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6041. You can't blame the wreck on the train. | PSNet
      psnet.ahrq.gov/issue/you-cant-blame-wreck-train
      March 03, 2011 - Commentary You can't blame the wreck on the train. Citation Text: Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

6042. The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure. | PSNet
      psnet.ahrq.gov/issue/patient-safety-institute-demonstration-project-model-implementing-local-health-information
      May 15, 2013 - Commentary The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure. Citation Text: Classen D, Kanhouwa M, Will D, et al. The patient safety institute demonstration project: a model for implementing a local health informatio…

6043. Reducing falls with a safety spotter program. | PSNet
      psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
      November 16, 2022 - Commentary Reducing falls with a safety spotter program. Citation Text: Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing (Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27. Copy Citation Format: DOI Google Sch…

6044. Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. | PSNet
      psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies
      May 18, 2022 - Study Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. Citation Text: Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…

6045. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
      October 08, 2014 - Study Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. Citation Text: Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance of reporting suspected reactions. Arch Intern Med. 2005…

6046. Promoting collaboration and transparency in patient safety. | PSNet
      psnet.ahrq.gov/issue/promoting-collaboration-and-transparency-patient-safety
      June 21, 2016 - Commentary Promoting collaboration and transparency in patient safety. Citation Text: Apold J, Daniels T, Sonneborn M. Promoting collaboration and transparency in patient safety. Jt Comm J Qual Patient Saf. 2006;32(12):672-675. Copy Citation Format: Google Scholar PubMed Bi…

6047. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. | PSNet
      psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
      September 23, 2020 - Commentary The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Citation Text: DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…

6048. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. | PSNet
      psnet.ahrq.gov/issue/obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-quality-metrics
      July 19, 2023 - Commentary Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Citation Text: Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461…

6049. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? | PSNet
      psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough
      November 16, 2022 - Study Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Citation Text: Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…

6050. The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. | PSNet
      psnet.ahrq.gov/issue/national-quality-forum-safe-practice-standard-computerized-physician-order-entry-updating
      December 18, 2013 - Review The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. Citation Text: Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entr…

6051. Excess mortality caused by medical injury. | PSNet
      psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
      June 29, 2011 - Study Excess mortality caused by medical injury. Citation Text: Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

6052. Medical error disclosure: the gap between attitude and practice. | PSNet
      psnet.ahrq.gov/issue/medical-error-disclosure-gap-between-attitude-and-practice
      November 13, 2024 - Study Medical error disclosure: the gap between attitude and practice. Citation Text: Ghalandarpoorattar SM, Kaviani A, Asghari F. Medical error disclosure: the gap between attitude and practice. Postgrad Med J. 2012;88(1037):130-3. doi:10.1136/postgradmedj-2011-130118. Copy Citation…

6053. Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors. | PSNet
      psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
      January 19, 2011 - Study Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors. Citation Text: Throckmorton T, Etchegaray J. Factors affecting i…

6054. What does it take? A case study of radical change toward patient safety. | PSNet
      psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety
      September 27, 2017 - Study What does it take? A case study of radical change toward patient safety. Citation Text: Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609. Copy Citation Format: Google Scholar PubMed …

6055. Reducing medication errors and improving systems reliability using an electronic medication reconciliation system. | PSNet
      psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication
      January 09, 2013 - Study Reducing medication errors and improving systems reliability using an electronic medication reconciliation system. Citation Text: Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commissio…

6056. Preventing medication errors in the information age. | PSNet
      psnet.ahrq.gov/issue/preventing-medication-errors-information-age
      February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

6057. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. | PSNet
      psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
      September 14, 2011 - Commentary Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. Citation Text: Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577. Copy Citation For…

6058. Advocate Health Care: a systemwide approach to quality and safety. | PSNet
      psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
      July 19, 2023 - Commentary Advocate Health Care: a systemwide approach to quality and safety. Citation Text: Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. Copy Citation Format: Google Scholar PubMed BibTeX …

6059. Individual and team-based medical error disclosure: dialectical tensions among health care providers. | PSNet
      psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
      September 27, 2017 - Study Individual and team-based medical error disclosure: dialectical tensions among health care providers. Citation Text: Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…

6060. Momentary interruptions can derail the train of thought. | PSNet
      psnet.ahrq.gov/issue/momentary-interruptions-can-derail-train-thought
      May 18, 2022 - Study Momentary interruptions can derail the train of thought. Citation Text: Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986. Copy Citation Format: DOI Google Scholar P…