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8561. Engaging Patients as Safety Partners: a Guide for Reducing Errors and Improving Satisfaction. | PSNet
      psnet.ahrq.gov/issue/engaging-patients-safety-partners-guide-reducing-errors-and-improving-satisfaction
      May 20, 2019 - September 20, 2017 Medication Errors. 2nd ed.

8562. Rapid response team implementation and in-hospital mortality. | PSNet
      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: …

8563. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. | PSNet
      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…

8564. The Child Health PSO at 10 years: an emerging learning network. | PSNet
      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: …

8565. About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. | PSNet
      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:…

8566. Physician reporting of clinically significant events through a computerized patient sign-out system. | PSNet
      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(…

8567. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
      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…

8568. The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. | PSNet
      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…

8569. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. | PSNet
      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…

8570. Principles of automation for patient safety in intensive care: learning from aviation. | PSNet
      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…

8571. Absence or presence: silent discourse in the operating room and impact on surgical team action. | PSNet
      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…

8572. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet
      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…

8573. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - Treatment (1995 – 2004) Root Causes of Sentinel Events (All Categories, 1994 – 2005) Root Causes of Medication … Errors (1995 – 2004) Science of Improving Patient Safety ‹#› AHRQ Safety Program … errors, delays in treatment, ventilator events, and healthcare-associated infections. 16 Basic Process … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

8574. DRESSed for Failure | PSNet
      psnet.ahrq.gov/web-mm/dressed-failure
      September 01, 2011 - March 4, 2015 Unit-based clinical pharmacists' prevention of serious medication errors

8575. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38210/psn-pdf
      June 20, 2011 - Emergency department medication lists are not accurate. June 20, 2011 Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060. https://psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate…

8576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39564/psn-pdf
      September 24, 2016 - Interruptions during the delivery of high-risk medications. September 24, 2016 Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047. https://psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-me…

8577. Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. | PSNet
      psnet.ahrq.gov/issue/walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics
      May 29, 2019 - Commentary Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. Citation Text: Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043…

8578. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. | PSNet
      psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
      September 04, 2019 - Study Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Citation Text: Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. Copy Citation Format: …

8579. Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/hope-modified-association-between-distress-and-incidence-self-perceived-medical-errors-among
      June 07, 2018 - Study Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. Citation Text: Hayashino Y, Utsugi-Ozaki M, Feldman MD, et al. Hope modified the association between distress and incidence of self-…

8580. Clinical criteria to screen for inpatient diagnostic errors: a scoping review. | PSNet
      psnet.ahrq.gov/issue/clinical-criteria-screen-inpatient-diagnostic-errors-scoping-review
      December 12, 2018 - Review Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Citation Text: Shenvi EC, El-Kareh R. Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Diagnosis (Berl). 2015;2(1):3-19. doi:10.1515/dx-2014-0047. Copy Citation Forma…