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Developing a patient safety surveillance system to identify adverse events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit

February 19, 2014 - Review Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Citation Text: Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Crit Care Med. 2010;38(6 Suppl)…

Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. | PSNet

psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year

May 04, 2010 - Commentary Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. Citation Text: Lindquist LA, Gleason KM, McDaniel MR, et al. Teaching medication reconciliation through simulation: a patient safety initiative for second yea…

"What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet

psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern

July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…

Physician understanding and ability to communicate harms and benefits of common medical treatments. | PSNet

psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments

September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…

Implementing patient safety practices in small ambulatory care settings. | PSNet

psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings

April 19, 2013 - Study Implementing patient safety practices in small ambulatory care settings. Citation Text: Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425. Copy Citation Format: Google Sc…

A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. | PSNet

psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational

December 20, 2017 - Study A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. Citation Text: Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient …

Patient safety features of clinical computer systems: questionnaire survey of GP views. | PSNet

psnet.ahrq.gov/issue/patient-safety-features-clinical-computer-systems-questionnaire-survey-gp-views

May 31, 2011 - Study Patient safety features of clinical computer systems: questionnaire survey of GP views. Citation Text: Morris CJ, Savelyich BSP, Avery A, et al. Patient safety features of clinical computer systems: questionnaire survey of GP views. Qual Saf Health Care. 2005;14(3):164-8. Copy …

Adverse drug event reporting in intensive care units: a survey of current practices. | PSNet

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December 16, 2020 - Study Adverse drug event reporting in intensive care units: a survey of current practices. Citation Text: Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices. Ann Pharmacother. 2006;40(7-8):1267-73. Copy Citation Format: …

Aligning patient safety and stewardship: a harm reduction strategy for children. | PSNet

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February 27, 2019 - Review Aligning patient safety and stewardship: a harm reduction strategy for children. Citation Text: Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-0022…

Multidisciplinary in-hospital teams improve patient outcomes: a review. | PSNet

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February 03, 2011 - Review Multidisciplinary in-hospital teams improve patient outcomes: a review. Citation Text: Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. Copy Citation Format: D…

The future of graduate medical education: a systems-based approach to ensure patient safety. | PSNet

psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety

October 18, 2017 - Commentary The future of graduate medical education: a systems-based approach to ensure patient safety. Citation Text: Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. …

Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. | PSNet

psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia

January 07, 2015 - Study Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. Citation Text: Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…

What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors

November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." | PSNet

psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized

April 29, 2018 - Commentary Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." Citation Text: Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008. | PSNet

psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-1-review-extent-and-causes

October 14, 2009 - Review Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008. Citation Text: Roughead EE, Semple SJ. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and c…

A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. | PSNet

psnet.ahrq.gov/issue/realist-synthesis-interprofessional-patient-safety-activities-and-healthcare-student

July 01, 2019 - Review A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. Citation Text: Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes…

A review of best practices for intravenous push medication administration. | PSNet

psnet.ahrq.gov/issue/review-best-practices-intravenous-push-medication-administration

February 21, 2018 - Review A review of best practices for intravenous push medication administration. Citation Text: Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. Copy Cit…

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet

psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and

January 12, 2022 - Study Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. Citation Text: Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…

Intentionally harmful violations and patient safety: the example of Harold Shipman. | PSNet

psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman

January 25, 2017 - Commentary Intentionally harmful violations and patient safety: the example of Harold Shipman. Citation Text: Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. Copy C…

Computer physician order entry: benefits, costs, and issues. | PSNet

psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues

May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

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