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Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet

psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking

October 05, 2022 - Commentary Patient safety in palliative care at the end of life from the perspective of complex thinking. Citation Text: Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Base…

Structural racism in behavioral health presentation and management. | PSNet

psnet.ahrq.gov/issue/structural-racism-behavioral-health-presentation-and-management

September 23, 2020 - Commentary Structural racism in behavioral health presentation and management. Citation Text: Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133. Copy Citation Format: …

Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. | PSNet

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July 18, 2014 - Study Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. Citation Text: Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopu…

Reducing diagnostic errors—why now? | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now

July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…

Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet

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November 18, 2020 - Book/Report Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. Citation Text: Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. | PSNet

psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems

January 23, 2017 - Study Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. Citation Text: Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …

Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. | PSNet

psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication

March 02, 2012 - Study Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. Citation Text: Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…

Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. | PSNet

psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient

October 07, 2020 - Commentary Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. Citation Text: Kirk K. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. …

Selecting indicators for patient safety at the health system level in OECD countries. | PSNet

psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries

June 28, 2011 - Study Selecting indicators for patient safety at the health system level in OECD countries. Citation Text: McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. Cop…

Safe Administration of Medication in School: Policy Statement. | PSNet

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May 31, 2023 - Organizational Policy/Guidelines Safe Administration of Medication in School: Policy Statement. Citation Text: Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement. Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839. Copy Cit…

Characterization of prescribing errors in an internal medicine clinic. | PSNet

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March 04, 2011 - Study Characterization of prescribing errors in an internal medicine clinic. Citation Text: Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. Copy Citation Format: …

A meta-review of methods of measuring and monitoring safety in primary care. | PSNet

psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care

November 03, 2021 - Review A meta-review of methods of measuring and monitoring safety in primary care. Citation Text: O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. …

Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. | PSNet

psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine-dosing-errors

October 06, 2021 - Study Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Citation Text: Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital settin…

TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. | PSNet

psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient

November 18, 2009 - Review TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. Citation Text: Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatie…

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. | PSNet

psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings

November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…

Adverse drug events in general practice patients in Australia. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-general-practice-patients-australia

March 04, 2020 - Study Adverse drug events in general practice patients in Australia. Citation Text: Miller GC, Britth HC, Valenti L. Adverse drug events in general practice patients in Australia. Med J Aust. 2006;184(7):321-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications. | PSNet

psnet.ahrq.gov/issue/nurses-perceptions-subspecialization-pediatric-cardiac-intensive-care-unit-quality-and

April 16, 2018 - Study Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications. Citation Text: Kane JM, Preze E. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.…

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and

March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

The safe day call: reducing silos in health care through frontline risk assessment. | PSNet

psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment

May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…

Multiprofessional survey of protocol use in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/multiprofessional-survey-protocol-use-intensive-care-unit

August 30, 2017 - Study Multiprofessional survey of protocol use in the intensive care unit. Citation Text: LeBlanc JM, Kane-Gill SL, Pohlman AS, et al. Multiprofessional survey of protocol use in the intensive care unit. J Crit Care. 2012;27(6):738.e9-17. doi:10.1016/j.jcrc.2012.07.012. Copy Citation…

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