-
psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration
October 19, 2022 - Meeting/Conference Proceedings
The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.
Citation Text:
Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Found…
-
psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
January 04, 2009 - Book/Report
Classic
Preventing Medication Errors: Quality Chasm Series.
Citation Text:
Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …
-
psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
February 24, 2011 - Study
Classic
Adverse drug events in ambulatory care.
Citation Text:
Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNot…
-
psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs
September 07, 2022 - Commentary
Classic
Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.
Citation Text:
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans A…
-
psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
June 29, 2022 - Commentary
Checking all the boxes: a checklist for when and how to use checklists effectively.
Citation Text:
Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bm…
-
psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-tools-randomized-controlled-experiment
December 21, 2017 - Study
Liquid medication errors and dosing tools: a randomized controlled experiment.
Citation Text:
Yin S, Parker RM, Sanders LM, et al. Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. Pediatrics. 2016;138(4):e20160357.
Copy Citation
Format:
G…
-
psnet.ahrq.gov/issue/diagnosing-crime-and-diagnosing-disease-part-1-and-part-2
December 05, 2018 - Review
Diagnosing crime and diagnosing disease—part 1 and part 2.
Citation Text:
Lockhart JJ, Satya-Murti S. Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the Forensic and Clinical Sciences. J Forensic Sci. 2017;62(6):1534-1541. doi:10.1111/1556-4029.13453.
Copy…
-
psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
August 17, 2022 - Review
Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review.
Citation Text:
Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…
-
psnet.ahrq.gov/issue/recommendations-national-panel-quality-improvement-obstetrics
July 12, 2023 - Commentary
Recommendations from a national panel on quality improvement in obstetrics.
Citation Text:
Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…
-
psnet.ahrq.gov/issue/implementation-parent-centered-approach-preinduction-checklist-pediatric-surgery
October 05, 2022 - Study
Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.
Citation Text:
Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. d…
-
psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
July 02, 2014 - Study
Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory.
Citation Text:
Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …
-
psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome
August 02, 2023 - Commentary
A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.
Citation Text:
Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…
-
psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
July 31, 2008 - Study
Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.
Citation Text:
Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…
-
psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
March 02, 2011 - Commentary
Classic
The end of the beginning: patient safety five years after 'To Err Is Human.'
Citation Text:
Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534.
C…
-
psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
March 23, 2011 - Study
Using the internet to deliver education on drug safety.
Citation Text:
Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X…
-
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…
-
psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
September 28, 2016 - Study
Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.
Citation Text:
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…
-
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…
-
psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review
January 26, 2022 - Review
Preventing medication errors in pediatric anesthesia: a systematic scoping review.
Citation Text:
Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.00000000…
-
psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
April 12, 2019 - Commentary
1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs).
Citation Text:
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018…