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Why nurses make medication errors: a simulation study. | PSNet

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March 02, 2011 - Study Why nurses make medication errors: a simulation study. Citation Text: Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

The paradoxes of defensive medicine. | PSNet

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June 08, 2022 - Commentary The paradoxes of defensive medicine. Citation Text: The paradoxes of defensive medicine. Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84. Copy Citation Save Save to your library Print Download PDF Share Facebook …

Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. | PSNet

psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm

June 10, 2018 - Newspaper/Magazine Article Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. Citation Text: Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…

Accidental IV infusion of heparinized irrigation in the OR. | PSNet

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September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …

Guidelines for timely medication administration: response to the CMS "30-minute rule." | PSNet

psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule

June 10, 2018 - Newspaper/Magazine Article Guidelines for timely medication administration: response to the CMS "30-minute rule." Citation Text: Guidelines for timely medication administration: response to the CMS "30-minute rule." ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-…

Patient Safety: Committing to Learn and Acting to Improve. | PSNet

psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve

June 09, 2009 - Special or Theme Issue Patient Safety: Committing to Learn and Acting to Improve. Citation Text: Patient Safety: Committing to Learn and Acting to Improve. Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284. Copy Citation Save Save to yo…

Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study. | PSNet

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December 24, 2008 - Newspaper/Magazine Article Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study. Citation Text: Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funde…

Interruptions and multitasking in nursing care. | PSNet

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September 28, 2010 - Study Interruptions and multitasking in nursing care. Citation Text: Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

Ding-a-ling-a-ling: ambulances can be dangerous places. | PSNet

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September 20, 2017 - Newspaper/Magazine Article Ding-a-ling-a-ling: ambulances can be dangerous places. Citation Text: Ding-a-ling-a-ling: ambulances can be dangerous places. Meisel Z. Copy Citation Save Save to your library Print Download PDF Share Facebook …

Care Delivery within Community Mental Health Teams. | PSNet

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April 26, 2023 - Book/Report Care Delivery within Community Mental Health Teams. Citation Text: Care Delivery within Community Mental Health Teams. Farnborough, UK: Healthcare Safety Investigation Branch; March 2023. Copy Citation Save Save to your library Print Downlo…

Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. | PSNet

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August 01, 2012 - Book/Report Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. Citation Text: Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report. Price CS, Savitz LA. Rockville,…

A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. | PSNet

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December 27, 2014 - Toolkit A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. Citation Text: A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, …

Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. | PSNet

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August 01, 2012 - Book/Report Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. Citation Text: Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. Rockville, MD: Agency for Healthcare Research and Quali…

Care transitions: a threat and an opportunity for patient safety. | PSNet

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May 20, 2009 - Commentary Care transitions: a threat and an opportunity for patient safety. Citation Text: Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical Quality. 2006;21(6). doi:10.1177/1062860606293537. Copy Citation Format: DO…

Falls prevention at Mayo Clinic Rochester: a path to quality care. | PSNet

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January 22, 2017 - Commentary Falls prevention at Mayo Clinic Rochester: a path to quality care. Citation Text: Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44. Copy Citation Format: Google Scholar PubMed BibTeX End…

Rapid response team activation by patients can mitigate errors. | PSNet

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July 18, 2018 - Newspaper/Magazine Article Rapid response team activation by patients can mitigate errors. Citation Text: Rapid response team activation by patients can mitigate errors. ISMP Medication Safety Alert! Acute care edition. June 1, 2006. Copy Citation Save Save to you…

Unintended side effects: arbitration and the deterrence of medical error. | PSNet

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January 20, 2021 - Commentary Unintended side effects: arbitration and the deterrence of medical error. Citation Text: Unintended side effects: arbitration and the deterrence of medical error. Shieh D. N Y Univ Law Rev. 2014;89:1806-1835. Copy Citation Save Save to your library …

Radiology reporting—where does the radiologist's duty end? | PSNet

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April 03, 2005 - Commentary Radiology reporting—where does the radiologist's duty end? Citation Text: Radiology reporting—where does the radiologist's duty end? Garvey CJ; Connolly S. Copy Citation Save Save to your library Print Download PDF Share Faceb…

Patient- and family-centered care: error disclosure and investigation. | PSNet

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July 15, 2009 - Newspaper/Magazine Article Patient- and family-centered care: error disclosure and investigation. Citation Text: Patient- and family-centered care: error disclosure and investigation. Connor M; Wayman KI; Garcia C; Fischer PR; Consortium for Maximizing Family-Centered Care. Copy Citati…

Communication devices in the operating room. | PSNet

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December 02, 2020 - Review Communication devices in the operating room. Citation Text: Ruskin KJ. Communication devices in the operating room. Curr Opin Anaesthesiol. 2006;19(6):655-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

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