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psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
July 29, 2020 - Commentary
Physicians and cognitive decline: a challenge for state medical boards.
Citation Text:
Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19.
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psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
March 30, 2016 - Commentary
Classic
No shortcuts to safer opioid prescribing.
Citation Text:
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
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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…
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…
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psnet.ahrq.gov/issue/objective-study-impact-electronic-medical-record-outcomes-trauma-patients
October 13, 2018 - Study
An objective study of the impact of the electronic medical record on outcomes in trauma patients.
Citation Text:
Schenarts PJ, Goettler CE, White MA, et al. An objective study of the impact of the electronic medical record on outcomes in trauma patients. Am Surg. 2012;78(11):1249…
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psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
November 16, 2022 - Commentary
Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units.
Citation Text:
Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3…
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psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention
December 06, 2023 - Study
Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention.
Citation Text:
Goldhaber-Fiebert SN, Goldhaber-Fiebert JD, Rosow CE. Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. Can J Anaesth. 2009;56(1):3…
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - Commentary
Crossing to safety: transforming healthcare organizations for patient safety.
Citation Text:
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67.
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psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
June 21, 2015 - Commentary
Safety stop: a valuable addition to the pediatric universal protocol.
Citation Text:
Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015.
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psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
February 24, 2011 - Commentary
From good intentions to successful implementation: the case of patient safety in Canada.
Citation Text:
Thomas PG. From good intentions to successful implementation: the case of patient safety in Canada. Canadian Public Administration/Administration publique du Canada. 2008;…
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psnet.ahrq.gov/issue/diagnostic-errors-and-diagnostic-calibration
April 04, 2018 - Commentary
Diagnostic errors and diagnostic calibration.
Citation Text:
Cifu AS. Diagnostic Errors and Diagnostic Calibration. JAMA. 2017;318(10):905-906. doi:10.1001/jama.2017.11030.
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psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
January 19, 2011 - Review
Quality and safety in the intensive care unit.
Citation Text:
Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
January 02, 2017 - Commentary
John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery.
Citation Text:
Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care …
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psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
May 07, 2008 - Study
Enhancing medication use safety: benefits of learning from your peers.
Citation Text:
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
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psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
June 05, 2024 - Review
Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety.
Citation Text:
Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…
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psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
August 26, 2011 - Study
Management of adverse surgical events: a structured education module for residents.
Citation Text:
Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90.
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psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
August 04, 2021 - Study
Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward.
Citation Text:
Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…
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psnet.ahrq.gov/issue/implementing-commercial-rule-base-medication-order-safety-net
January 03, 2017 - Study
Implementing a commercial rule base as a medication order safety net.
Citation Text:
Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9.
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psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
February 15, 2011 - Commentary
Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.
Citation Text:
Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…
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psnet.ahrq.gov/issue/reducing-specimen-identification-errors
October 12, 2016 - Commentary
Reducing specimen identification errors.
Citation Text:
Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303.
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