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  1. A piece of my mind. Despite my best intentions. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
    September 13, 2016 - Commentary A piece of my mind. Despite my best intentions. Citation Text: Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0251_05-20-2010.pdf
    January 01, 2010 - Effective Health Care Topic Number(s): 0267 & 0302 Document Completion Date: 11-15-10 1 Results of Topic Selection Process & Next Steps  Prevention and treatment of pressure ulcers will go forward for refinement as a systematic review. The scope of this topic, including populations, intervention…

  3. Improving Quality Care for Children with Special Needs - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-quality-care-children-special-needs/annual-summary/2010
    January 01, 2010 - Improving Quality Care for Children with Special Needs - 2010 Project Name Improving Quality Care for Children with Special Needs Principal Investigator Lozzio, Carmen Organization University of Tennessee, Knoxville Funding Mechanism RFA: HS05-013: Limited Competiti…

  4. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet

    psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
    February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

  5. What is patient safety culture? A review of the literature. | PSNet

    psnet.ahrq.gov/issue/what-patient-safety-culture-review-literature
    July 19, 2023 - Review What is patient safety culture? A review of the literature. Citation Text: Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x. Copy Citation Format: …

  6. Severe hyperglycemia in patients incorrectly using insulin pens at home. | PSNet

    psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
    December 15, 2021 - Press Release/Announcement Severe hyperglycemia in patients incorrectly using insulin pens at home. Citation Text: Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…

  7. Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study. | PSNet

    psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
    December 21, 2011 - Study Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study. Citation Text: Zohar E, Noga Y, Davidson E, et al. Perioperative patient safety: correct patient, correct surgery, correct side--a multifacete…

  8. Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. | PSNet

    psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
    October 29, 2008 - Book/Report Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Citation Text: Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…

  9. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
    January 02, 2017 - Commentary Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. Citation Text: Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…

  10. Cutting-edge efforts in surgical patient safety. | PSNet

    psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
    August 02, 2015 - Commentary Cutting-edge efforts in surgical patient safety. Citation Text: Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  11. Prescribing errors resulting in adverse drug events: how can they be prevented? | PSNet

    psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
    May 10, 2023 - Commentary Prescribing errors resulting in adverse drug events: how can they be prevented? Citation Text: Thürmann PA. Prescribing errors resulting in adverse drug events: how can they be prevented? Expert Opin Drug Saf. 2006;5(4):489-93. Copy Citation Format: Google Scho…

  12. LOINC Maintenance (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/FL25LOINCMaintenance.pdf
    September 22, 2010 - LOINC Maintenance LOINC® Maintenance Checklist of Database changes / When to Re-Evaluate LOINC® mapping Share this checklist with the site staff holding security privileges to make LIS database changes. This particular staff doesn’t necessarily need to know how to map to LOINC®, but is now informed to route t…

  13. Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-programs-participation-has-increased-action-needed-achieve-goals
    September 07, 2016 - Book/Report Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. Citation Text: Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quali…

  14. State sepsis mandates—a new era for regulation of hospital quality. | PSNet

    psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
    October 02, 2019 - Commentary State sepsis mandates—a new era for regulation of hospital quality. Citation Text: Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928. Copy Citation Format: DOI…

  15. Chemotherapy patients' perceptions of drug administration safety. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-patients-perceptions-drug-administration-safety
    April 14, 2010 - Study Chemotherapy patients' perceptions of drug administration safety. Citation Text: Schwappach DLB, Wernli M. Chemotherapy patients' perceptions of drug administration safety. J Clin Oncol. 2010;28(17):2896-901. doi:10.1200/JCO.2009.27.6626. Copy Citation Format: DOI G…

  16. An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet

    psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
    September 27, 2017 - Commentary An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. Citation Text: Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…

  17. Time for transparent standards in quality reporting by health care organizations. | PSNet

    psnet.ahrq.gov/issue/time-transparent-standards-quality-reporting-health-care-organizations
    July 07, 2021 - Commentary Time for transparent standards in quality reporting by health care organizations. Citation Text: Pronovost P, Wu AW, Austin M. Time for Transparent Standards in Quality Reporting by Health Care Organizations. JAMA. 2017;318(8):701-702. doi:10.1001/jama.2017.10124. Copy Citat…

  18. Building bridges: future directions for medical error disclosure research. | PSNet

    psnet.ahrq.gov/issue/building-bridges-future-directions-medical-error-disclosure-research
    October 10, 2018 - Study Building bridges: future directions for medical error disclosure research. Citation Text: Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017. Copy…

  19. Is health care getting safer? | PSNet

    psnet.ahrq.gov/issue/health-care-getting-safer
    December 14, 2016 - Commentary Is health care getting safer? Citation Text: Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  20. Differential impact of a crew resource management program according to professional specialty. | PSNet

    psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
    July 31, 2013 - Study Differential impact of a crew resource management program according to professional specialty. Citation Text: Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:1…
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