AHRQ Search | Home Page

Comprehensive analysis of a medication dosing error related to CPOE. | PSNet

psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe

June 01, 2005 - Commentary Comprehensive analysis of a medication dosing error related to CPOE. Citation Text: Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. Copy Citation Fo…

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. | PSNet

psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized

November 12, 2014 - Commentary Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. Citation Text: Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs…

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 …

How long does it take to train a surgeon? | PSNet

psnet.ahrq.gov/issue/how-long-does-it-take-train-surgeon

October 16, 2024 - Commentary How long does it take to train a surgeon? Citation Text: Jackson GP, Tarpley JL. How long does it take to train a surgeon? BMJ. 2009;339:b4260. doi:10.1136/bmj.b4260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. | PSNet

psnet.ahrq.gov/issue/effects-fatigue-anaesthetist-well-being-and-patient-safety-narrative-review

June 28, 2023 - Review Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. Citation Text: Ippolito M, Einav S, Giarratano A, et al. Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. Br J Anaesth. 2024;133(1):111-117. doi:10.1016/j.bja…

A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. | PSNet

psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line

February 24, 2016 - Commentary A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. Citation Text: Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…

Introducing the patient safety professional: why, what, who, how, and where? | PSNet

psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where

July 03, 2014 - Commentary Introducing the patient safety professional: why, what, who, how, and where? Citation Text: Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…

Intensive care unit alarms—how many do we need? | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need

March 01, 2011 - Study Intensive care unit alarms—how many do we need? Citation Text: Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. Copy Citation Format: DOI Google Scholar PubMed BibT…

Learning from failure: the need for independent safety investigation in healthcare. | PSNet

psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare

September 24, 2018 - Commentary Learning from failure: the need for independent safety investigation in healthcare. Citation Text: Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. Copy…

Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. | PSNet

psnet.ahrq.gov/issue/creating-pediatric-joint-council-promote-patient-safety-and-quality-governance-and

January 29, 2015 - Commentary Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. Citation Text: Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

psnet.ahrq.gov/issue/attitudinal-changes-resulting-repetitive-training-operating-room-personnel-using-high

February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

Online medication error graphic reports: a pilot in North Carolina nursing homes. | PSNet

psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes

March 24, 2011 - Study Online medication error graphic reports: a pilot in North Carolina nursing homes. Citation Text: Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4…

Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. | PSNet

psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons

April 03, 2013 - Study Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Citation Text: Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Strat Manage J…

Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. | PSNet

psnet.ahrq.gov/issue/scaffolding-our-systems-patients-and-families-reaching-source-healthcare-resilience

February 23, 2022 - Commentary Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. Citation Text: O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…

The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. | PSNet

psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent

April 22, 2017 - Commentary The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. Citation Text: Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication…

Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality

December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. | PSNet

psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer

January 27, 2016 - Study Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Citation Text: Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308. Copy Cita…

Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. | PSNet

psnet.ahrq.gov/issue/oncology-patients-willingness-report-their-medication-safety-concerns-home-qualitative-study

August 21, 2024 - Study Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. Citation Text: Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study. Support Care Cancer…

Creating a culture of caregiver support. | PSNet

psnet.ahrq.gov/issue/creating-culture-caregiver-support

May 18, 2022 - Newspaper/Magazine Article Creating a culture of caregiver support. Citation Text: Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. | PSNet

psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting

September 27, 2010 - Study Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. Citation Text: Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam M…

Search AHRQ

Results