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  1. Hospital patient safety grades may misrepresent hospital performance. | PSNet

    psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance
    September 21, 2022 - Study Hospital patient safety grades may misrepresent hospital performance. Citation Text: Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139. Copy Citation Format: DOI…

  2. Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/use-safety-attitudes-questionnaire-measure-patient-safety-improvement
    August 18, 2010 - Study Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. Citation Text: Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. J Patient Saf. 2010;6(4):206-9. Copy Citation For…

  3. Patient safety: examining the adequacy of the 5 rights of medication administration. | PSNet

    psnet.ahrq.gov/issue/patient-safety-examining-adequacy-5-rights-medication-administration
    March 02, 2016 - Commentary Patient safety: examining the adequacy of the 5 rights of medication administration. Citation Text: Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f. Copy…

  4. Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet

    psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
    August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. Citation Text: Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…

  5. Language discordance and patient care-Babel. | PSNet

    psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
    October 30, 2024 - Commentary Language discordance and patient care-Babel. Citation Text: Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

  6. Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. | PSNet

    psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2
    January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…

  7. Changes in physician practice patterns after implementation of a communication-and-resolution program. | PSNet

    psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
    September 01, 2018 - Study Changes in physician practice patterns after implementation of a communication-and-resolution program. Citation Text: Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;5…

  8. A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. | PSNet

    psnet.ahrq.gov/issue/review-educational-strategies-improve-nurses-roles-recognizing-and-responding-deteriorating
    October 16, 2013 - Review A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. Citation Text: Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles in recognizing and responding to deterio…

  9. Multi-professional patterns and methods of communication during patient handoffs. | PSNet

    psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs
    January 30, 2019 - Study Multi-professional patterns and methods of communication during patient handoffs. Citation Text: Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.00…

  10. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. | PSNet

    psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
    September 23, 2017 - Commentary Blending evidence and innovation: improving intershift handoffs in a multihospital setting. Citation Text: Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…

  11. The nature and occurrence of registration errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
    September 28, 2016 - Study The nature and occurrence of registration errors in the emergency department. Citation Text: Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011. …

  12. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. | PSNet

    psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning
    January 22, 2017 - Study Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Citation Text: Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…

  13. Nurse working conditions and patient safety outcomes. | PSNet

    psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes
    May 22, 2024 - Study Classic Nurse working conditions and patient safety outcomes. Citation Text: Stone PW, Mooney-Kane C, Larson EL, et al. Nurse Working Conditions and Patient Safety Outcomes. Med Care. 2007;45(6):571-578. doi:10.1097/mlr.0b013e3180383667. Copy Citation …

  14. Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

    psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
    April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

  15. Association between elements of electronic health record systems and the weekend effect in urgent general surgery. | PSNet

    psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent
    November 04, 2015 - Study Association between elements of electronic health record systems and the weekend effect in urgent general surgery. Citation Text: Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…

  16. Reducing errors resulting from commonly missed chest radiography findings. | PSNet

    psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
    August 20, 2018 - Commentary Reducing errors resulting from commonly missed chest radiography findings. Citation Text: Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. Copy Citation Format: …

  17. Body CT: technical advances for improving safety. | PSNet

    psnet.ahrq.gov/issue/body-ct-technical-advances-improving-safety
    September 28, 2022 - Review Body CT: technical advances for improving safety. Citation Text: Marin D, Nelson RC, Rubin GD, et al. Body CT: technical advances for improving safety. AJR Am J Roentgenol. 2011;197(1):33-41. doi:10.2214/AJR.11.6755. Copy Citation Format: DOI Google Scholar PubMed Bi…

  18. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

    psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
    June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…

  19. The "physician-led chart audit": engaging providers in fortifying a culture of safety. | PSNet

    psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety
    November 20, 2013 - Study The "physician-led chart audit": engaging providers in fortifying a culture of safety. Citation Text: Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…

  20. Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
    October 19, 2022 - Commentary Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry. Citation Text: Kozakiewicz JM, Benis LJ, Fisher SM, et al. Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber o…
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