-
psnet.ahrq.gov/issue/errors-near-misses-and-adverse-events-emergency-department-what-can-patients-tell-us
April 25, 2018 - Study
Errors, near misses and adverse events in the emergency department: what can patients tell us?
Citation Text:
Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427.
Copy Cit…
-
psnet.ahrq.gov/issue/work-system-design-patient-safety-seips-model
December 18, 2013 - Commentary
Work system design for patient safety: the SEIPS model.
Citation Text:
Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842.
Copy Citation
Form…
-
psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vulnerable
March 27, 2019 - Commentary
Limits on opioid prescribing leave patients with chronic pain vulnerable.
Citation Text:
Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188.
Copy Citation
Format:
DOI Google …
-
psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
October 13, 2018 - Study
Seeking high reliability in primary care: leadership, tools, and organization.
Citation Text:
Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022.
Copy Citation
F…
-
psnet.ahrq.gov/issue/enhancing-communication-surgery-through-team-training-interventions-systematic-literature
August 11, 2021 - Review
Enhancing communication in surgery through team training interventions: a systematic literature review.
Citation Text:
Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature review. AORN J. 2010;92(6):6…
-
psnet.ahrq.gov/issue/talking-behind-their-backs-negative-gossip-and-burnout-hospitals
April 17, 2024 - Study
Talking behind their backs: negative gossip and burnout in hospitals.
Citation Text:
Georganta K, Panagopoulou E, Montgomery A. Talking behind their backs: Negative gossip and burnout in Hospitals. Burn Res. 2014;1(2). doi:10.1016/j.burn.2014.07.003.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
August 29, 2018 - Review
Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review.
Citation Text:
Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…
-
psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
January 20, 2016 - Review
Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009.
Citation Text:
Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last…
-
psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
January 31, 2018 - Review
Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.
Citation Text:
Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…
-
psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Citation Text:
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim.
Copy Citation
Format:
Google Scholar PubM…
-
digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project
January 01, 2023 - The Medication Metronome Project
Project Final Report ( PDF , 850.24 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this…
-
psnet.ahrq.gov/issue/acog-committee-opinion-621-patient-safety-and-health-information-technology
May 22, 2019 - Commentary
ACOG Committee Opinion #621: patient safety and health information technology.
Citation Text:
Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…
-
psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
November 23, 2011 - Study
Retained foreign bodies after surgery.
Citation Text:
Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote…
-
psnet.ahrq.gov/issue/disruptive-behavior-and-clinical-outcomes-perceptions-nurses-and-physicians
September 28, 2010 - Study
Classic
Disruptive behavior and clinical outcomes: perceptions of nurses and physicians.
Citation Text:
Rosenstein AH, O'Daniel M. Disruptive behavior and clinical outcomes: perceptions of nurses and physicians. Am J Nurs. 2005;105(1):54-64; quiz 64-5.
…
-
psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
June 26, 2024 - Review
Medical error and decision making: learning from the past and present in intensive care.
Citation Text:
Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001.
C…
-
psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques
August 12, 2020 - Commentary
The ‘new view’ of human error. Origins, ambiguities, successes and critiques.
Citation Text:
Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
July 19, 2023 - Study
Sources and types of discrepancies between electronic medical records and actual outpatient medication use.
Citation Text:
Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…
-
psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
December 09, 2020 - Commentary
The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.
Citation Text:
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591.
Copy Citation
Format:
Google Sc…
-
psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety.
Citation Text:
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote …
-
psnet.ahrq.gov/issue/winning-battle-standardization
March 02, 2022 - Newspaper/Magazine Article
Winning the battle for standardization.
Citation Text:
Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag…