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The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability

May 11, 2016 - Study The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. Citation Text: Huang LC, Conley D, Lipsitz S, et al. The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. BMJ Qual Saf. 2014;23(8):639-50. doi:10…

Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. | PSNet

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January 02, 2017 - Study Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Citation Text: Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. Copy Citation Format: …

The impact of the medical emergency team on the resuscitation practice of critical care nurses. | PSNet

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December 01, 2008 - Study The impact of the medical emergency team on the resuscitation practice of critical care nurses. Citation Text: Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…

The nature and causes of unintended events reported at ten emergency departments. | PSNet

psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments

February 20, 2013 - Study The nature and causes of unintended events reported at ten emergency departments. Citation Text: Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. …

Paramedic self-reported medication errors. | PSNet

psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors

January 14, 2011 - Study Paramedic self-reported medication errors. Citation Text: Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2006;10(4):457-462. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

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May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. | PSNet

psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2

January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…

In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review

March 13, 2013 - Review In-facility delirium programs as a patient safety strategy: a systematic review. Citation Text: Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158…

Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet

psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp

June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…

Do no harm: is it time to rethink the Hippocratic Oath? | PSNet

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May 04, 2022 - Commentary Do no harm: is it time to rethink the Hippocratic Oath? Citation Text: Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

Who makes prescribing decisions in hospital inpatients? An observational study. | PSNet

psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study

January 30, 2013 - Study Who makes prescribing decisions in hospital inpatients? An observational study. Citation Text: Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…

What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet

psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters

December 17, 2010 - Review What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. Citation Text: Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencie…

Evaluating implementation of a rapid response team: considering alternative outcome measures. | PSNet

psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures

October 19, 2022 - Study Evaluating implementation of a rapid response team: considering alternative outcome measures. Citation Text: Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. | PSNet

psnet.ahrq.gov/issue/hospital-quality-review-spending-and-patient-safety-longitudinal-analysis-using-instrumental

December 21, 2022 - Study Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Citation Text: Dynan L, Smith RB. Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Health Serv Outcomes Res Methodol.…

SWITCH for safety: perioperative hand-off tools. | PSNet

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October 18, 2023 - Commentary SWITCH for safety: perioperative hand-off tools. Citation Text: Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. Copy Citation Format: DOI Google Scho…

Identification by families of pediatric adverse events and near misses overlooked by health care providers. | PSNet

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November 23, 2016 - Study Identification by families of pediatric adverse events and near misses overlooked by health care providers. Citation Text: Daniels JP, Hunc K, Cochrane D, et al. Identification by families of pediatric adverse events and near misses overlooked by health care providers. CMAJ. 2012…

User satisfaction with computerized order entry system and its effect on workplace level of stress. | PSNet

psnet.ahrq.gov/issue/user-satisfaction-computerized-order-entry-system-and-its-effect-workplace-level-stress

August 27, 2017 - Study User satisfaction with computerized order entry system and its effect on workplace level of stress. Citation Text: Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009;33(3):19…

Supporting perioperative safety during a disaster through clinical crisis education. | PSNet

psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education

July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…

Surgical safety checklist compliance: a job done poorly! | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-compliance-job-done-poorly

April 25, 2016 - Study Surgical safety checklist compliance: a job done poorly! Citation Text: Sparks EA, Wehbe-Janek H, Johnson RL, et al. Surgical Safety Checklist compliance: a job done poorly!. J Am Coll Surg. 2013;217(5):867-73.e1-3. doi:10.1016/j.jamcollsurg.2013.07.393. Copy Citation Forma…

Cost-effective enhancement of claims data to improve comparisons of patient safety. | PSNet

psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety

December 21, 2014 - Study Cost-effective enhancement of claims data to improve comparisons of patient safety. Citation Text: Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.0…

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