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  1. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. | PSNet

    psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
    March 14, 2018 - Commentary Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. Citation Text: Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.…

  2. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support. | PSNet

    psnet.ahrq.gov/issue/schwartz-center-rounds-evaluation-interdisciplinary-approach-enhancing-patient-centered
    October 14, 2020 - Study The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support. Citation Text: Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-ce…

  3. Near-miss medication errors provide a wake-up call. | PSNet

    psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
    January 24, 2024 - Commentary Near-miss medication errors provide a wake-up call. Citation Text: Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  4. Dental patient safety in the military health system: joining medicine in the journey to high reliability. | PSNet

    psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
    October 19, 2022 - Study Dental patient safety in the military health system: joining medicine in the journey to high reliability. Citation Text: Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…

  5. Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies-efficiently-avoid
    May 31, 2017 - Study Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. Citation Text: Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategi…

  6. Measures and measurement of high-performance work systems in health care settings: propositions for improvement. | PSNet

    psnet.ahrq.gov/issue/measures-and-measurement-high-performance-work-systems-health-care-settings-propositions
    December 21, 2017 - Commentary Measures and measurement of high-performance work systems in health care settings: propositions for improvement. Citation Text: Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement…

  7. Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. | PSNet

    psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot
    November 16, 2022 - Study Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. Citation Text: Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …

  8. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
    March 24, 2011 - Study Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…

  9. Anatomy and pathophysiology of errors occurring in clinical radiology practice. | PSNet

    psnet.ahrq.gov/issue/anatomy-and-pathophysiology-errors-occurring-clinical-radiology-practice
    February 01, 2011 - Commentary Anatomy and pathophysiology of errors occurring in clinical radiology practice. Citation Text: Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. d…

  10. Accident prevention in day-to-day clinical radiation therapy practice. | PSNet

    psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy-practice
    February 07, 2018 - Commentary Accident prevention in day-to-day clinical radiation therapy practice. Citation Text: Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-4):179-87. doi:10.1016/j.icrp.2012.06.001. Copy Citation Format: DOI Google…

  11. Health care provider use of private sector internal error-reporting systems. | PSNet

    psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
    May 29, 2019 - Study Health care provider use of private sector internal error-reporting systems. Citation Text: Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting systems. Am J Med Qual. 2005;20(6):304-12. Copy Citation Format: Google S…

  12. "Canary measures" among the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
    November 27, 2012 - Study "Canary measures" among the AHRQ Patient Safety Indicators. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. "Canary measures" among the AHRQ patient safety indicators. Am J Med Qual. 2009;24(6):465-73. doi:10.1177/1062860609341585. Copy Citation Format: DOI G…

  13. Noise in the operating room—what do we know? A review of the literature. | PSNet

    psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
    August 13, 2014 - Review Noise in the operating room—what do we know? A review of the literature. Citation Text: Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001. Copy Cit…

  14. The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. | PSNet

    psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
    July 14, 2010 - Study The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. Citation Text: McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…

  15. Medical errors recovered by critical care nurses. | PSNet

    psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
    June 04, 2008 - Study Medical errors recovered by critical care nurses. Citation Text: Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. Copy Citation Format: DOI Google Scholar PubMed BibT…

  16. Medication safety in the operating room: literature and expert-based recommendations. | PSNet

    psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
    October 19, 2022 - Review Medication safety in the operating room: literature and expert-based recommendations. Citation Text: Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…

  17. Why do hundreds of US women die annually in childbirth? | PSNet

    psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
    June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  18. Reporting medication errors: residents with diabetes. | PSNet

    psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes
    August 23, 2017 - Commentary Reporting medication errors: residents with diabetes. Citation Text: Milligan F, Gadsby R, Ghaleb MA, et al. Reporting medication errors: residents with diabetes. Nursing and Residential Care. 2014;16(11). doi:10.12968/nrec.2014.16.11.617. Copy Citation Format: D…

  19. Patient safety: where is nursing education? | PSNet

    psnet.ahrq.gov/issue/patient-safety-where-nursing-education
    December 06, 2017 - Commentary Patient safety: where is nursing education? Citation Text: Gregory DM, Guse LW, Dick DD, et al. Patient safety: where is nursing education? J Nurs Educ. 2007;46(2):79-82. doi:10.3928/01484834-20070201-08. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  20. What about doctors? The impact of medical errors. | PSNet

    psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
    January 14, 2015 - Commentary What about doctors? The impact of medical errors. Citation Text: Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
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