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  1. Implementing root cause analysis in an area health service: views of the participants. | PSNet

    psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
    December 03, 2014 - Study Implementing root cause analysis in an area health service: views of the participants. Citation Text: Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8. Copy Citation Fo…

  2. An educational and audit tool to reduce prescribing error in intensive care. | PSNet

    psnet.ahrq.gov/issue/educational-and-audit-tool-reduce-prescribing-error-intensive-care
    August 04, 2021 - Study An educational and audit tool to reduce prescribing error in intensive care. Citation Text: Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. C…

  3. The impact of team processes on psychiatric case management. | PSNet

    psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
    November 13, 2019 - Study The impact of team processes on psychiatric case management. Citation Text: Simpson A. The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  4. Surgeons don't know what they don't know about the safe use of energy in surgery. | PSNet

    psnet.ahrq.gov/issue/surgeons-dont-know-what-they-dont-know-about-safe-use-energy-surgery
    April 05, 2017 - Study Surgeons don't know what they don't know about the safe use of energy in surgery. Citation Text: Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe use of energy in surgery. Surg Endosc. 2012;26(10):2735-9. Copy Citation Form…

  5. ADEs and automation. | PSNet

    psnet.ahrq.gov/issue/ades-and-automation
    January 15, 2014 - Commentary ADEs and automation. Citation Text: Kloppenborg E, Wheeler A, Luria J. ADEs and automation. Nurs Manage. 2009;40(1):43-7. doi:10.1097/01.NUMA.0000343983.46376.31. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  6. Nurses' perception of error reporting and patient safety culture in Korea. | PSNet

    psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
    July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…

  7. The Swiss cheese model of adverse event occurrence—closing the holes. | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
    September 25, 2024 - Commentary The Swiss cheese model of adverse event occurrence—closing the holes. Citation Text: Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. Copy Citation Forma…

  8. Pediatric perioperative medication errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
    July 10, 2024 - Newspaper/Magazine Article Pediatric perioperative medication errors. Citation Text: Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  9. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
    September 09, 2013 - Study Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Citation Text: Cobaugh DJ, Krenzelok EP. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Am J Health Syst …

  10. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-making-heuristics-and-cognitive-biases-ophthalmologist
    November 01, 2023 - Review Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Citation Text: Hussain A, Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Surv Ophthalmol. 2018;63(1):119-124. doi:10.1016/j.survophthal.2017.08.007…

  11. The electronic medical record in dermatology. | PSNet

    psnet.ahrq.gov/issue/electronic-medical-record-dermatology
    October 19, 2022 - Commentary The electronic medical record in dermatology. Citation Text: Grosshandler JA, Tulbert B, Kaufmann MD, et al. The electronic medical record in dermatology. Arch Dermatol. 2010;146(9):1031-6. doi:10.1001/archdermatol.2010.229. Copy Citation Format: DOI Google Sch…

  12. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-safety-effectiveness-and-efficiency-web-based-virtual
    September 13, 2023 - Commentary John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. Citation Text: Kelly JJ, Sweigard KW, Shields K, et al. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtu…

  13. The unmeasured quality metric: burn out and the second victim syndrome in healthcare. | PSNet

    psnet.ahrq.gov/issue/unmeasured-quality-metric-burn-out-and-second-victim-syndrome-healthcare
    September 25, 2024 - Commentary The unmeasured quality metric: burn out and the second victim syndrome in healthcare. Citation Text: Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.…

  14. Bedside detection of awareness in the vegetative state: a cohort study. | PSNet

    psnet.ahrq.gov/issue/bedside-detection-awareness-vegetative-state-cohort-study
    December 16, 2020 - Study Bedside detection of awareness in the vegetative state: a cohort study. Citation Text: Cruse D, Chennu S, Chatelle C, et al. Bedside detection of awareness in the vegetative state: a cohort study. Lancet. 2011;378(9809):2088-94. doi:10.1016/S0140-6736(11)61224-5. Copy Citation …

  15. Adverse events: root causes and latent factors. | PSNet

    psnet.ahrq.gov/issue/adverse-events-root-causes-and-latent-factors
    June 21, 2017 - Commentary Adverse events: root causes and latent factors. Citation Text: Karl R, Karl MC. Adverse events: root causes and latent factors. Surg Clin North Am. 2012;92(1):89-100. doi:10.1016/j.suc.2011.12.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  16. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. | PSNet

    psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
    November 17, 2010 - Commentary A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. Citation Text: O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…

  17. Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. | PSNet

    psnet.ahrq.gov/issue/checking-anaesthetic-equipment-2012-association-anaesthetists-great-britain-and-ireland
    August 04, 2021 - Organizational Policy/Guidelines Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. Citation Text: Anderson E, Bythell V, Gemmell L, et al. Checking Anaesthetic Equipment 2012. Anaesthesia. 2012;67(6). doi:10.1111/j.1365-2044.2012.07163.x. …

  18. Failed spinal anaesthesia: mechanisms, management, and prevention. | PSNet

    psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
    August 04, 2021 - Review Failed spinal anaesthesia: mechanisms, management, and prevention. Citation Text: Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096. Copy Citation Format: …

  19. Communication errors in radiology—pitfalls and how to avoid them. | PSNet

    psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them
    September 24, 2017 - Review Communication errors in radiology—pitfalls and how to avoid them. Citation Text: Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. Copy Citation Format: …

  20. The doctor's new dilemma. | PSNet

    psnet.ahrq.gov/issue/doctors-new-dilemma
    November 13, 2024 - Commentary The doctor's new dilemma. Citation Text: Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…
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