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Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-using-sterile-cockpit-principle-during-medication-administration

September 12, 2016 - Study Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project. Citation Text: Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during medication administration: a…

Risk management: extreme honesty may be the best policy. | PSNet

psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy

January 04, 2017 - Study Classic Risk management: extreme honesty may be the best policy. Citation Text: Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967. Copy Citation Format: Google Scholar PubMed Bi…

Quality and patient safety improvement is never finished. | PSNet

psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished

September 18, 2024 - Study Quality and patient safety improvement is never finished. Citation Text: Kachalia A, Vanhaecht K. Quality and patient safety improvement is never finished. NEJM Catalyst. 2024;5(9). doi:10.1056/cat.24.0316. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

Speaking up for patient safety by hospital-based health care professionals: a literature review. | PSNet

psnet.ahrq.gov/issue/speaking-patient-safety-hospital-based-health-care-professionals-literature-review

October 31, 2011 - Review Speaking up for patient safety by hospital-based health care professionals: a literature review. Citation Text: Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.…

A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. | PSNet

psnet.ahrq.gov/issue/patient-safety-curriculum-medical-residents-based-perspectives-residents-and-supervisors

April 14, 2011 - Study A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. Citation Text: Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. J Patient Saf. 2011;7…

The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet

psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety

April 26, 2023 - Commentary The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Citation Text: Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…

Residents' intentions and actions after patient safety education. | PSNet

psnet.ahrq.gov/issue/residents-intentions-and-actions-after-patient-safety-education

June 08, 2011 - Study Residents' intentions and actions after patient safety education. Citation Text: Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. Copy Citation Format: D…

Effect of computerized physician order entry on radiologic examination order indication quality. | PSNet

psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-radiologic-examination-order-indication-quality

June 13, 2015 - Study Effect of computerized physician order entry on radiologic examination order indication quality. Citation Text: Schneider E, Franz W, Spitznagel R, et al. Effect of computerized physician order entry on radiologic examination order indication quality. Arch Intern Med. 2011;171(11…

Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. | PSNet

psnet.ahrq.gov/issue/anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite

August 16, 2023 - Commentary Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. Citation Text: Kuczkowski KM. Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. Arch Gynecol Obstet. 2008;278(5):477-8. doi:10.1007/s00404-008-…

Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. | PSNet

psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy

December 11, 2013 - Study Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Citation Text: James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…

What we know about designing an effective improvement intervention (but too often fail to put into practice). | PSNet

psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice

September 06, 2017 - Commentary What we know about designing an effective improvement intervention (but too often fail to put into practice). Citation Text: Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…

An engineered solution to the maladministration of spinal injections. | PSNet

psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections

March 14, 2022 - Study An engineered solution to the maladministration of spinal injections. Citation Text: Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767. Copy Citation …

Intraoperative communications between pathologists and surgeons: do we understand each other? | PSNet

psnet.ahrq.gov/issue/intraoperative-communications-between-pathologists-and-surgeons-do-we-understand-each-other

June 28, 2023 - Study Intraoperative communications between pathologists and surgeons: do we understand each other? Citation Text: Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…

Nursing home safety: does financial performance matter? | PSNet

psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter

November 05, 2008 - Study Nursing home safety: does financial performance matter? Citation Text: Oetjen RM, Zhao M, Liu D, et al. Nursing home safety: does financial performance matter? J Health Care Finance. 2011;37(3):51-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Association between organisational and workplace cultures, and patient outcomes: systematic review. | PSNet

psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic

February 03, 2011 - Review Association between organisational and workplace cultures, and patient outcomes: systematic review. Citation Text: Braithwaite J, Herkes J, Ludlow K, et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open. 2017;7(11). do…

Development of the ICU safety reporting system. | PSNet

psnet.ahrq.gov/issue/development-icu-safety-reporting-system

May 27, 2011 - Study Development of the ICU safety reporting system. Citation Text: Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32. Copy Citation Save Save to your library Print Download PD…

Incoming interns recognize inadequate physical examination as a cause of patient harm. | PSNet

psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm

July 20, 2022 - Study Incoming interns recognize inadequate physical examination as a cause of patient harm. Citation Text: Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/…

Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. | PSNet

psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and

March 11, 2020 - Commentary Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. Citation Text: Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding a…

Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. | PSNet

psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors

July 24, 2013 - Review Emerging Classic Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. Citation Text: Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of…

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries

October 16, 2012 - Book/Report Classic Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Serv…

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