-
psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
October 19, 2022 - Commentary
Between a rock and a hard place: disclosing medical errors.
Citation Text:
Crone KG, Muraski MB, Skeel JD, et al. Between a rock and a hard place: disclosing medical errors. Clin Chem. 2006;52(9):1809-14.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNo…
-
psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
April 19, 2017 - Study
Barriers to adverse event and error reporting in anesthesia.
Citation Text:
Heard GC, Sanderson PM, Thomas RD. Barriers to Adverse Event and Error Reporting in Anesthesia. Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8.
Copy Citation
Format:
D…
-
psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
March 22, 2023 - Commentary
To err is human, unless you are a healthcare provider.
Citation Text:
To err is human, unless you are a healthcare provider. Zajicek J. Belmont Health Law J. 2020;4:79-135.
Copy Citation
Save
Save to your library
Print
Download PDF
Sha…
-
psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
February 16, 2011 - Study
Physician perception of hospital safety and barriers to incident reporting.
Citation Text:
Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43.
Copy Citation
Format:
Goog…
-
psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians
August 13, 2014 - Book/Report
Coordination Between Emergency and Primary Care Physicians.
Citation Text:
Coordination Between Emergency and Primary Care Physicians. Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR Research Brief No. 3.
Copy Citation …
-
psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
April 10, 2024 - Commentary
Safety lessons from the NIH Clinical Center.
Citation Text:
Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
January 18, 2013 - Commentary
Engineering the system of communication for safer surgery.
Citation Text:
Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address-opioids-crisis
November 10, 2021 - Grant Announcement
AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis.
Citation Text:
AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. Augu…
-
psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
C…
-
psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
September 25, 2019 - Book/Report
Approaches and Challenges to Electronically Matching Patients' Records Across Providers.
Citation Text:
Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…
-
psnet.ahrq.gov/issue/long-term-trends-psychotropic-drug-use-nursing-homes
May 25, 2022 - Book/Report
Long-Term Trends of Psychotropic Drug Use in Nursing Homes.
Citation Text:
Long-Term Trends of Psychotropic Drug Use in Nursing Homes. Grimm CA. Washington DC: Office of the Inspector General; Nov 2022. Report no. OEI-07-20-00500.
Copy Citation
Save
…
-
psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
October 26, 2022 - Book/Report
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
Citation Text:
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.
…
-
psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
January 24, 2018 - Newspaper/Magazine Article
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
Citation Text:
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…
-
psnet.ahrq.gov/issue/failure-weigh-patients-hospital-medication-safety-risk
April 22, 2015 - Study
Failure to weigh patients in hospital: a medication safety risk.
Citation Text:
Hilmer SN, Rangiah C, Bajorek B, et al. Failure to weigh patients in hospital: a medication safety risk. Intern Med J. 2007;37(9):647-50.
Copy Citation
Format:
Google Scholar PubMed BibT…
-
psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
July 13, 2010 - Study
Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.
Citation Text:
Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…
-
psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers
June 02, 2021 - Press Release/Announcement
Using ventilator splitters during the COVID-19 pandemic--letter to health care providers.
Citation Text:
Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Silver Spring, MD: Division of Industry and Consumer Education, US…
-
psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - Newspaper/Magazine Article
Using information from external errors to signal a "clear and present danger."
Citation Text:
Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5.
Copy Citati…
-
psnet.ahrq.gov/issue/impact-medication-reviews-delivered-community-pharmacist-elderly-patients-polypharmacy-meta
May 19, 2021 - Review
Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta-analysis of randomized controlled trials.
Citation Text:
Tasai S, Kumpat N, Dilokthornsakul P, et al. Impact of Medication Reviews Delivered by Community Pharmacist to Elderl…
-
psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
February 24, 2016 - Newspaper/Magazine Article
Is an indication-based prescribing system in our future?
Citation Text:
Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
Copy Citation
Save
Save to your …
-
psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The tendency to take
shortcuts and save time is a very human one, but it also increases the risk of … Lack of predictability greatly
increases the risk of mistakes.