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  1. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet

    psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
    June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

  2. Injury and death associated with incidents reported to the Patient Safety Net. | PSNet

    psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
    September 08, 2010 - Study Injury and death associated with incidents reported to the Patient Safety Net. Citation Text: Reid M, Estacio R, Albert R. Injury and death associated with incidents reported to the patient safety net. Am J Med Qual. 2009;24(6):520-4. doi:10.1177/1062860609345788. Copy Citation…

  3. Preventable errors in organ transplantation: an emerging patient safety issue? | PSNet

    psnet.ahrq.gov/issue/preventable-errors-organ-transplantation-emerging-patient-safety-issue
    September 09, 2015 - Commentary Preventable errors in organ transplantation: an emerging patient safety issue? Citation Text: Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x.…

  4. Venous thromboembolism after trauma: a never event? | PSNet

    psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
    January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …

  5. Handovers from the OR to the ICU. | PSNet

    psnet.ahrq.gov/issue/handovers-or-icu
    January 03, 2017 - Commentary Handovers from the OR to the ICU. Citation Text: Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  6. Hospital complications: linking payment reduction to preventability. | PSNet

    psnet.ahrq.gov/issue/hospital-complications-linking-payment-reduction-preventability
    July 13, 2010 - Commentary Hospital complications: linking payment reduction to preventability. Citation Text: Averill RE, Hughes JS, Goldfield NI, et al. Hospital complications: linking payment reduction to preventability. Jt Comm J Qual Patient Saf. 2009;35(5):283-5. Copy Citation Format: …

  7. The economics of health care quality and medical errors. | PSNet

    psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors
    August 19, 2020 - Commentary The economics of health care quality and medical errors. Citation Text: Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50. Copy Citation Format: Google Scholar PubMed BibTeX…

  8. Quality initiatives: developing a radiology quality and safety program: a primer. | PSNet

    psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
    March 04, 2015 - Commentary Quality initiatives: developing a radiology quality and safety program: a primer. Citation Text: Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…

  9. An innovative approach to the surgical time out: a patient-focused model. | PSNet

    psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
    July 10, 2008 - Commentary An innovative approach to the surgical time out: a patient-focused model. Citation Text: Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. Copy Citatio…

  10. Doctors debate safety of their white coats. | PSNet

    psnet.ahrq.gov/issue/doctors-debate-safety-their-white-coats
    June 08, 2022 - Newspaper/Magazine Article Doctors debate safety of their white coats. Citation Text: Butler DL, Major Y, Bearman G, et al. Transmission of nosocomial pathogens by white coats: an in-vitro model. The Journal of hospital infection. 2010;75(2):137-8. doi:10.1016/j.jhin.2009.11.024. Copy …

  11. Injection practices among clinicians in United States health care settings. | PSNet

    psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
    January 06, 2017 - Study Injection practices among clinicians in United States health care settings. Citation Text: Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.00…

  12. Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. | PSNet

    psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
    December 12, 2012 - Commentary Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. Citation Text: Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…

  13. 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…

  14. Language barriers and understanding of hospital discharge instructions. | PSNet

    psnet.ahrq.gov/issue/language-barriers-and-understanding-hospital-discharge-instructions
    July 07, 2010 - Study Language barriers and understanding of hospital discharge instructions. Citation Text: Karliner LS, Auerbach AD, Nápoles A, et al. Language barriers and understanding of hospital discharge instructions. Med Care. 2012;50(4):283-9. doi:10.1097/MLR.0b013e318249c949. Copy Citation…

  15. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. | PSNet

    psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
    April 03, 2019 - Study Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. Citation Text: Bowers L, Allan T, Simpson A, et al. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins …

  16. Innovation and teamwork: introducing multidisciplinary team ward rounds. | PSNet

    psnet.ahrq.gov/issue/innovation-and-teamwork-introducing-multidisciplinary-team-ward-rounds
    May 25, 2022 - Newspaper/Magazine Article Innovation and teamwork: introducing multidisciplinary team ward rounds. Citation Text: Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing management (Harrow, London, England : 1994). 2006;13(1):28-31. Copy…

  17. Antecedents of severe and nonsevere medication errors. | PSNet

    psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
    February 15, 2011 - Study Antecedents of severe and nonsevere medication errors. Citation Text: Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh. 2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x. Copy Citation Format: DOI Google Scholar PubMed …

  18. Addressing disease-related malnutrition in hospitalized patients: a call for a national goal. | PSNet

    psnet.ahrq.gov/issue/addressing-disease-related-malnutrition-hospitalized-patients-call-national-goal
    June 12, 2018 - Commentary Addressing disease-related malnutrition in hospitalized patients: a call for a national goal. Citation Text: Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41(1…

  19. ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
    December 27, 2018 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. Citation Text: ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…

  20. The Safe Tables Collaborative: a statewide experience. | PSNet

    psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
    April 12, 2011 - Commentary The Safe Tables Collaborative: a statewide experience. Citation Text: Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193. Copy Citation Format: Google Scholar PubMed BibT…
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