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5881. Managing risk in hazardous conditions: improvisation is not enough. | PSNet
      psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
      November 06, 2024 - Commentary Managing risk in hazardous conditions: improvisation is not enough. Citation Text: Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443. Copy Citation Format: DO…

5882. Artificial intelligence systems for complex decision-making in acute care medicine: a review. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
      March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…

5883. Patient safety and collaboration of the intensive care unit team. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
      February 17, 2010 - Commentary Patient safety and collaboration of the intensive care unit team. Citation Text: Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281. Copy Citation Format: DOI Google Scholar Pu…

5884. ADVERSE drug events: incidence and risk reduction across the care continuum. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
      April 12, 2019 - Image/Poster ADVERSE drug events: incidence and risk reduction across the care continuum. Citation Text: Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. Copy C…

5885. Why isn't 'time out' being implemented? An exploratory study. | PSNet
      psnet.ahrq.gov/issue/why-isnt-time-out-being-implemented-exploratory-study
      May 04, 2010 - Study Why isn't 'time out' being implemented? An exploratory study. Citation Text: Gillespie BM, Chaboyer W, Wallis M, et al. Why isn't 'time out' being implemented? An exploratory study. Qual Saf Health Care. 2010;19(2):103-6. doi:10.1136/qshc.2008.030593. Copy Citation Format: …

5886. 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.…

5887. The effect of collaboration on obstetric patient safety in three academic facilities. | PSNet
      psnet.ahrq.gov/issue/effect-collaboration-obstetric-patient-safety-three-academic-facilities
      October 19, 2022 - Commentary The effect of collaboration on obstetric patient safety in three academic facilities. Citation Text: Raab CA, Will SEB, Richards SL, et al. The Effect of Collaboration on Obstetric Patient Safety in Three Academic Facilities. Journal of Obstetric, Gynecologic & Neonatal Nursi…

5888. Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). | PSNet
      psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design-systems
      July 22, 2024 - Grant Announcement Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). Citation Text: Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Enginee…

5889. Impact of high-reliability education on adverse event reporting by registered nurses. | PSNet
      psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
      January 07, 2011 - Study Impact of high-reliability education on adverse event reporting by registered nurses. Citation Text: McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…

5890. Building and sustaining a systemwide culture of safety. | PSNet
      psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
      July 21, 2009 - Commentary Building and sustaining a systemwide culture of safety. Citation Text: Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J Qual Patient Saf. 2005;31(12):684-689. Copy Citation Format: Google Scholar PubMed Bib…

5891. Human factors engineering: its place and potential in OR safety. | PSNet
      psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
      May 24, 2017 - Commentary Human factors engineering: its place and potential in OR safety. Citation Text: Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. Copy Citation Format: DOI Google Scholar Pub…

5892. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. | PSNet
      psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial
      September 02, 2020 - Commentary Patient safety of perioperative medication through the lens of digital health and artificial intelligence. Citation Text: Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.219…

5893. Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system. | PSNet
      psnet.ahrq.gov/issue/emergency-department-visits-outpatient-adverse-drug-events-demonstration-national
      February 14, 2017 - Study Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system. Citation Text: Budnitz DS, Pollock DA, Mendelsohn AB, et al. Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance …

5894. The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. | PSNet
      psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving-health-care-quality
      February 29, 2012 - Commentary The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. Citation Text: Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3). doi:10.1001/jama.295.3.324. Copy Citation Format: DOI Google S…

5895. Medication safety initiative in reducing medication errors. | PSNet
      psnet.ahrq.gov/issue/medication-safety-initiative-reducing-medication-errors
      June 09, 2015 - Study Medication safety initiative in reducing medication errors. Citation Text: Nguyen EE, Connolly PM, Wong V. Medication safety initiative in reducing medication errors. J Nurs Care Qual. 2010;25(3):224-230. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

5896. Guidelines for the prevention of intravascular catheter-related infections. | PSNet
      psnet.ahrq.gov/issue/guidelines-prevention-intravascular-catheter-related-infections
      January 22, 2014 - Clinical Guideline Guidelines for the prevention of intravascular catheter-related infections. Citation Text: O'Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. American journal of infection control. 2011;39(4 Suppl 1):…

5897. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. | PSNet
      psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
      September 27, 2022 - Commentary The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Citation Text: Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024. Copy Ci…

5898. Development and psychometric testing of a tool to measure missed nursing care. | PSNet
      psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
      August 20, 2018 - Study Development and psychometric testing of a tool to measure missed nursing care. Citation Text: Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5. Copy Citation …

5899. Nurse health, work environment, presenteeism and patient safety. | PSNet
      psnet.ahrq.gov/issue/nurse-health-work-environment-presenteeism-and-patient-safety
      December 14, 2016 - Study Nurse health, work environment, presenteeism and patient safety. Citation Text: Rainbow JG, Drake DA, Steege LM. Nurse health, work environment, presenteeism and patient safety. West J Nurs Res. 2020;42(5):332-339. doi:10.1177/0193945919863409. Copy Citation Format: D…

5900. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
      February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…