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TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/teamstepps-long-term-care-academic-partnership-part-1-and-part-2

July 05, 2017 - Commentary TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. Citation Text: Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06. Copy Citation F…

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. | PSNet

psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit

January 04, 2010 - Study Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. Citation Text: McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…

Evidence for anchoring bias during physician decision-making. | PSNet

psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-decision-making

November 17, 2021 - Study Evidence for anchoring bias during physician decision-making. Citation Text: Ly DP, Shekelle PG, Song Z. Evidence for anchoring bias during physician decision-making. JAMA Intern Med. 2023;183(8):818-823. doi:10.1001/jamainternmed.2023.2366. Copy Citation Format: DOI …

Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. | PSNet

psnet.ahrq.gov/issue/radiologist-initiated-double-reading-abdominal-ct-retrospective-analysis-clinical-importance

September 01, 2016 - Study Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. Citation Text: Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the c…

Using nurses and office staff to report prescribing errors in primary care. | PSNet

psnet.ahrq.gov/issue/using-nurses-and-office-staff-report-prescribing-errors-primary-care

May 04, 2010 - Study Using nurses and office staff to report prescribing errors in primary care. Citation Text: Kennedy AG, Littenberg B, Senders JW. Using nurses and office staff to report prescribing errors in primary care. Int J Qual Health Care. 2008;20(4):238-45. doi:10.1093/intqhc/mzn015. Cop…

Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. | PSNet

psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process

March 02, 2022 - Study Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Citation Text: Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Wiig S, Haraldseid-Driftlan…

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. | PSNet

psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education

March 17, 2021 - Commentary Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. Citation Text: Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…

'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. | PSNet

psnet.ahrq.gov/issue/im-smiling-under-here-masks-plexiglass-and-questions-norm-hospitals-lure-patients-back-covid

June 24, 2020 - Newspaper/Magazine Article 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. Citation Text: Weintraub K. 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. U…

Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). | PSNet

psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-risperidone-risperdal-and-ropinirole-requip

December 16, 2020 - Press Release/Announcement Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). Citation Text: Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). MedWatch Safety Alert, FDA Drug Safety Com…

Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. | PSNet

psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups

April 01, 2015 - Press Release/Announcement Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. Citation Text: Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL…

Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. | PSNet

psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries

February 15, 2017 - Book/Report Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Services…

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. | PSNet

psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3

March 01, 2008 - Commentary Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. Citation Text: Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. Copy Citation Format: Google …

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet

psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification

June 16, 2011 - Study Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Citation Text: Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…

Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. | PSNet

psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system

January 18, 2013 - Study Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. Citation Text: Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…

Persistent noncompliance with the work-hour regulation. | PSNet

psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation

February 08, 2023 - Study Persistent noncompliance with the work-hour regulation. Citation Text: Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation. Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337. Copy Citation Format: DOI Goo…

Patient safety and error reduction in surgical pathology. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology

January 08, 2016 - Review Patient safety and error reduction in surgical pathology. Citation Text: Nakhleh RE. Patient safety and error reduction in surgical pathology. Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2. Copy Citation Format: DOI Go…

Improving patient safety—five years after the IOM report. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report

February 18, 2011 - Commentary Classic Improving patient safety—five years after the IOM report. Citation Text: Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243. Copy Ci…

Psychosocial factors and safety in high-risk industries: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/psychosocial-factors-and-safety-high-risk-industries-systematic-literature-review

July 15, 2020 - Review Psychosocial factors and safety in high-risk industries: a systematic literature review. Citation Text: Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948. …

Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. | PSNet

psnet.ahrq.gov/issue/dont-go-hospital-alone-ensuring-safe-highly-reliable-patient-visitation

May 12, 2021 - Commentary Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Citation Text: Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006. Copy …

The mixed blessings of smart infusion devices and health care IT. | PSNet

psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devices-and-health-care-it

March 13, 2024 - Study The mixed blessings of smart infusion devices and health care IT. Citation Text: Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. Copy Citation Format: …

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