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  1. Seeking high reliability in primary care: leadership, tools, and organization. | PSNet

    psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
    October 13, 2018 - Study Seeking high reliability in primary care: leadership, tools, and organization. Citation Text: Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022. Copy Citation F…

  2. Cough and cold medication adverse events after market withdrawal and labeling revision. | PSNet

    psnet.ahrq.gov/issue/cough-and-cold-medication-adverse-events-after-market-withdrawal-and-labeling-revision
    September 23, 2020 - Study Cough and cold medication adverse events after market withdrawal and labeling revision. Citation Text: Hampton LM, Nguyen DB, Edwards JR, et al. Cough and cold medication adverse events after market withdrawal and labeling revision. Pediatrics. 2013;132(6):1047-54. doi:10.1542/peds…

  3. CPOE: it don't come easy. | PSNet

    psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
    May 27, 2009 - Newspaper/Magazine Article CPOE: it don't come easy. Citation Text: Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  4. Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. | PSNet

    psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
    March 10, 2021 - Book/Report Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Citation Text: Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Kreit…

  5. The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. | PSNet

    psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
    April 12, 2017 - Book/Report Emerging Classic The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. Citation Text: The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisat…

  6. Patient safety challenges in low-income and middle-income countries. | PSNet

    psnet.ahrq.gov/issue/patient-safety-challenges-low-income-and-middle-income-countries
    May 23, 2018 - Review Patient safety challenges in low-income and middle-income countries. Citation Text: Steffner KR, McQueen KAK, Gelb AW. Patient safety challenges in low-income and middle-income countries. Curr Opin Anaesthesiol. 2014;27(6):623-9. doi:10.1097/ACO.0000000000000121. Copy Citation …

  7. Why the nation needs a policy push on patient-centered health care. | PSNet

    psnet.ahrq.gov/issue/why-nation-needs-policy-push-patient-centered-health-care
    November 11, 2020 - Commentary Why the nation needs a policy push on patient-centered health care. Citation Text: Epstein RM, Fiscella K, Lesser CS, et al. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010;29(8):1489-1495. doi:10.1377/hlthaff.2009.0888. Copy C…

  8. Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. | PSNet

    psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres
    May 18, 2022 - Book/Report Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Citation Text: Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World H…

  9. Improving communication of diagnostic uncertainty to families of hospitalized children. | PSNet

    psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
    December 23, 2020 - Study Improving communication of diagnostic uncertainty to families of hospitalized children. Citation Text: Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-20…

  10. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety
    September 01, 2016 - Study Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Citation Text: Mansfield J, Jarrett S. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Hosp Pharm. 2013;48(11):942-950. doi:10.1310…

  11. Leveraging the electronic health record to improve quality and safety in rheumatology. | PSNet

    psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
    June 12, 2019 - Review Leveraging the electronic health record to improve quality and safety in rheumatology. Citation Text: Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …

  12. The wisdom of patients and families: ignore it at our peril. | PSNet

    psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
    March 13, 2013 - Commentary The wisdom of patients and families: ignore it at our peril. Citation Text: Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573. Copy Citation Format: DOI Google Scholar PubMe…

  13. Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
    December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. Citation Text: Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…

  14. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. | PSNet

    psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-morbidity-mortality
    April 12, 2017 - Review Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. Citation Text: Lyons VE, Popejoy LL. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. West J Nurs Res.…

  15. Differences in day and night shift clinical performance in anesthesiology. | PSNet

    psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology
    September 29, 2017 - Study Differences in day and night shift clinical performance in anesthesiology. Citation Text: Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. Copy Citation Format: Google S…

  16. Establishing a rapid response team (RRT) in an academic hospital: one year's experience. | PSNet

    psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
    September 28, 2010 - Study Establishing a rapid response team (RRT) in an academic hospital: one year's experience. Citation Text: King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. Copy Citat…

  17. Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency
    November 12, 2014 - Organizational Policy/Guidelines Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. Citation Text: Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recom…

  18. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. | PSNet

    psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
    July 19, 2023 - Study Sources and types of discrepancies between electronic medical records and actual outpatient medication use. Citation Text: Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…

  19. The cost of pneumonia after acute stroke. | PSNet

    psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
    August 04, 2021 - Study The cost of pneumonia after acute stroke. Citation Text: Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology. 2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

  20. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. | PSNet

    psnet.ahrq.gov/issue/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
    August 30, 2017 - Commentary Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. Citation Text: Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture ch…
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