AHRQ Search | Home Page

Identifying resilience: a system safety review of trauma and orthopaedic theatres. | PSNet

psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres

October 19, 2011 - Commentary Identifying resilience: a system safety review of trauma and orthopaedic theatres. Citation Text: Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. Copy Citation Fo…

A 3-year study of medication incidents in an acute general hospital. | PSNet

psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital

July 15, 2020 - Study A 3-year study of medication incidents in an acute general hospital. Citation Text: Song L, Chui WCM, Lau CP, et al. A 3-year study of medication incidents in an acute general hospital. J Clin Pharm Ther. 2008;33(2):109-14. doi:10.1111/j.1365-2710.2007.00880.x. Copy Citation …

Capturing essential information to achieve safe interoperability. | PSNet

psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability

February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

How will state medical boards handle cases involving disclosure and apology for medical errors? | PSNet

psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors

September 07, 2022 - Study How will state medical boards handle cases involving disclosure and apology for medical errors? Citation Text: Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160…

Medication errors with electronic prescribing (eP): two views of the same picture. | PSNet

psnet.ahrq.gov/issue/medication-errors-electronic-prescribing-ep-two-views-same-picture

November 13, 2009 - Study Medication errors with electronic prescribing (eP): two views of the same picture. Citation Text: Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-1…

Potential uses of AI for perioperative nursing handoffs: a qualitative study. | PSNet

psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study

September 01, 2021 - Study Potential uses of AI for perioperative nursing handoffs: a qualitative study. Citation Text: King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015. Copy Citation …

Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet

psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety

April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…

Safety Is Personal: Partnering With Patients and Families for the Safest Care. | PSNet

psnet.ahrq.gov/issue/safety-personal-partnering-patients-and-families-safest-care

January 06, 2015 - Book/Report Safety Is Personal: Partnering With Patients and Families for the Safest Care. Citation Text: Safety Is Personal: Partnering With Patients and Families for the Safest Care. NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National P…

Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/influence-state-laws-mandating-reporting-healthcare-associated-infections-case-central-line

December 21, 2017 - Study Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections. Citation Text: Pakyz AL, Edmond MB. Influence of state laws mandating reporting of healthcare-associated infections: the case of central lin…

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. | PSNet

psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents

August 14, 2018 - Study Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. Citation Text: Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and ent…

Debriefing in the emergency department after clinical events: a practical guide. | PSNet

psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide

November 16, 2022 - Commentary Debriefing in the emergency department after clinical events: a practical guide. Citation Text: Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…

Does the concept of safety culture help or hinder systems thinking in safety? | PSNet

psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety

October 12, 2011 - Commentary Does the concept of safety culture help or hinder systems thinking in safety? Citation Text: Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033. Copy Citati…

The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. | PSNet

psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim

June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…

Electronic health record use issues and diagnostic error: a scoping review and framework. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework

September 14, 2011 - Review Electronic health record use issues and diagnostic error: a scoping review and framework. Citation Text: Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/p…

Leadership: an effective human factor during COVID-19. | PSNet

psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19

March 31, 2021 - Commentary Leadership: an effective human factor during COVID-19. Citation Text: Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-205. doi:10.1136/leader-2020-000384. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

A piece of my mind. Hard times and hard stops. | PSNet

psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops

December 11, 2024 - Commentary A piece of my mind. Hard times and hard stops. Citation Text: Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display. | PSNet

psnet.ahrq.gov/issue/reducing-emergency-department-charting-and-ordering-errors-room-number-watermark-electronic

November 22, 2017 - Study Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display. Citation Text: Yamamoto LG. Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record dis…

Designing safety interventions for specific contexts: results from a literature review. | PSNet

psnet.ahrq.gov/issue/designing-safety-interventions-specific-contexts-results-literature-review

June 22, 2022 - Review Designing safety interventions for specific contexts: results from a literature review. Citation Text: Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.20…

Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet

psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic

January 12, 2022 - Review Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. Citation Text: Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…

Strategies for improving family engagement during family-centered rounds. | PSNet

psnet.ahrq.gov/issue/strategies-improving-family-engagement-during-family-centered-rounds

December 22, 2018 - Study Strategies for improving family engagement during family-centered rounds. Citation Text: Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022. Copy Citation Format: …

Search AHRQ

Results