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  1. FDA advises health care professionals and patients about insulin pen packaging and dispensing. | PSNet

    psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
    June 22, 2011 - Press Release/Announcement FDA advises health care professionals and patients about insulin pen packaging and dispensing. Citation Text: FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

  2. Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
    September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. Citation Text: Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…

  3. New technology, new errors: how to prime an upgrade of an insulin infusion pump. | PSNet

    psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
    July 14, 2010 - Commentary New technology, new errors: how to prime an upgrade of an insulin infusion pump. Citation Text: Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. Copy Citation Forma…

  4. Building a safer foundation: the Lessons Learnt patient safety training programme. | PSNet

    psnet.ahrq.gov/issue/building-safer-foundation-lessons-learnt-patient-safety-training-programme
    July 22, 2013 - Study Building a safer foundation: the Lessons Learnt patient safety training programme. Citation Text: Ahmed M, Arora S, Tiew S, et al. Building a safer foundation: the Lessons Learnt patient safety training programme. BMJ Qual Saf. 2014;23(1):78-86. doi:10.1136/bmjqs-2012-001740. C…

  5. "Second victim" casualties and how physician leaders can help. | PSNet

    psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
    August 28, 2024 - Newspaper/Magazine Article "Second victim" casualties and how physician leaders can help. Citation Text: MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  6. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. | PSNet

    psnet.ahrq.gov/issue/severe-drug-interactions-and-potentially-inappropriate-medication-usage-elderly-cancer
    November 11, 2020 - Study Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Citation Text: Alkan A, Yaşar A, Karcı E, et al. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Support Care Cancer. 2017;25(1):2…

  7. Medication errors in the management of anaphylaxis in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department
    April 24, 2018 - Study Medication errors in the management of anaphylaxis in a pediatric emergency department. Citation Text: Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jem…

  8. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. | PSNet

    psnet.ahrq.gov/issue/daytime-sleepiness-sleep-habits-and-occupational-accidents-among-hospital-nurses
    June 19, 2024 - Study Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. Citation Text: Suzuki K, Ohida T, Kaneita Y, et al. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. J Adv Nurs. 2005;52(4):445-53. Copy Citation Format: …

  9. Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mothers and babies. | PSNet

    psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save
    January 06, 2016 - Review Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mothers and babies. Citation Text: Cornthwaite K, Edwards S, Siassakos D. Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mot…

  10. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet

    psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
    April 24, 2018 - Study An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. Citation Text: Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with pot…

  11. Differences in day and night shift clinical performance in anesthesiology. | PSNet

    psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology
    September 29, 2017 - Study Differences in day and night shift clinical performance in anesthesiology. Citation Text: Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. Copy Citation Format: Google S…

  12. Establishing a rapid response team (RRT) in an academic hospital: one year's experience. | PSNet

    psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
    September 28, 2010 - Study Establishing a rapid response team (RRT) in an academic hospital: one year's experience. Citation Text: King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. Copy Citat…

  13. Simulation based adverse event reporting system: development and feasibility. | PSNet

    psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
    July 08, 2020 - Study Simulation based adverse event reporting system: development and feasibility. Citation Text: Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. Copy Citation Format: …

  14. Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/hope-modified-association-between-distress-and-incidence-self-perceived-medical-errors-among
    June 07, 2018 - Study Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. Citation Text: Hayashino Y, Utsugi-Ozaki M, Feldman MD, et al. Hope modified the association between distress and incidence of self-…

  15. Second victims and mindfulness: a systematic review. | PSNet

    psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
    July 22, 2020 - Review Second victims and mindfulness: a systematic review. Citation Text: S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. Copy Citation Format: DOI Google Scholar…

  16. Factors associated with disclosure of medical errors by housestaff. | PSNet

    psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
    January 27, 2019 - Study Factors associated with disclosure of medical errors by housestaff. Citation Text: Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084. Copy Citation Format: …

  17. A piece of my mind. After the medical error. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-after-medical-error
    November 06, 2024 - Commentary A piece of my mind. After the medical error. Citation Text: Worthen M. After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  18. The thinking doctor: clinical decision making in contemporary medicine. | PSNet

    psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
    October 07, 2015 - Commentary The thinking doctor: clinical decision making in contemporary medicine. Citation Text: Trimble M, Hamilton P. The thinking doctor: clinical decision making in contemporary medicine. Clin Med (Lond). 2016;16(4):343-346. doi:10.7861/clinmedicine.16-4-343. Copy Citation For…

  19. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
    April 03, 2017 - Commentary Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. Citation Text: Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…

  20. Finding antecedents of psychological safety: a step toward quality improvement. | PSNet

    psnet.ahrq.gov/issue/finding-antecedents-psychological-safety-step-toward-quality-improvement
    October 02, 2013 - Review Finding antecedents of psychological safety: a step toward quality improvement. Citation Text: Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084. Copy Citation …
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