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A review of medical error reporting system design considerations and a proposed cross-level systems research framework. | PSNet

psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed-cross-level-systems

May 16, 2012 - Review A review of medical error reporting system design considerations and a proposed cross-level systems research framework. Citation Text: Holden RJ, Karsh B-T. A review of medical error reporting system design considerations and a proposed cross-level systems research framework. Hu…

Did hospital engagement networks actually improve care? | PSNet

psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care

July 18, 2016 - Commentary Did hospital engagement networks actually improve care? Citation Text: Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

2019 update on pediatric medical overuse: a systematic review. | PSNet

psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review

May 11, 2019 - Review 2019 update on pediatric medical overuse: a systematic review. Citation Text: Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849. Copy Citation Format: DOI Goog…

Drug Shortages: FDA's Ability to Respond Should Be Strengthened. | PSNet

psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened

April 15, 2009 - Congressional Testimony Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Citation Text: Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…

Medication safety in the operating room: literature and expert-based recommendations. | PSNet

psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations

October 19, 2022 - Review Medication safety in the operating room: literature and expert-based recommendations. Citation Text: Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…

Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. | PSNet

psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems

January 20, 2010 - Book/Report Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Citation Text: Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Wright S. Washington, DC: US Department of Health and Human Services, Office of t…

Fixing healthcare from the inside, today. | PSNet

psnet.ahrq.gov/issue/fixing-healthcare-inside-today

February 28, 2011 - Commentary Classic Fixing healthcare from the inside, today. Citation Text: Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. | PSNet

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March 11, 2015 - Study Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. Citation Text: Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…

Surgical confusions in ophthalmology. | PSNet

psnet.ahrq.gov/issue/surgical-confusions-ophthalmology

November 16, 2022 - Study Surgical confusions in ophthalmology. Citation Text: Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. | PSNet

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December 21, 2014 - Commentary The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Citation Text: Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. …

Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. | PSNet

psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and

January 18, 2013 - Study Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. Citation Text: Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…

A critical review of the systems approach within patient safety research. | PSNet

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June 16, 2021 - Review A critical review of the systems approach within patient safety research. Citation Text: Waterson P. A critical review of the systems approach within patient safety research. Ergonomics. 2009;52(10):1185-1195. doi:10.1080/00140130903042782. Copy Citation Format: DO…

Noise in the operating room—what do we know? A review of the literature. | PSNet

psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature

August 13, 2014 - Review Noise in the operating room—what do we know? A review of the literature. Citation Text: Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001. Copy Cit…

Patient safety in North America: beyond "operate through your initials" and "sign your site." | PSNet

psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site

March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…

A middle ground on public accountability. | PSNet

psnet.ahrq.gov/issue/middle-ground-public-accountability

March 02, 2011 - Commentary Classic A middle ground on public accountability. Citation Text: Lee TH, Meyer GS, Brennan TA. A middle ground on public accountability. N Engl J Med. 2004;350(23):2409-2412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Safe use of cellular telephones in hospitals: fundamental principles and case studies. | PSNet

psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies

August 04, 2021 - Commentary Safe use of cellular telephones in hospitals: fundamental principles and case studies. Citation Text: Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles and case studies. J Healthc Inf Manag. 2005;19(4):38-48. Copy …

Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. | PSNet

psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy

November 17, 2010 - Commentary Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Citation Text: Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…

Patient reports of preventable problems and harms in primary health care. | PSNet

psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care

February 03, 2011 - Study Patient reports of preventable problems and harms in primary health care. Citation Text: Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40. Copy Citation Format: Google Sc…

You can't understand something you hide: transparency as a path to improve patient safety. | PSNet

psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-safety

October 04, 2006 - Newspaper/Magazine Article You can't understand something you hide: transparency as a path to improve patient safety. Citation Text: You can't understand something you hide: transparency as a path to improve patient safety. Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June…

Computerized physician order entry: helpful or harmful? | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful

January 06, 2018 - Commentary Classic Computerized physician order entry: helpful or harmful? Citation Text: Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. Copy Citation Format: Google Scholar …

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