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  1. 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 …

  2. 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…

  3. Polypharmacy. | PSNet

    psnet.ahrq.gov/issue/polypharmacy-0
    October 09, 2013 - Special or Theme Issue Polypharmacy. Citation Text: Polypharmacy. Schneider E, Koretz BK, eds. Clin Geriatr Med. 2022;38(4):621-732. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  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. Shiffman RN et al. 1999 "Computer-based guideline implementation systems: a systematic review of functionality and effectiveness." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shiffman-rn-et-al-1999
    January 01, 1999 - Shiffman RN et al. 1999 "Computer-based guideline implementation systems: a systematic review of functionality and effectiveness." Reference Shiffman RN, Liaw Y, Brandt CA, et al. Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. J Am Med Inform A…

  6. Pathologists, patients and diagnostic errors—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/pathologists-patients-and-diagnostic-errors-part-1-and-part-2
    August 08, 2012 - Newspaper/Magazine Article Pathologists, patients and diagnostic errors—part 1 and part 2. Citation Text: Pathologists, patients and diagnostic errors—part 1 and part 2. Miller N. Copy Citation Save Save to your library Print Download PDF Share …

  7. 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…

  8. 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;…

  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. Hospital discharge and readmission. | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-and-readmission
    March 27, 2005 - Review Hospital discharge and readmission. Citation Text: Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

  12. Patients with low health literacy make more errors interpreting instructions and warnings. | PSNet

    psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
    May 03, 2023 - Newspaper/Magazine Article Patients with low health literacy make more errors interpreting instructions and warnings. Citation Text: Patients with low health literacy make more errors interpreting instructions and warnings. ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3. Cop…

  13. 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…

  14. 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…

  15. 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…

  16. 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 …

  17. Promote a culture of safety with good catch reports. | PSNet

    psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
    November 06, 2015 - Newspaper/Magazine Article Promote a culture of safety with good catch reports. Citation Text: Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. Copy Citation Save Save to your librar…

  18. Eliminating CLABSI: A National Patient Safety Imperative. | PSNet

    psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative
    October 23, 2019 - Book/Report Eliminating CLABSI: A National Patient Safety Imperative. Citation Text: Eliminating CLABSI: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF. Copy Citation …

  19. 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 …

  20. Health Literacy Practices in Primary Care Settings: Examples from the Field. | PSNet

    psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
    April 27, 2022 - Book/Report Health Literacy Practices in Primary Care Settings: Examples from the Field. Citation Text: Health Literacy Practices in Primary Care Settings: Examples from the Field. Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008. Copy Ci…
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