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  1. Communication errors in radiology—pitfalls and how to avoid them. | PSNet

    psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them
    September 24, 2017 - Review Communication errors in radiology—pitfalls and how to avoid them. Citation Text: Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. Copy Citation Format: …

  2. IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. | PSNet

    psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
    January 31, 2024 - Commentary IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. Citation Text: Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239. Copy Citation Format: …

  3. Rural nurses' safeguarding work: reembodying patient safety. | PSNet

    psnet.ahrq.gov/issue/rural-nurses-safeguarding-work-reembodying-patient-safety
    December 09, 2009 - Study Rural nurses' safeguarding work: reembodying patient safety. Citation Text: MacKinnon K. Rural nurses' safeguarding work: reembodying patient safety. ANS Adv Nurs Sci. 2011;34(2):119-129. doi:10.1097/ANS.0b013e3182186b86. Copy Citation Format: DOI Google Scholar Pu…

  4. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
    January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) Optimizing the Use of HIT to Improve Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse events • Facilitating a more rapid response after an …

  5. Making it easier to do the right thing: a modern communication QI agenda. | PSNet

    psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-communication-qi-agenda
    January 20, 2016 - Commentary Making it easier to do the right thing: a modern communication QI agenda. Citation Text: Wynia M. Making it easier to do the right thing: a modern communication QI agenda. Patient Educ Couns. 2012;88(3):364-6. doi:10.1016/j.pec.2012.06.027. Copy Citation Format: …

  6. On-site pharmacists in the ED improve medical errors. | PSNet

    psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors
    July 19, 2023 - Study On-site pharmacists in the ED improve medical errors. Citation Text: Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002. Copy Citation Format: DOI Google Scho…

  7. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). | PSNet

    psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
    January 13, 2010 - Study Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Citation Text: Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …

  8. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Populat…

  9. Reducing pediatric medication errors: children are especially at risk for medication errors. | PSNet

    psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
    May 18, 2022 - Commentary Reducing pediatric medication errors: children are especially at risk for medication errors. Citation Text: Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim. Cop…

  10. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. | PSNet

    psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed
    February 17, 2016 - Study Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. Citation Text: Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. J Adv Nurs. 2016;72(10):2536-46. doi…

  11. Is your code cart ready? | PSNet

    psnet.ahrq.gov/issue/your-code-cart-ready
    August 30, 2017 - Newspaper/Magazine Article Is your code cart ready? Citation Text: Cohen ML. Is your code cart ready? Medical economics. 2005;82(18):45-6, 48. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

  12. When things go wrong: how health care organizations deal with major failures. | PSNet

    psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
    March 13, 2013 - Commentary Classic When things go wrong: how health care organizations deal with major failures. Citation Text: Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11. Copy …

  13. The risks to patient safety from health system expansions. | PSNet

    psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
    May 13, 2020 - Commentary Emerging Classic The risks to patient safety from health system expansions. Citation Text: Haas S, Gawande AA, Reynolds ME. The Risks to Patient Safety From Health System Expansions. JAMA. 2018;319(17):1765-1766. doi:10.1001/jama.2018.2074. Copy Cit…

  14. Sued for misdiagnosis? It could happen to you. | PSNet

    psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
    February 07, 2024 - Commentary Sued for misdiagnosis? It could happen to you. Citation Text: Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  15. Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive review. | PSNet

    psnet.ahrq.gov/issue/relationship-between-high-fidelity-simulation-and-patient-safety-prelicensure-nursing
    October 19, 2022 - Review Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive review. Citation Text: Blum CA, Parcells DA. Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: a comprehensive re…

  16. Diagnostic overshadowing in dentistry. | PSNet

    psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
    March 13, 2024 - Commentary Diagnostic overshadowing in dentistry. Citation Text: Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  17. Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. | PSNet

    psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
    April 20, 2016 - Study Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. Citation Text: Karasin B, Maund C. Using Multidisciplinary Rounds to Improve Patient Safety Through Venous Thromboembolism Prevention Awareness. Jt Comm J Qual Patient Saf.…

  18. You can't blame the wreck on the train. | PSNet

    psnet.ahrq.gov/issue/you-cant-blame-wreck-train
    March 03, 2011 - Commentary You can't blame the wreck on the train. Citation Text: Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  19. Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

    psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

  20. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
    September 23, 2020 - Commentary The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Citation Text: DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…
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