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Restricting resident work hours: the good, the bad, and the ugly. | PSNet

psnet.ahrq.gov/issue/restricting-resident-work-hours-good-bad-and-ugly

December 02, 2020 - Review Restricting resident work hours: the good, the bad, and the ugly. Citation Text: Peets A, Ayas N. Restricting resident work hours: the good, the bad, and the ugly. Crit Care Med. 2012;40(3):960-6. doi:10.1097/CCM.0b013e3182413bc5. Copy Citation Format: DOI Google S…

What is safety leadership? A systematic review of definitions. | PSNet

psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-definitions

October 26, 2022 - Review What is safety leadership? A systematic review of definitions. Citation Text: Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. Copy Citation Format: DOI Google…

When COVID-19 hit, many elderly were left to die. | PSNet

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June 24, 2020 - Newspaper/Magazine Article When COVID-19 hit, many elderly were left to die. Citation Text: Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). | PSNet

psnet.ahrq.gov/issue/toolkit-disseminate-best-practices-inpatient-medication-reconciliation-multi-center

January 23, 2019 - Commentary A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). Citation Text: Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medicatio…

Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. | PSNet

psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge

October 19, 2022 - Study Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. Citation Text: Hoffman AM, Walls JL, Prusch A, et al. Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication rec…

The effects of emergency department staff rounding on patient safety and satisfaction. | PSNet

psnet.ahrq.gov/issue/effects-emergency-department-staff-rounding-patient-safety-and-satisfaction

November 16, 2022 - Study The effects of emergency department staff rounding on patient safety and satisfaction. Citation Text: Meade CM, Kennedy J, Kaplan J. The effects of emergency department staff rounding on patient safety and satisfaction. J Emerg Med. 2010;38(5):666-74. doi:10.1016/j.jemermed.2008.…

The Institute of Medicine report on medical errors—could it do harm? | PSNet

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February 18, 2011 - Commentary Classic The Institute of Medicine report on medical errors—could it do harm? Citation Text: Brennan TA. The Institute of Medicine report on medical errors--could it do harm? N Engl J Med. 2002;342(15):1123-1125. doi:10.1056/nejm200004133421510. Co…

Error disclosure and family members' reactions: does the type of error really matter? | PSNet

psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter

March 08, 2023 - Study Error disclosure and family members' reactions: does the type of error really matter? Citation Text: Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.20…

Patient safety attitudes and behaviors of graduating medical students. | PSNet

psnet.ahrq.gov/issue/patient-safety-attitudes-and-behaviors-graduating-medical-students

June 01, 2016 - Study Patient safety attitudes and behaviors of graduating medical students. Citation Text: Wetzel AP, Dow AW, Mazmanian PE. Patient safety attitudes and behaviors of graduating medical students. Eval Health Prof. 2012;35(2):221-38. doi:10.1177/0163278711414560. Copy Citation For…

Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. | PSNet

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July 05, 2017 - Commentary Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. Citation Text: Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…

Understanding pharmacist decision making for adverse drug event (ADE) detection. | PSNet

psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection

May 27, 2011 - Study Understanding pharmacist decision making for adverse drug event (ADE) detection. Citation Text: Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…

Communicating with patients about medical errors: a review of the literature. | PSNet

psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature

December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…

Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet

psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application

March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…

A multi-disciplinary approach to medication safety and the implication for nursing education and practice. | PSNet

psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice

September 26, 2018 - Study A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Citation Text: Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…

Using the patient safety huddle as a tool for high reliability. | PSNet

psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability

March 01, 2023 - Commentary Using the patient safety huddle as a tool for high reliability. Citation Text: Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. Copy Citation …

Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-culture-assessment-clustering-responses-unit-level-and-hospital

February 20, 2013 - Study Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Citation Text: Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital lev…

A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. | PSNet

psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education

August 10, 2022 - Study A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. Citation Text: Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …

Accuracy of adverse-drug-event reports collected using an automated dispensing system. | PSNet

psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system

April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…

Quality improvement through implementation of discharge order reconciliation. | PSNet

psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation

September 23, 2020 - Commentary Quality improvement through implementation of discharge order reconciliation. Citation Text: Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …

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…

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