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Citation Text: Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…

  5. Safety events in children's hospitals during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/safety-events-childrens-hospitals-during-covid-19-pandemic
    January 15, 2020 - Study Safety events in children's hospitals during the COVID-19 pandemic. Citation Text: Safety events in children's hospitals during the COVID-19 pandemic. Masonbrink AR, Harris M, Hall M, et al. Hosp Pediatr. 2021;11(6):e95-e100. Copy Citation Save Save t…

  6. El Camino Hospital: using health information technology to promote patient safety. | PSNet

    psnet.ahrq.gov/issue/el-camino-hospital-using-health-information-technology-promote-patient-safety
    March 06, 2013 - Award Recipient El Camino Hospital: using health information technology to promote patient safety. Citation Text: Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:…

  7. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. | PSNet

    psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-and-postoperative-outcomes-prospective-randomized
    October 10, 2018 - Study Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. Citation Text: Chaudhary N, Varma V, Kapoor S, et al. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled s…

  8. Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. | PSNet

    psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
    May 26, 2011 - Study Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. Citation Text: Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…

  9. Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors-pediatric-hospital
    March 22, 2017 - Study Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. Citation Text: Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf.…

  10. Critical events in the lives of interns. | PSNet

    psnet.ahrq.gov/issue/critical-events-lives-interns
    November 16, 2022 - Study Critical events in the lives of interns. Citation Text: Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  11. Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet

    psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
    May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients and staff. Citation Text: Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. Copy…

  12. Family perceptions of medication administration at school: errors, risk factors, and consequences. | PSNet

    psnet.ahrq.gov/issue/family-perceptions-medication-administration-school-errors-risk-factors-and-consequences
    April 24, 2018 - Study Family perceptions of medication administration at school: errors, risk factors, and consequences. Citation Text: Clay D, Farris K, McCarthy AM, et al. Family perceptions of medication administration at school: errors, risk factors, and consequences. J Sch Nurs. 2008;24(2):95-102…

  13. Shifting supervision: implications for safe administration of medication by nursing students. | PSNet

    psnet.ahrq.gov/issue/shifting-supervision-implications-safe-administration-medication-nursing-students
    January 27, 2021 - Study Shifting supervision: implications for safe administration of medication by nursing students. Citation Text: Reid-Searl K, Moxham L, Walker S, et al. Shifting supervision: implications for safe administration of medication by nursing students. J Clin Nurs. 2008;17(20):2750-7. doi…

  14. Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. | PSNet

    psnet.ahrq.gov/issue/delayed-flow-risk-patient-safety-mixed-method-analysis-emergency-department-patient-flow
    May 13, 2009 - Study Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. Citation Text: Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54…

  15. Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. | PSNet

    psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college
    April 24, 2018 - Commentary Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. Citation Text: Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …

  16. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and
    July 10, 2017 - Study Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. Citation Text: Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption …

  17. Significant and sustained reduction in chemotherapy errors through improvement science. | PSNet

    psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
    October 19, 2022 - Study Significant and sustained reduction in chemotherapy errors through improvement science. Citation Text: Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.20…

  18. Structural empowerment and patient safety culture among registered nurses working in adult critical care units. | PSNet

    psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult
    January 23, 2008 - Study Structural empowerment and patient safety culture among registered nurses working in adult critical care units. Citation Text: Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units.…

  19. Using a computerized sign-out system to improve physician–nurse communication. | PSNet

    psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication
    September 28, 2016 - Study Using a computerized sign-out system to improve physician–nurse communication. Citation Text: Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. Copy Citation Format: …

  20. Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. | PSNet

    psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth
    July 17, 2024 - Commentary Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. Citation Text: Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…
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