-
psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - Study
Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill.
Citation Text:
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…
-
psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
February 13, 2019 - Study
The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.
Citation Text:
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…
-
psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Study
Medication errors involving patient-controlled analgesia.
Citation Text:
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
Copy Citation
Format:
DOI G…
-
psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record
August 08, 2018 - Study
Detecting unapproved abbreviations in the electronic medical record.
Citation Text:
Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9.
Copy …
-
psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - Study
Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy.
Citation Text:
Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…
-
psnet.ahrq.gov/issue/identifying-barriers-and-enablers-robust-independent-second-check-medication-adult-intensive
March 09, 2016 - Study
Identifying barriers and enablers for a robust independent second check of medication in adult intensive care.
Citation Text:
Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;…
-
psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
October 12, 2009 - Commentary
A novel ICU hand-over tool: the glass door of the patient room.
Citation Text:
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system
October 19, 2022 - Study
Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System.
Citation Text:
Catchpole K, Bell MDD, Johnson S. Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Anaesth…
-
psnet.ahrq.gov/node/43198/psn-pdf
July 19, 2023 - TeamSTEPPS Core Curriculum.
July 19, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
https://psnet.ahrq.gov/issue/teamstepps-core-curriculum
The TeamSTEPPS® program was developed to support effective communication and teamwork in health
care. The curriculum offers training for participan…
-
psnet.ahrq.gov/node/43366/psn-pdf
March 04, 2015 - Safety of medication use in primary care.
March 4, 2015
Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract.
2015;23(1):3-20. doi:10.1111/ijpp.12120.
https://psnet.ahrq.gov/issue/safety-medication-use-primary-care
This systematic review found that incidence rates of…
-
psnet.ahrq.gov/node/865818/psn-pdf
May 08, 2024 - The role for policy in AI-assisted medical diagnosis.
May 8, 2024
Newman-Toker DE, Sharfstein JM. The role for policy in AI-assisted medical diagnosis. JAMA Health
Forum. 2024;5(4):e241339. doi:10.1001/jamahealthforum.2024.1339.
https://psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis
Artificial inte…
-
psnet.ahrq.gov/node/40081/psn-pdf
December 21, 2014 - Electronic health record adoption by children's hospitals
in the United States.
December 21, 2014
Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in
the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234.
https://…
-
psnet.ahrq.gov/node/42122/psn-pdf
May 23, 2013 - High-reliability emergency response teams in the
hospital: improving quality and safety using in situ
simulation training.
May 23, 2013
Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving
quality and safety using in situ simulation training. BMJ Qual Saf. 2013;2…
-
psnet.ahrq.gov/node/39274/psn-pdf
November 23, 2016 - Keeping an eye on patient safety using human factors
engineering (HFE): a family affair for the hospitalized
child.
November 23, 2016
Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the
hospitalized child. J Spec Pediatr Nurs. 2010;15(1):84-7. doi:10.1111/j.17…
-
psnet.ahrq.gov/node/36027/psn-pdf
March 28, 2011 - Medical injuries among hospitalized children.
March 28, 2011
Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care.
2006;15(3):202-7.
https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children
This AHRQ–funded study applied new screening criteria to ca…
-
psnet.ahrq.gov/node/45481/psn-pdf
September 14, 2016 - "Use as directed" can cause confusion for both patients
and practitioners.
September 14, 2016
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3.
https://psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
Reporting the results of a survey on "as directed" in…
-
psnet.ahrq.gov/node/42337/psn-pdf
December 30, 2014 - In situ simulation: detection of safety threats and
teamwork training in a high risk emergency department.
December 30, 2014
Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork
training in a high risk emergency department. BMJ Qual Saf. 2013;22(6):468-77. doi:10.113…
-
psnet.ahrq.gov/node/838140/psn-pdf
November 07, 2015 - Safety-I, Safety-II and resilience engineering.
November 7, 2015
Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health
Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001.
https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering
Organiz…
-
psnet.ahrq.gov/node/40875/psn-pdf
November 21, 2016 - Implementation of Condition Help: family teaching and
evaluation of family understanding.
November 21, 2016
Hueckel RM, Mericle JM, Frush K, et al. Implementation of condition help: family teaching and evaluation of
family understanding. J Nurs Care Qual. 2012;27(2):176-81. doi:10.1097/NCQ.0b013e318235bdec.
https:…
-
psnet.ahrq.gov/node/60831/psn-pdf
August 19, 2020 - Telediagnosis for Acute Care: Implications for the Quality
and Safety of Diagnosis.
August 19, 2020
Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; August
2020. AHRQ Publication No. 20-0040-2-EF.
https://psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and…