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Simulation to Improve Patient Safety: Getting Started. | PSNet

psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started

June 26, 2024 - Book/Report Simulation to Improve Patient Safety: Getting Started. Citation Text: Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055. Copy Citation Format: …

Voluntarily reported emergency department errors. | PSNet

psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors

June 20, 2011 - Study Voluntarily reported emergency department errors. Citation Text: Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12. Copy Citation Format: DOI Google…

Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient

September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet

psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths

January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…

The nature of adverse events in dentistry. | PSNet

psnet.ahrq.gov/issue/nature-adverse-events-dentistry

November 01, 2023 - Study The nature of adverse events in dentistry. Citation Text: Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

Increasing physician reporting of diagnostic learning opportunities. | PSNet

psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities

March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …

FDA advises health care professionals and patients about insulin pen packaging and dispensing. | PSNet

psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing

June 22, 2011 - Press Release/Announcement FDA advises health care professionals and patients about insulin pen packaging and dispensing. Citation Text: FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. | PSNet

psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production

June 19, 2019 - Commentary Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Citation Text: Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet

psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology

May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. | PSNet

psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new

June 02, 2021 - Government Resource FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. Citation Text: FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time chang…

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma

March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. | PSNet

psnet.ahrq.gov/issue/setting-quality-and-safety-priorities-target-rich-environment-academic-medical-centers

September 24, 2018 - Study Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Citation Text: Mort E, Demehin AA, Marple KB, et al. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Acad Med. 20…

Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality

May 08, 2017 - Study Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. Citation Text: Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…

In situ simulation: identification of systems issues. | PSNet

psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues

January 31, 2024 - Study In situ simulation: identification of systems issues. Citation Text: Guise J-M, Mladenovic J. In situ simulation: Identification of systems issues. Semin Perinatol. 2013;37(3). doi:10.1053/j.semperi.2013.02.007. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

LeDeR - Learning from Lives and Deaths. | PSNet

psnet.ahrq.gov/issue/leder-learning-lives-and-deaths

October 19, 2022 - Multi-use Website LeDeR - Learning from Lives and Deaths. Citation Text: LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England. Copy Citation Save Save to your library Print Download PDF Share Fa…

Cost of medication-related problems at a university hospital. | PSNet

psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital

January 13, 2021 - Study Classic Cost of medication-related problems at a university hospital. Citation Text: Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE Copy Citation Save Save to yo…

Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. | PSNet

psnet.ahrq.gov/issue/perspective-beyond-counting-hours-importance-supervision-professionalism-transitions-care-and

September 20, 2011 - Commentary Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. Citation Text: Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257…

Treatment errors in healthcare: a safety climate approach. | PSNet

psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach

July 13, 2010 - Study Treatment errors in healthcare: a safety climate approach. Citation Text: Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. . Manage Sci. 2005;51(6):948-960. doi:10.1287/mnsc.1050.0372. Copy Citation Format: DOI Google Schol…

Rural hospital patient safety systems implementation in two states. | PSNet

psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states

February 03, 2011 - Study Rural hospital patient safety systems implementation in two states. Citation Text: Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x. Copy Citation …

Healthcare Systems Ergonomics and Patient Safety Triennial Conference. | PSNet

psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference

February 10, 2015 - Meeting/Conference Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Citation Text: Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…

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