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Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet

psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions

June 03, 2013 - Study Implementing a patient safety and quality program across two merged pediatric institutions. Citation Text: Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. | PSNet

psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using

September 26, 2016 - Study Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. Citation Text: White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a c…

A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules-and-situated

June 14, 2011 - Commentary A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. Citation Text: Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and si…

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)…

A system-wide hospital child maltreatment patient safety program. | PSNet

psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program

September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

Patient safety and quality improvement: reducing risk of harm. | PSNet

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November 15, 2011 - Review Patient safety and quality improvement: reducing risk of harm. Citation Text: Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. Copy Citation Format: DOI Google Scholar Pu…

Preventing medication errors in pediatric anesthesia: a systematic scoping review. | PSNet

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January 26, 2022 - Review Preventing medication errors in pediatric anesthesia: a systematic scoping review. Citation Text: Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.00000000…

Outcomes after out-of-hospital endotracheal intubation errors. | PSNet

psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors

July 20, 2010 - Study Outcomes after out-of-hospital endotracheal intubation errors. Citation Text: Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. Copy Citation Format…

Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. | PSNet

psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident

August 10, 2011 - Study Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. Citation Text: Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporti…

Impact of system-level activities and reporting design on the number of incident reports for patient safety. | PSNet

psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety

January 20, 2011 - Study Impact of system-level activities and reporting design on the number of incident reports for patient safety. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Impact of system-level activities and reporting design on the number of incident reports for patient safety. Qual Saf …

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. | PSNet

psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting

September 27, 2010 - Study Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. Citation Text: Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam M…

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. | PSNet

psnet.ahrq.gov/issue/pharmacy-clarification-prescriptions-ordered-primary-care-report-applied-strategies-improving

March 28, 2011 - Commentary Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. Citation Text: Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary ca…

Care at the point of impact: insights into the second-victim experience. | PSNet

psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience

January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

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August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

Medical device-related pressure ulcers: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis

March 10, 2021 - Review Classic Medical device-related pressure ulcers: a systematic review and meta-analysis. Citation Text: Jackson D, Sarki AM, Betteridge R, et al. Medical device-related pressure ulcers: A systematic review and meta-analysis. Int J Nurs Stud. 2019;92:109-120…

Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. | PSNet

psnet.ahrq.gov/issue/bridging-gap-leveraging-business-intelligence-tools-support-patient-safety-and-financial

February 15, 2011 - Commentary Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. Citation Text: Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effe…

Adverse drug events in general practice patients in Australia. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-general-practice-patients-australia

March 04, 2020 - Study Adverse drug events in general practice patients in Australia. Citation Text: Miller GC, Britth HC, Valenti L. Adverse drug events in general practice patients in Australia. Med J Aust. 2006;184(7):321-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet

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November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture. Citation Text: Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224. Co…

Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. | PSNet

psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee

November 29, 2023 - Book/Report Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Citation Text: Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Washington, DC: Department of Veterans Affairs, Office of Inspector…

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review

April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

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