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  1. Patient safety front and center. | PSNet

    psnet.ahrq.gov/issue/patient-safety-front-and-center
    November 20, 2024 - Newspaper/Magazine Article Patient safety front and center. Citation Text: Terry K. Patient safety front and center. National forces converge, strategies emerge to push the movement forward. Hospitals & health networks. 2011;85(7):38-40, 42. Copy Citation Format: Google Sch…

  2. Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. | PSNet

    psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
    March 17, 2021 - Commentary Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. Citation Text: Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. Copy Citation Format: Google …

  3. Clinical problem-solving. Lost in transcription. | PSNet

    psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
    September 20, 2011 - Commentary Clinical problem-solving. Lost in transcription. Citation Text: Kalus RM, Shojania KG, Amory JK, et al. Clinical problem-solving. Lost in transcription. N Engl J Med. 2006;355(14):1487-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  4. Maximize benefits of IV workflow management systems by addressing workarounds and errors. | PSNet

    psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
    May 31, 2017 - Newspaper/Magazine Article Maximize benefits of IV workflow management systems by addressing workarounds and errors. Citation Text: Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…

  5. Back to basics: counting soft surgical goods. | PSNet

    psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
    March 17, 2021 - Commentary Back to basics: counting soft surgical goods. Citation Text: Spruce L. Back to Basics: Counting Soft Surgical Goods. AORN J. 2016;103(3):298-301; quiz 302-3. doi:10.1016/j.aorn.2015.12.021. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  6. Concept analysis: wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
    June 11, 2014 - Review Concept analysis: wrong-site surgery. Citation Text: Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  7. Fatal error sparks debate over punitive measures.  | PSNet

    psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
    May 20, 2020 - Newspaper/Magazine Article Fatal error sparks debate over punitive measures.  Citation Text: Fatal error sparks debate over punitive measures.  Fernandez J. Drug Topics. May 7, 2007. Copy Citation Save Save to your library Print Download PDF …

  8. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
    April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …

  9. Commission of Inquiry on Hormone Receptor Testing. | PSNet

    psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
    May 26, 2021 - Book/Report Commission of Inquiry on Hormone Receptor Testing. Citation Text: Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.   Copy Citation Save Save to y…

  10. Planning an MR suite: what can be done to enhance safety? | PSNet

    psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
    September 12, 2016 - Commentary Planning an MR suite: what can be done to enhance safety? Citation Text: Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging. 2015;42(3):566-71. doi:10.1002/jmri.24794. Copy Citation Format: DOI Google Scholar PubMed B…

  11. A Prototype Computerized Provider Order Entry System Reduced Medication Errors | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-spotlights/prototype-computerized-provider-order-entry-system-reduced
    January 01, 2018 - A Prototype Computerized Provider Order Entry System Reduced Medication Errors Key Finding and Impact A prototype CPOE was developed that allowed providers to record medication indications and showed them the drug of choice for that indication. Providers testing the prototype CPOE correctly placed medication …

  12. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

    psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
    January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

  13. Behind Human Error, Second Edition. | PSNet

    psnet.ahrq.gov/issue/behind-human-error-second-edition
    April 13, 2018 - Book/Report Classic Behind Human Error, Second Edition. Citation Text: Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537. Copy Citation Save Save to your lib…

  14. Disclosure Policy and Form (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-ki-tep-confidentiality-form-fillable.pdf
    August 01, 2020 - Disclosure Policy and Form Print Form EPC Key Informant and Technical Expert Agree…

  15. Opportunistic Decision Making Information Needs and Workflow in Emergency Care - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/opportunistic-decision-making-information-needs-and-workflow-emergency-care/annual-summary/2012
    January 01, 2012 - Opportunistic Decision Making Information Needs and Workflow in Emergency Care - 2012 Project Name Opportunistic Decision Making Information Needs and Workflow in Emergency Care Principal Investigator Zhang, Jiajie Organization University of Texas Health Science Center - Hous…

  16. Organizational learning in hospitals: a realist review. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
    June 19, 2019 - Review Organizational learning in hospitals: a realist review. Citation Text: Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091. Copy Citation Format: DOI Google Scholar Bi…

  17. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. | PSNet

    psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
    September 12, 2018 - Book/Report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Citation Text: A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Nat…

  18. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet

    psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
    September 29, 2021 - Newspaper/Magazine Article RaDonda Vaught says some system practices contributed to fatal mistake. Citation Text: RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024. Copy Citation Save Save to…

  19. Profiles in patient safety: medication errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-medication-errors-emergency-department
    February 03, 2010 - Study Profiles in patient safety: medication errors in the emergency department. Citation Text: Croskerry P, Shapiro MJ, Campbell S, et al. Profiles in patient safety: medication errors in the emergency department. Acad Emerg Med. 2004;11(3):289-99. Copy Citation Format: G…

  20. The vanishing nonforensic autopsy. | PSNet

    psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
    February 09, 2011 - Commentary The vanishing nonforensic autopsy. Citation Text: Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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