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9921. Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. | PSNet
      psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health
      November 28, 2018 - Book/Report Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Citation Text: Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Silver Spring, MD: US Food and Drug Administration; April 2018. Copy Citation Sav…

9922. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. | PSNet
      psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques
      August 12, 2020 - Commentary The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Citation Text: Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853. Copy Citation Format: …

9923. Effectiveness of a course designed to teach handoffs to medical students. | PSNet
      psnet.ahrq.gov/issue/effectiveness-course-designed-teach-handoffs-medical-students
      April 12, 2023 - Study Effectiveness of a course designed to teach handoffs to medical students. Citation Text: Chu ES, Reid M, Burden M, et al. Effectiveness of a course designed to teach handoffs to medical students. J Hosp Med. 2010;5(6):344-8. doi:10.1002/jhm.633. Copy Citation Format: …

9924. Important change to heparin container labels to clearly state the total drug strength. | PSNet
      psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
      December 16, 2020 - Government Resource Important change to heparin container labels to clearly state the total drug strength. Citation Text: Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…

9925. Medical error and decision making: learning from the past and present in intensive care. | PSNet
      psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
      June 26, 2024 - Review Medical error and decision making: learning from the past and present in intensive care. Citation Text: Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001. C…

9926. Excessive work hours of physicians in training in El Salvador: putting patients at risk. | PSNet
      psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
      August 04, 2021 - Commentary Excessive work hours of physicians in training in El Salvador: putting patients at risk. Citation Text: Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205. Copy Citation Format: Google S…

9927. Diagnostic time-outs to improve diagnosis. | PSNet
      psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis
      September 14, 2022 - Study Diagnostic time-outs to improve diagnosis. Citation Text: Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185-194. doi:10.1016/j.ccc.2021.11.008. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

9928. FDA advises health care professionals and patients about insulin pen packaging and dispensing. | PSNet
      psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
      June 22, 2011 - Press Release/Announcement FDA advises health care professionals and patients about insulin pen packaging and dispensing. Citation Text: FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

9929. Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet
      psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
      May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …

9930. Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. | PSNet
      psnet.ahrq.gov/issue/speaking-across-drapes-communication-strategies-anesthesiologists-and-obstetricians-during
      May 08, 2017 - Study Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. Citation Text: Minehart RD, Pian-Smith MCM, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetrician…

9931. Identification of inpatient DNR status: a safety hazard begging for standardization. | PSNet
      psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization
      January 19, 2012 - Study Identification of inpatient DNR status: a safety hazard begging for standardization. Citation Text: Sehgal NL, Wachter RM. Identification of inpatient DNR status: A safety hazard begging for standardization. J Hosp Med. 2007;2(6):366-371. doi:10.1002/jhm.283. Copy Citation …

9932. Health literacy and the quality of physician–patient communication during hospitalization. | PSNet
      psnet.ahrq.gov/issue/health-literacy-and-quality-physician-patient-communication-during-hospitalization
      April 05, 2013 - Study Health literacy and the quality of physician–patient communication during hospitalization. Citation Text: Kripalani S, Jacobson TA, Mugalla IC, et al. Health literacy and the quality of physician-patient communication during hospitalization. J Hosp Med. 2010;5(5). doi:10.1002/jhm…

9933. Using simulation to improve patient safety: dawn of a new era. | PSNet
      psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-dawn-new-era
      October 29, 2017 - Commentary Using simulation to improve patient safety: dawn of a new era. Citation Text: Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817. Copy Citation Format: …

9934. Deprescribing: a simple method for reducing polypharmacy. | PSNet
      psnet.ahrq.gov/issue/deprescribing-simple-method-reducing-polypharmacy
      September 09, 2015 - Commentary Deprescribing: a simple method for reducing polypharmacy. Citation Text: McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice-management/de…

9935. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. | PSNet
      psnet.ahrq.gov/issue/assessing-impact-educational-program-decreasing-prescribing-errors-university-hospital
      October 19, 2011 - Study Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. Citation Text: Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. J Hosp Med. 2009;4(2):97-101. d…

9936. AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. | PSNet
      psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses
      February 18, 2011 - Study AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. Citation Text: Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e. Copy Cita…

9937. ASHP guidelines on preventing medication errors in hospitals. | PSNet
      psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
      May 09, 2014 - Organizational Policy/Guidelines Emerging Classic ASHP guidelines on preventing medication errors in hospitals. Citation Text: Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Phar…

9938. Safety with nebulized medications requires an interdisciplinary team approach. | PSNet
      psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
      December 27, 2018 - Newspaper/Magazine Article Safety with nebulized medications requires an interdisciplinary team approach. Citation Text: Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. Copy Ci…

9939. Nursing student medication errors: a case study using root cause analysis. | PSNet
      psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
      November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…

9940. Actions Needed to Address Employee Misconduct Process and Ensure Accountability. | PSNet
      psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
      July 11, 2018 - Book/Report Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Citation Text: Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …