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What does it take? A case study of radical change toward patient safety. | PSNet

psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety

September 27, 2017 - Study What does it take? A case study of radical change toward patient safety. Citation Text: Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609. Copy Citation Format: Google Scholar PubMed …

Human factors considerations relevant to CPOE implementations. | PSNet

psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations

October 23, 2024 - Review Human factors considerations relevant to CPOE implementations. Citation Text: Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag. 2005;19(3):71-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

Is failure mode and effect analysis reliable? | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable

August 15, 2012 - Study Is failure mode and effect analysis reliable? Citation Text: Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Applying Lean methods to improve quality and safety in surgical sterile instrument processing. | PSNet

psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing

September 16, 2015 - Study Applying Lean methods to improve quality and safety in surgical sterile instrument processing. Citation Text: Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…

Failure mode and effects analysis: too little for too much? | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much

November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? Citation Text: Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723. Copy Citation Format: DOI Goo…

Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. | PSNet

psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect

April 19, 2011 - Study Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. Citation Text: Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…

The 80-hour duty week: rationale, early attitudes, and future questions. | PSNet

psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions

September 28, 2010 - Commentary The 80-hour duty week: rationale, early attitudes, and future questions. Citation Text: Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat Res. 2006;449:138-142. Copy Citation Format: Google Scholar PubMe…

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…

Addressing health care disparities by improving quality and safety. | PSNet

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January 27, 2021 - Sentinel Event Alerts Addressing health care disparities by improving quality and safety. Citation Text: Addressing health care disparities by improving quality and safety. Sentinel Event Alert. Nov 10 2021;(64):1-7. Copy Citation Save Save to your library …

The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. | PSNet

psnet.ahrq.gov/issue/triangle-model-evaluating-effect-health-information-technology-healthcare-quality-and-safety

May 25, 2010 - Commentary The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. Citation Text: Ancker JS, Kern LM, Abramson EL, et al. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety…

Findings from the ISMP Medication Safety Self-Assessment for hospitals. | PSNet

psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals

September 26, 2017 - Study Findings from the ISMP Medication Safety Self-Assessment for hospitals. Citation Text: Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. Copy Citation Format: …

The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled

September 24, 2010 - Study Classic The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. Citation Text: Greengold NL, Shane R, Schneider PJ, et al. The impact of dedicated medication nurses on the medication administr…

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 …

A review of medical error reporting system design considerations and a proposed cross-level systems research framework. | PSNet

psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed-cross-level-systems

May 16, 2012 - Review A review of medical error reporting system design considerations and a proposed cross-level systems research framework. Citation Text: Holden RJ, Karsh B-T. A review of medical error reporting system design considerations and a proposed cross-level systems research framework. Hu…

Information chaos in primary care: implications for physician performance and patient safety. | PSNet

psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety

July 02, 2019 - Commentary Information chaos in primary care: implications for physician performance and patient safety. Citation Text: Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…

Value of human factors to medication and patient safety in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit

December 01, 2010 - Study Value of human factors to medication and patient safety in the intensive care unit. Citation Text: Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit. Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2. Copy Citation …

Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet

psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations

January 30, 2019 - Commentary Classic Risk mitigation in large scale systems: lessons from high reliability organizations. Citation Text: Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…

Empowering patient safety outreach through interprofessional partnerships: educating our communities. | PSNet

psnet.ahrq.gov/issue/empowering-patient-safety-outreach-through-interprofessional-partnerships-educating-our

August 17, 2022 - Commentary Empowering patient safety outreach through interprofessional partnerships: educating our communities. Citation Text: Walton L, Childs C, Egeland M, et al. Empowering Patient Safety Outreach Through Interprofessional Partnerships: Educating Our Communities. J Hosp Librariansh. …

Using medical-error reporting to drive patient safety efforts. | PSNet

psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts

September 18, 2024 - Commentary Using medical-error reporting to drive patient safety efforts. Citation Text: Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet

psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review

July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

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