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  1. Crisis resource management: evaluating outcomes of a multidisciplinary team. | PSNet

    psnet.ahrq.gov/issue/crisis-resource-management-evaluating-outcomes-multidisciplinary-team
    October 24, 2007 - Study Crisis resource management: evaluating outcomes of a multidisciplinary team. Citation Text: Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d. Co…

  2. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. | PSNet

    psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge
    October 21, 2015 - Commentary Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Citation Text: Martin ES, Overstreet RL, Jackson-Khalil LR, et al. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Am J Health S…

  3. A patient safety dilemma: obesity in the surgical patient. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
    November 09, 2016 - Study A patient safety dilemma: obesity in the surgical patient. Citation Text: Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  4. Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. | PSNet

    psnet.ahrq.gov/issue/assessment-fidelity-interventions-improve-hand-hygiene-healthcare-workers-systematic-review
    April 17, 2019 - Review Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. Citation Text: Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Contro…

  5. Organization and representation of patient safety data: current status and issues around generalizability and scalability. | PSNet

    psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
    November 09, 2005 - Commentary Organization and representation of patient safety data: current status and issues around generalizability and scalability. Citation Text: Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…

  6. Reducing continuous intravenous medication errors in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/reducing-continuous-intravenous-medication-errors-intensive-care-unit
    April 28, 2010 - Commentary Reducing continuous intravenous medication errors in an intensive care unit. Citation Text: OʼByrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144. Copy …

  7. Interruptions and blood transfusion checks: lessons from the simulated operating room. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
    February 18, 2009 - Study Interruptions and blood transfusion checks: lessons from the simulated operating room. Citation Text: Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…

  8. How studying human factors improves patient safety. | PSNet

    psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
    June 08, 2016 - Newspaper/Magazine Article How studying human factors improves patient safety. Citation Text: Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  9. Social aspects of clinical errors: a discussion paper. | PSNet

    psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper
    December 20, 2006 - Commentary Social aspects of clinical errors: a discussion paper. Citation Text: Richman J, Mason T, Mason-Whitehead E, et al. Social aspects of clinical errors. Int J Nurs Stud. 2009;46(8). doi:10.1016/j.ijnurstu.2009.01.006. Copy Citation Format: DOI Google Scholar BibT…

  10. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. | PSNet

    psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
    June 08, 2011 - Review Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Citation Text: Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology. 2002;97(6):1609-17…

  11. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. | PSNet

    psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology
    June 24, 2009 - Study Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Citation Text: Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;6…

  12. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. | PSNet

    psnet.ahrq.gov/issue/enculturation-unsafe-attitudes-and-behaviors-student-perceptions-safety-culture
    January 30, 2005 - Study Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Citation Text: Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f…

  13. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

    psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
    August 29, 2012 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

  14. An innovative tool for experiential learning of nursing quality and safety competencies. | PSNet

    psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
    January 27, 2016 - Commentary An innovative tool for experiential learning of nursing quality and safety competencies. Citation Text: St. Onge J, Hodges T, McBride M, et al. An Innovative Tool for Experiential Learning of Nursing Quality and Safety Competencies. Nurse Educator. 2013;38(2):71-75. doi:10.10…

  15. Administering and monitoring high-alert medications in acute care. | PSNet

    psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
    February 01, 2017 - Commentary Administering and monitoring high-alert medications in acute care. Citation Text: Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. Copy Citation Format: DOI Google Scholar…

  16. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet

    psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
    November 30, 2016 - Study Provider perspectives on partnering with parents of hospitalized children to improve safety. Citation Text: Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. …

  17. The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric-anesthesia-society
    August 23, 2017 - Commentary The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. Citation Text: Clebone A, Burian BK, Watkins SC, et al. The Development and Implementation of Cognitive Aids for C…

  18. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. | PSNet

    psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
    September 28, 2005 - Review Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. Citation Text: Becich MJ, Gilbertson JR, Gupta D, et al. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality i…

  19. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
    May 30, 2018 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…

  20. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. | PSNet

    psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
    January 18, 2017 - Study Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. Citation Text: Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…
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