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  1. Blame: what does it look like? | PSNet

    psnet.ahrq.gov/issue/blame-what-does-it-look
    February 02, 2022 - Commentary Blame: what does it look like? Citation Text: Duthie EA. Blame: What does it look like? Nurs Manage. 2018;49(11):18-21. doi:10.1097/01.NUMA.0000547256.76967.9e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  2. RHIOs aim to transform quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
    August 26, 2020 - Newspaper/Magazine Article RHIOs aim to transform quality of care and patient safety. Citation Text: RHIOs aim to transform quality of care and patient safety. van der Grinten P. Copy Citation Save Save to your library Print Download PDF Sha…

  3. Inadvertent Administration of an Oral Liquid Medicine into a Vein. | PSNet

    psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
    January 22, 2020 - Book/Report Inadvertent Administration of an Oral Liquid Medicine into a Vein. Citation Text: Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. Copy Citation Save Save to your …

  4. Profiles in patient safety: authority gradients in medical error. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
    August 28, 2019 - Review Profiles in patient safety: authority gradients in medical error. Citation Text: Cosby K, Croskerry P. Profiles in patient safety: authority gradients in medical error. Acad Emerg Med. 2004;11(12):1341-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  5. Driving out errors. | PSNet

    psnet.ahrq.gov/issue/driving-out-errors
    December 15, 2011 - Newspaper/Magazine Article Driving out errors. Citation Text: Weinstock M. Driving out errors,. Hospitals & health networks. 2011;85(4):46-9, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

  6. Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. | PSNet

    psnet.ahrq.gov/issue/perceived-impact-duty-hours-limits-fragmentation-patient-care-results-academic-health-center
    March 06, 2005 - Study Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. Citation Text: Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. Keating RJ; LaRusso NF; Kolars …

  7. Building a Culture of Safety in Health Care. | PSNet

    psnet.ahrq.gov/issue/building-culture-safety-health-care
    April 15, 2021 - Book/Report Building a Culture of Safety in Health Care. Citation Text: Building a Culture of Safety in Health Care. Chicago, IL: American Hospital Association: May 2023. Copy Citation Save Save to your library Print Download PDF Share Face…

  8. People, processes, health IT and accurate patient identification. | PSNet

    psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
    April 11, 2018 - Newspaper/Magazine Article People, processes, health IT and accurate patient identification. Citation Text: People, processes, health IT and accurate patient identification. Quick Safety. October 1, 2018;(45):1-2. Copy Citation Save Save to your library Prin…

  9. Joint Commission Center for Transforming Healthcare. | PSNet

    psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare
    February 28, 2018 - Audiovisual Presentation Joint Commission Center for Transforming Healthcare. Citation Text: Joint Commission Center for Transforming Healthcare. Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  10. Disclosure of errors in surgical procedures. | PSNet

    psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
    April 13, 2022 - Review Disclosure of errors in surgical procedures. Citation Text: Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  11. Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
    July 22, 2010 - Commentary Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Citation Text: Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Hohenhaus S, Powell S, Hohenhaus JT. Am J …

  12. Moving Measurement into Action: Global Principles for Measuring Patient Safety. | PSNet

    psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
    January 09, 2019 - Book/Report Moving Measurement into Action: Global Principles for Measuring Patient Safety. Citation Text: Moving Measurement into Action: Global Principles for Measuring Patient Safety. IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar…

  13. What Every Health Care Organization Should Know about Sentinel Events. | PSNet

    psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
    November 27, 2018 - Book/Report What Every Health Care Organization Should Know about Sentinel Events. Citation Text: What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117. Copy C…

  14. Adverse Health Events in Minnesota: Annual Reports. | PSNet

    psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
    February 28, 2015 - Book/Report Adverse Health Events in Minnesota: Annual Reports. Citation Text: Adverse Health Events in Minnesota: Annual Reports. St Paul, MN: Minnesota Department of Health. Copy Citation Save Save to your library Print Download PDF Share F…

  15. Validity of Patient Safety Indicators in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
    October 16, 2008 - Special or Theme Issue Validity of Patient Safety Indicators in the Veterans Health Administration. Citation Text: Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.   Copy Citation Save Save t…

  16. Improving Hand-Off Communication. | PSNet

    psnet.ahrq.gov/issue/improving-hand-communication
    April 24, 2007 - Book/Report Classic Improving Hand-Off Communication. Citation Text: Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. Copy Citation Save Save to your library Print …

  17. The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
    August 01, 2012 - Audiovisual Presentation The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Citation Text: The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality;…

  18. Infection Control in the Intensive Care Unit. | PSNet

    psnet.ahrq.gov/issue/infection-control-intensive-care-unit
    May 27, 2011 - Special or Theme Issue Infection Control in the Intensive Care Unit. Citation Text: Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.   Copy Citation Save Save to your library Print Download PDF Share …

  19. Preventing catheter-related bloodstream infections: thinking outside the checklist. | PSNet

    psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
    January 05, 2012 - Commentary Preventing catheter-related bloodstream infections: thinking outside the checklist. Citation Text: Preventing catheter-related bloodstream infections: thinking outside the checklist. Perencevich EN; Pittet D. Copy Citation Save Save to your library …

  20. Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. | PSNet

    psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
    June 10, 2018 - Webinar Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Citation Text: Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Institute for Safe Medication Practices. September 15, 2020. Copy Citation …
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