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  1. An educational and audit tool to reduce prescribing error in intensive care. | PSNet

    psnet.ahrq.gov/issue/educational-and-audit-tool-reduce-prescribing-error-intensive-care
    August 04, 2021 - Study An educational and audit tool to reduce prescribing error in intensive care. Citation Text: Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. C…

  2. Adverse event reporting: lessons learned from 4 years of Florida office data. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
    November 16, 2022 - Study Adverse event reporting: lessons learned from 4 years of Florida office data. Citation Text: Coldiron BM, Fisher AH, Adelman E, et al. Adverse event reporting: lessons learned from 4 years of Florida office data. Dermatol Surg. 2005;31(9 Pt 1):1079-92; discussion 1093. Copy Cit…

  3. Documentation of drug allergy on drug chart in patients presenting for surgery. | PSNet

    psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
    August 20, 2018 - Study Documentation of drug allergy on drug chart in patients presenting for surgery. Citation Text: Farooq M, Kirke C, Foley K. Documentation of drug allergy on drug chart in patients presenting for surgery. Ir J Med Sci. 2008;177(3):243-5. doi:10.1007/s11845-008-0166-7. Copy Citati…

  4. Measuring perinatal patient safety: review of current methods. | PSNet

    psnet.ahrq.gov/issue/measuring-perinatal-patient-safety-review-current-methods
    October 19, 2022 - Commentary Measuring perinatal patient safety: review of current methods. Citation Text: Simpson KR. Measuring perinatal patient safety: review of current methods. J Obstet Gynecol Neonatal Nurs. 2006;35(3):432-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  5. Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. | PSNet

    psnet.ahrq.gov/issue/enhanced-morbidity-and-mortality-meeting-and-patient-safety-education-specialty-trainees
    December 31, 2012 - Study Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. Citation Text: Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…

  6. Effectiveness of surgical safety checklists in improving patient safety. | PSNet

    psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
    May 29, 2019 - Commentary Effectiveness of surgical safety checklists in improving patient safety. Citation Text: Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02. Copy…

  7. Inpatient fall prevention: use of in-room Webcams. | PSNet

    psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
    July 19, 2023 - Study Inpatient fall prevention: use of in-room Webcams. Citation Text: Hardin SR, Dienemann J, Rudisill P, et al. Inpatient fall prevention: use of in-room Webcams. J Patient Saf. 2013;9(1):29-35. doi:10.1097/PTS.0b013e3182753e4f. Copy Citation Format: DOI Google Scholar…

  8. Understanding safer practices in health care: a prologue for the role of indicators. | PSNet

    psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
    May 07, 2008 - Study Understanding safer practices in health care: a prologue for the role of indicators. Citation Text: Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the role of indicators. J Eval Clin Pract. 2005;11(2):161-70. Copy Citation …

  9. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/effects-electrode-misplacement-clinicians-interpretation-standard-12-lead-electrocardiogram
    February 10, 2016 - Study The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Citation Text: Bond RR, Finlay DD, Nugent CD, et al. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Eur J…

  10. Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. | PSNet

    psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
    January 30, 2013 - Study Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. Citation Text: Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24. Copy Citation Format: Google Scholar PubMed…

  11. The 100,000 Lives Campaign: crystallizing standards of care for hospitals. | PSNet

    psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-care-hospitals
    August 20, 2018 - Commentary The 100,000 Lives Campaign: crystallizing standards of care for hospitals. Citation Text: Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. Copy Citation Format: Goo…

  12. Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. | PSNet

    psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
    February 02, 2022 - Newspaper/Magazine Article Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Citation Text: Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…

  13. Development of a training program for bar-code–assisted medication administration in inpatient pharmacy. | PSNet

    psnet.ahrq.gov/issue/development-training-program-bar-code-assisted-medication-administration-inpatient-pharmacy
    September 22, 2021 - Commentary Development of a training program for bar-code–assisted medication administration in inpatient pharmacy. Citation Text: Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration in inpatient pharmacy. Am J Health Syst Pharm. 2010…

  14. The OR and a "just culture." | PSNet

    psnet.ahrq.gov/issue/or-and-just-culture
    February 01, 2017 - Commentary The OR and a "just culture." Citation Text: Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  15. The evolving role of health educators in advancing patient safety: forging partnerships and leading change. | PSNet

    psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships-and-leading
    July 22, 2020 - Commentary The evolving role of health educators in advancing patient safety: forging partnerships and leading change. Citation Text: Mercurio A. The evolving role of health educators in advancing patient safety: forging partnerships and leading change. Health Promot Pract. 2007;8(2):119…

  16. Physician gender and apologies in clinical interactions. | PSNet

    psnet.ahrq.gov/issue/physician-gender-and-apologies-clinical-interactions
    July 07, 2021 - Study Physician gender and apologies in clinical interactions. Citation Text: Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns. 2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005. Copy Citation Format: DOI Google Schola…

  17. Changing operating room culture: implementation of a postoperative debrief and improved safety culture. | PSNet

    psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
    December 03, 2014 - Study Changing operating room culture: implementation of a postoperative debrief and improved safety culture. Citation Text: Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…

  18. Influence of workplace demands on nurses' perception of patient safety. | PSNet

    psnet.ahrq.gov/issue/influence-workplace-demands-nurses-perception-patient-safety
    September 29, 2010 - Study Influence of workplace demands on nurses' perception of patient safety. Citation Text: Ramanujam R, Abrahamson K, Anderson J. Influence of workplace demands on nurses' perception of patient safety. Nurs Health Sci. 2008;10(2):144-50. doi:10.1111/j.1442-2018.2008.00382.x. Copy C…

  19. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. | PSNet

    psnet.ahrq.gov/issue/fool-me-twice-delayed-diagnoses-radiology-emphasis-perpetuated-errors
    July 08, 2020 - Study Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. Citation Text: Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493. Copy Citat…

  20. Managing patients with identical names in the same ward. | PSNet

    psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
    November 16, 2022 - Study Managing patients with identical names in the same ward. Citation Text: Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. Copy Citation Format: Google Scholar PubM…
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