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psnet.ahrq.gov/issue/automation-failures-and-patient-safety
November 21, 2012 - Review
Automation failures and patient safety.
Citation Text:
Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935.
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psnet.ahrq.gov/issue/impact-and-implementation-simulation-based-training-safety
August 02, 2023 - Review
Impact and implementation of simulation-based training for safety.
Citation Text:
Bilotta FF, Werner SM, Bergese SD, et al. Impact and implementation of simulation-based training for safety. ScientificWorldJournal. 2013;2013:652956. doi:10.1155/2013/652956.
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psnet.ahrq.gov/issue/more-tick-box-medical-checklist-development-design-and-use
December 02, 2020 - Commentary
More than a tick box: medical checklist development, design, and use.
Citation Text:
Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286.
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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety.
Citation Text:
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
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psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system
May 01, 2003 - Study
Creating a web-based incident analysis and communication system.
Citation Text:
Marsal S, Heffner JE. Creating a web-based incident analysis and communication system. J Hosp Med. 2012;7(2):142-7. doi:10.1002/jhm.956.
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psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
June 26, 2024 - Review
Medical error and decision making: learning from the past and present in intensive care.
Citation Text:
Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001.
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psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals
November 18, 2009 - Study
Classic
The culture of safety: results of an organization-wide survey in 15 California hospitals.
Citation Text:
Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Hea…
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psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
August 02, 2010 - Study
Computer based medication error reporting: insights and implications.
Citation Text:
Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13.
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psnet.ahrq.gov/issue/just-culture-its-more-policy
July 05, 2017 - Study
Just culture: it's more than policy.
Citation Text:
Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae.
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psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-patient-safety
January 08, 2020 - Commentary
View from the cockpit: what the airline industry can teach us about patient safety.
Citation Text:
Doucette JN. View from the cockpit: what the airline industry can teach us about patient safety. Nursing (Brux). 2006;36(11):50-53.
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psnet.ahrq.gov/issue/speaking-across-drapes-communication-strategies-anesthesiologists-and-obstetricians-during
May 08, 2017 - Study
Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis.
Citation Text:
Minehart RD, Pian-Smith MCM, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetrician…
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
July 27, 2016 - Newspaper/Magazine Article
ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors.
Citation Text:
ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. ISMP Medication Safe…
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psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
November 02, 2010 - Study
Rapid response teams: qualitative analysis of their effectiveness.
Citation Text:
Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990.
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psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
February 07, 2024 - Study
Medication errors and response bias: the tip of the iceberg.
Citation Text:
Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4.
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psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
December 14, 2016 - Commentary
Safe medication management at ambulatory surgery centers.
Citation Text:
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635.
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psnet.ahrq.gov/issue/how-can-we-keep-patients-dementia-safe-our-acute-hospitals-review-challenges-and-solutions
February 04, 2015 - Review
How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions.
Citation Text:
George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. J R Soc Med. 2013;1…
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psnet.ahrq.gov/issue/north-mississippi-medical-center-focus-quality-safety-and-financial-critical-success-factors
November 21, 2021 - Award Recipient
North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors.
Citation Text:
Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Jt Comm J Qual …
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psnet.ahrq.gov/issue/hospital-complications-linking-payment-reduction-preventability
July 13, 2010 - Commentary
Hospital complications: linking payment reduction to preventability.
Citation Text:
Averill RE, Hughes JS, Goldfield NI, et al. Hospital complications: linking payment reduction to preventability. Jt Comm J Qual Patient Saf. 2009;35(5):283-5.
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psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises
June 15, 2012 - Commentary
Using simulation to address hierarchy issues during medical crises.
Citation Text:
Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
January 14, 2011 - Commentary
The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety.
Citation Text:
Riley W, Liang BA, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b…