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  1. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration
    September 03, 2015 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. Citation Text: Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…

  2. CPOE: strategies for success. | PSNet

    psnet.ahrq.gov/issue/cpoe-strategies-success
    October 09, 2019 - Commentary CPOE: strategies for success. Citation Text: Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  3. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. | PSNet

    psnet.ahrq.gov/issue/how-can-we-keep-patients-dementia-safe-our-acute-hospitals-review-challenges-and-solutions
    February 04, 2015 - Review How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. Citation Text: George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. J R Soc Med. 2013;1…

  4. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. | PSNet

    psnet.ahrq.gov/issue/north-mississippi-medical-center-focus-quality-safety-and-financial-critical-success-factors
    November 21, 2021 - Award Recipient North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Citation Text: Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Jt Comm J Qual …

  5. ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. | PSNet

    psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
    July 27, 2016 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. Citation Text: ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. ISMP Medication Safe…

  6. Nursing student medication errors: a case study using root cause analysis. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
    November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…

  7. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. | PSNet

    psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-professional-issues-items
    October 17, 2012 - Study Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. Citation Text: Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437. Copy Citation …

  8. Quality-related event learning in community pharmacies: manual versus computerized reporting processes. | PSNet

    psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting
    November 09, 2016 - Study Quality-related event learning in community pharmacies: manual versus computerized reporting processes. Citation Text: Boyle TA, Scobie A, MacKinnon NJ, et al. Quality-related event learning in community pharmacies: Manual versus computerized reporting processes. J Am Pharm Assoc…

  9. An investigation of occupational subgroups with respect to patient safety culture. | PSNet

    psnet.ahrq.gov/issue/investigation-occupational-subgroups-respect-patient-safety-culture
    March 06, 2024 - Study An investigation of occupational subgroups with respect to patient safety culture. Citation Text: Phipps DL, Ashcroft DM. An investigation of occupational subgroups with respect to patient safety culture. Saf Sci. 2012;50(5). doi:10.1016/j.ssci.2011.12.016. Copy Citation Fo…

  10. Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
    July 01, 2017 - Commentary Clinical faculty: taking the lead in teaching quality improvement and patient safety. Citation Text: Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…

  11. Innovation and teamwork: introducing multidisciplinary team ward rounds. | PSNet

    psnet.ahrq.gov/issue/innovation-and-teamwork-introducing-multidisciplinary-team-ward-rounds
    May 25, 2022 - Newspaper/Magazine Article Innovation and teamwork: introducing multidisciplinary team ward rounds. Citation Text: Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing management (Harrow, London, England : 1994). 2006;13(1):28-31. Copy…

  12. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-conceptual-framework-nursing-workload-and-patient-safety-intensive
    March 11, 2020 - Review A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Citation Text: Carayon P, Gurses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive Crit C…

  13. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. | PSNet

    psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
    August 18, 2021 - Commentary Bringing change-of-shift report to the bedside: a patient- and family-centered approach. Citation Text: Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8…

  14. Near misses: paradoxical realities in everyday clinical practice. | PSNet

    psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
    May 04, 2012 - Study Near misses: paradoxical realities in everyday clinical practice. Citation Text: Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x. Copy Citation Fo…

  15. Nursing handoffs: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
    January 08, 2025 - Review Nursing handoffs: a systematic review of the literature. Citation Text: Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. Copy Citation Format:…

  16. The content and context of change of shift report on medical and surgical units. | PSNet

    psnet.ahrq.gov/issue/content-and-context-change-shift-report-medical-and-surgical-units
    September 24, 2016 - Study The content and context of change of shift report on medical and surgical units. Citation Text: Staggers N, Jennings BM. The content and context of change of shift report on medical and surgical units. J Nurs Adm. 2009;39(9):393-8. doi:10.1097/NNA.0b013e3181b3b63a. Copy Citatio…

  17. Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet

    psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
    February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …

  18. The impact of a pharmacist's participation on hospitalists' rounds. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacists-participation-hospitalists-rounds
    March 16, 2022 - Study The impact of a pharmacist's participation on hospitalists' rounds. Citation Text: Patel R, Butler K, Garrett D, et al. The Impact of a Pharmacist's Participation on Hospitalists' Rounds. Hosp Pharm. 2010;45(2). doi:10.1310/hpj4502-129. Copy Citation Format: DOI Goog…

  19. Postoperative opioid prescribing: Getting it RIGHTT. | PSNet

    psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
    August 20, 2018 - Review Emerging Classic Postoperative opioid prescribing: Getting it RIGHTT. Citation Text: Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001. Copy Citation Format:…

  20. Using a Delphi method to identify human factors contributing to nursing errors. | PSNet

    psnet.ahrq.gov/issue/using-delphi-method-identify-human-factors-contributing-nursing-errors
    June 10, 2015 - Study Using a Delphi method to identify human factors contributing to nursing errors. Citation Text: Roth C, Brewer M, Wieck L. Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors. Nurs Forum. 2017;52(3):173-179. doi:10.1111/nuf.12178. Copy Citation Forma…
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