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  1. Primary care physician communication at hospital discharge reduces medication discrepancies. | PSNet

    psnet.ahrq.gov/issue/primary-care-physician-communication-hospital-discharge-reduces-medication-discrepancies
    May 04, 2010 - Study Primary care physician communication at hospital discharge reduces medication discrepancies. Citation Text: Lindquist LA, Yamahiro A, Garrett A, et al. Primary care physician communication at hospital discharge reduces medication discrepancies. J Hosp Med. 2013;8(12):672-7. doi:10…

  2. Assigning responsibility to close the loop on radiology test results. | PSNet

    psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-test-results
    April 03, 2024 - Review Assigning responsibility to close the loop on radiology test results. Citation Text: Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl). 2017;4(3):173-177. doi:10.1515/dx-2017-0019. Copy Citation Format: DOI Googl…

  3. Medication reconciliation at hospital discharge: evaluating discrepancies. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
    July 08, 2008 - Study Medication reconciliation at hospital discharge: evaluating discrepancies. Citation Text: Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. Copy Citation …

  4. Toward a definition of teamwork in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/toward-definition-teamwork-emergency-medicine
    May 31, 2017 - Commentary Toward a definition of teamwork in emergency medicine. Citation Text: Fernandez R, Kozlowski SWJ, Shapiro MJ, et al. Toward a definition of teamwork in emergency medicine. Acad Emerg Med. 2008;15(11):1104-12. doi:10.1111/j.1553-2712.2008.00250.x. Copy Citation Format: …

  5. Impact and implementation of simulation-based training for safety. | PSNet

    psnet.ahrq.gov/issue/impact-and-implementation-simulation-based-training-safety
    August 02, 2023 - Review Impact and implementation of simulation-based training for safety. Citation Text: Bilotta FF, Werner SM, Bergese SD, et al. Impact and implementation of simulation-based training for safety. ScientificWorldJournal. 2013;2013:652956. doi:10.1155/2013/652956. Copy Citation F…

  6. Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. | PSNet

    psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
    March 17, 2010 - Study Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. Citation Text: Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad Eme…

  7. Alarm fatigue: impacts on patient safety. | PSNet

    psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
    December 02, 2020 - Review Alarm fatigue: impacts on patient safety. Citation Text: Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  8. Eight recommendations for policies for communicating abnormal test results. | PSNet

    psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
    March 10, 2011 - Commentary Eight recommendations for policies for communicating abnormal test results. Citation Text: Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J Qual Patient Saf. 2010;36(5):226-232. Copy Citation Format: Google Sc…

  9. Understanding medication safety in healthcare settings: a critical review of conceptual models. | PSNet

    psnet.ahrq.gov/issue/understanding-medication-safety-healthcare-settings-critical-review-conceptual-models
    September 27, 2016 - Commentary Understanding medication safety in healthcare settings: a critical review of conceptual models. Citation Text: Liu W, Manias E, Gerdtz M. Understanding medication safety in healthcare settings: a critical review of conceptual models. Nurs Inq. 2011;18(4):290-302. doi:10.1111…

  10. How to prevent the top 4 medication errors. | PSNet

    psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
    May 20, 2020 - Newspaper/Magazine Article How to prevent the top 4 medication errors. Citation Text: How to prevent the top 4 medication errors. Sederstrom J. Drug Topics. September 17, 2018. Copy Citation Save Save to your library Print Download PDF Share …

  11. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. | PSNet

    psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
    July 31, 2013 - Study Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Citation Text: Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …

  12. The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. | PSNet

    psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
    December 09, 2020 - Commentary The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. Citation Text: Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591. Copy Citation Format: Google Sc…

  13. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. | PSNet

    psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
    January 02, 2017 - Commentary Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Citation Text: Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…

  14. Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet

    psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
    May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …

  15. Just culture: it's more than policy. | PSNet

    psnet.ahrq.gov/issue/just-culture-its-more-policy
    July 05, 2017 - Study Just culture: it's more than policy. Citation Text: Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  16. A system analysis of a suboptimal surgical experience. | PSNet

    psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
    March 23, 2011 - Study A system analysis of a suboptimal surgical experience. Citation Text: Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  17. A practical approach to measure the quality of handwritten medication orders: a tool for improvement. | PSNet

    psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
    September 24, 2010 - Study A practical approach to measure the quality of handwritten medication orders: a tool for improvement. Citation Text: Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…

  18. The dangers of ignoring the Beers criteria—the prescribing cascade. | PSNet

    psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
    October 10, 2018 - Commentary The dangers of ignoring the Beers criteria—the prescribing cascade. Citation Text: DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288. Copy Citation Format: DO…

  19. AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. | PSNet

    psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses
    February 18, 2011 - Study AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. Citation Text: Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e. Copy Cita…

  20. Nursing student medication errors: a case study using root cause analysis. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
    November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…
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