-
psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
December 09, 2020 - February 1, 2013
Using Healthcare Failure Mode and Effect Analysis to reduce medication … errors in the process of drug prescription, validation and dispensing in hospitalised patients.
-
psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
September 09, 2020 - May 4, 2022
Detectability of medication errors with a STOPP/START-based medication review
-
psnet.ahrq.gov/issue/stakeholder-perspectives-contributors-delayed-and-inaccurate-diagnosis-cardiovascular-disease
August 18, 2021 - February 3, 2011
Assessing the impact of the anesthesia medication template on medication … errors during anesthesia: a prospective study.
-
psnet.ahrq.gov/issue/comparison-appendectomy-outcomes-between-senior-general-surgeons-and-general-surgery
May 03, 2023 - August 7, 2024
Medication errors in pediatric emergency departments: a systematic review
-
psnet.ahrq.gov/node/43869/psn-pdf
November 03, 2015 - health-it-patient-safety-action-and-surveillance-plan
https://psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors
-
psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
December 31, 2014 - February 18, 2019
Medication errors with pediatric liquid acetaminophen after standardization
-
psnet.ahrq.gov/issue/cms-your-mistake-your-problem
November 16, 2022 - May 31, 2023
Do No Harm: Are We Preventing Medication Errors in Children with Medical
-
psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
September 18, 2024 - July 31, 2013
Profiles in patient safety: medication errors in the emergency department
-
psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
October 01, 2013 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.
-
psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - Commentary
Humanizing harm: using a restorative approach to heal and learn from adverse events.
Citation Text:
Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/he…
-
psnet.ahrq.gov/issue/development-concept-return-investment-large-scale-quality-improvement-programmes-healthcare
October 27, 2021 - Review
The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review.
Citation Text:
Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-invest…
-
psnet.ahrq.gov/issue/physician-reporting-clinically-significant-events-through-computerized-patient-sign-out
January 25, 2023 - Study
Physician reporting of clinically significant events through a computerized patient sign-out system.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Physician reporting of clinically significant events through a computerized patient sign-out system. J Patient Saf. 2011;7(…
-
psnet.ahrq.gov/issue/avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus-traditional
January 19, 2022 - Study
Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.
Citation Text:
Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ…
-
psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
April 20, 2022 - Commentary
Principles of automation for patient safety in intensive care: learning from aviation.
Citation Text:
Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…
-
psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality
December 03, 2014 - Study
Rapid response team implementation and in-hospital mortality.
Citation Text:
Salvatierra G, Bindler RC, Corbett CF, et al. Rapid response team implementation and in-hospital mortality*. Crit Care Med. 2014;42(9):2001-6. doi:10.1097/CCM.0000000000000347.
Copy Citation
Format: …
-
psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
June 03, 2020 - Study
Emerging Classic
About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices.
Citation Text:
Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback:…
-
psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
September 11, 2024 - Study
The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study.
Citation Text:
Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…
-
psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
July 28, 2021 - Commentary
The Child Health PSO at 10 years: an emerging learning network.
Citation Text:
Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/absence-or-presence-silent-discourse-operating-room-and-impact-surgical-team-action
June 23, 2021 - Study
Absence or presence: silent discourse in the operating room and impact on surgical team action.
Citation Text:
Brommelsiek M, Said T, Gray M, et al. Absence or presence: silent discourse in the operating room and impact on surgical team action. Am J Surg. 2021;221(5):980-986. doi:1…
-
psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - Study
Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.
Citation Text:
Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…