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  1. Errors and analysis of errors. | PSNet

    psnet.ahrq.gov/issue/errors-and-analysis-errors
    August 28, 2019 - Commentary Errors and analysis of errors. Citation Text: Mulligan MA, Nechodom P. Errors and analysis of errors. Clin Obstet Gynecol. 2008;51(4):656-65. doi:10.1097/GRF.0b013e3181899a5a. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  2. ONC Health IT Certification Program: Enhanced Oversight and Accountability. | PSNet

    psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability
    June 29, 2016 - Government Resource ONC Health IT Certification Program: Enhanced Oversight and Accountability. Citation Text: ONC Health IT Certification Program: Enhanced Oversight and Accountability. Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services;…

  3. Standardizing hand-off processes. | PSNet

    psnet.ahrq.gov/issue/standardizing-hand-processes
    June 03, 2020 - Commentary Standardizing hand-off processes. Citation Text: Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  4. Medical errors, malpractice, and defensive medicine: an ill-fated triad. | PSNet

    psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-ill-fated-triad
    July 06, 2022 - Review Medical errors, malpractice, and defensive medicine: an ill-fated triad. Citation Text: Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007. Copy Citation Format: DOI Google …

  5. Disclosing unanticipated outcomes to patients: the art and practice. | PSNet

    psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
    July 14, 2010 - Commentary Disclosing unanticipated outcomes to patients: the art and practice. Citation Text: Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W. Copy Citation Save Save to your library …

  6. Near-miss event analysis enhances the barcode medication administration process. | PSNet

    psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process
    February 13, 2013 - Newspaper/Magazine Article Near-miss event analysis enhances the barcode medication administration process. Citation Text: Near-miss event analysis enhances the barcode medication administration process. Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. Copy Citation …

  7. Disclosing adverse events: you said it, now write it. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-you-said-it-now-write-it
    July 14, 2010 - Commentary Disclosing adverse events: you said it, now write it. Citation Text: Monson MS. Disclosing adverse events: you said it, now write it. Nurs Manage. 2006;37(8):16-7, 55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  8. Counting matters: lessons from the root cause analysis of a retained surgical item. | PSNet

    psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
    January 02, 2017 - Commentary Counting matters: lessons from the root cause analysis of a retained surgical item. Citation Text: Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574. Copy Citation Format: …

  9. National Prescription Drug Take Back Day. | PSNet

    psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
    May 20, 2020 - Press Release/Announcement National Prescription Drug Take Back Day. Citation Text: National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023. Copy Citation Save Save to your library Print Download PDF Share Fa…

  10. Medication handling: towards a practical, human-centred approach. | PSNet

    psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
    September 23, 2020 - Commentary Medication handling: towards a practical, human-centred approach. Citation Text: Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia. 2019;74(3):280-284. doi:10.1111/anae.14482. Copy Citation Format: DOI Google Sc…

  11. Interdisciplinary communication: an uncharted source of medical error? | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
    September 24, 2016 - Review Interdisciplinary communication: an uncharted source of medical error? Citation Text: Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. Copy Citation Format: Google Scholar Pu…

  12. A medical error leads to tragedy: how do we inform the patient? | PSNet

    psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
    April 08, 2018 - Commentary A medical error leads to tragedy: how do we inform the patient? Citation Text: Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  13. No-fault compensation for medical injuries: the prospect for error prevention. | PSNet

    psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
    May 20, 2015 - Commentary Classic No-fault compensation for medical injuries: the prospect for error prevention. Citation Text: Studdert DM, Brennan TA. No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2). doi:10.1001/jama.286.2.217. Copy Citation Format: …

  14. Diagnostic excellence through the lens of patient-centeredness. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
    June 24, 2020 - Commentary Diagnostic excellence through the lens of patient-centeredness. Citation Text: Berwick DM. Diagnostic Excellence Through the Lens of Patient-Centeredness. JAMA. 2021;326(21):2127-2128. doi:10.1001/jama.2021.19513. Copy Citation Format: DOI Google Scholar BibTeX E…

  15. Intimidation: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/intimidation-concept-analysis
    May 20, 2020 - Review Intimidation: a concept analysis. Citation Text: Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-6198.2009.00162.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  16. Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. | PSNet

    psnet.ahrq.gov/issue/inpatient-notes-mistakes-hospital-communicating-apologizing-and-beyond
    September 04, 2024 - Commentary Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. Citation Text: Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital-Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.…

  17. A piece of my mind. Changing the narrative. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
    December 13, 2023 - Commentary A piece of my mind. Changing the narrative. Citation Text: Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

  18. High reliability: excellent care every time. | PSNet

    psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
    July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  19. Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. | PSNet

    psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
    January 13, 2021 - Book/Report Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…

  20. Patient Safety and Quality Improvement Act of 2005. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
    March 29, 2023 - Legislation/Case Law Classic Patient Safety and Quality Improvement Act of 2005. Citation Text: Patient Safety and Quality Improvement Act of 2005. Pub L No. 109-41.  Copy Citation Save Save to your library Print Download…
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