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psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
February 14, 2024 - Commentary
Why your TeamSTEPPS program may not be working.
Citation Text:
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007.
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psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes-and-practices-medication-safety
June 15, 2012 - Study
Nurses' clinical reasoning: processes and practices of medication safety.
Citation Text:
Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health Res. 2012;22(1):3-16. doi:10.1177/1049732311420448.
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psnet.ahrq.gov/issue/disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-anesthesiologists
August 21, 2024 - Review
The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists?
Citation Text:
Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3…
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psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
September 23, 2020 - Meeting/Conference Proceedings
Improving patient safety in radiation oncology.
Citation Text:
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
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psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
June 16, 2011 - Commentary
Event reporting: the value of a nonpunitive approach.
Citation Text:
Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05.
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psnet.ahrq.gov/issue/human-patient-simulation-teaching-students-provide-safe-care
June 24, 2009 - Commentary
Human patient simulation: teaching students to provide safe care.
Citation Text:
Henneman EA, Cunningham H, Roche JP, et al. Human patient simulation: teaching students to provide safe care. Nurse Educ. 2007;32(5):212-7.
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psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
July 19, 2018 - Commentary
Decreasing 30-day readmission rates.
Citation Text:
Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02.
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psnet.ahrq.gov/issue/availability-spanish-prescription-labels
December 18, 2014 - Study
Availability of Spanish prescription labels.
Citation Text:
Sharif I, Lo S, Ozuah PO. Availability of Spanish prescription labels. J Health Care Poor Underserved. 2006;17(1):65-9.
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psnet.ahrq.gov/issue/commonly-used-easily-confused-lets-eliminate-hyper-and-hypo
April 18, 2018 - Commentary
Commonly used, easily confused: let's eliminate hyper and hypo.
Citation Text:
Frankel A, Vecchio P. Commonly used, easily confused: let's eliminate hyper and hypo. BMJ. 2010;341:c5867. doi:10.1136/bmj.c5867.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Actions Based on Survey Results
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Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
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psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
August 29, 2011 - Commentary
Improving operating room and perioperative safety: background and specific recommendations.
Citation Text:
Schimpff SC. Improving operating room and perioperative safety: background and specific recommendations. Surg Innov. 2007;14(2):127-35.
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psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
September 16, 2020 - Commentary
Confronting a colleague who covers up a medical error.
Citation Text:
Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274.
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psnet.ahrq.gov/issue/impact-transparency-patient-safety-and-liability
March 02, 2011 - Commentary
The impact of transparency on patient safety and liability.
Citation Text:
Griffen D. The impact of transparency on patient safety and liability. Bull Am Coll Surg. 2008;93(3):19-23.
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-professional-action
June 01, 2004 - Commentary
Disclosing harmful medical errors to patients: a time for professional action.
Citation Text:
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819.
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psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
November 09, 2022 - Commentary
Dangerous deception--hiding the evidence of adverse drug events.
Citation Text:
Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71.
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psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
August 18, 2017 - Study
Observational assessment of surgical teamwork: a feasibility study.
Citation Text:
Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83.
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psnet.ahrq.gov/issue/technology-education-and-safety-3
October 11, 2023 - Special or Theme Issue
Technology, Education and Safety.
Citation Text:
Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742.
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psnet.ahrq.gov/issue/disclosing-adverse-events-patients
September 23, 2020 - Commentary
Disclosing adverse events to patients.
Citation Text:
Cantor MD, Barach P, Derse A, et al. Disclosing adverse events to patients. Jt Comm J Qual Patient Saf. 2005;31(1):5-12.
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psnet.ahrq.gov/issue/safety-hospital-stroke-care
December 02, 2020 - Study
The safety of hospital stroke care.
Citation Text:
Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555.
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psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
September 04, 2013 - Commentary
Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.
Citation Text:
Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…