-
psnet.ahrq.gov/node/40575/psn-pdf
July 06, 2011 - Student-observed surgical safety practices across an
urban regional health authority.
July 6, 2011
Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional
health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.044826.
https://psnet.ahrq.gov/issue/st…
-
psnet.ahrq.gov/node/47013/psn-pdf
April 07, 2019 - An electronic intervention to improve safety for pain
patients co-prescribed chronic opioids and
benzodiazepines.
April 7, 2019
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-
prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448.
doi:…
-
psnet.ahrq.gov/node/837068/psn-pdf
May 11, 2022 - Barriers and enablers to nurses' use of harm prevention
strategies for older patients in hospital: a cross-sectional
survey.
May 11, 2022
Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for
older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
-
psnet.ahrq.gov/node/44422/psn-pdf
November 17, 2017 - Stop the noise: a quality improvement project to decrease
electrocardiographic nuisance alarms.
November 17, 2017
Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease
Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22.
doi:10.4…
-
psnet.ahrq.gov/node/35977/psn-pdf
February 17, 2011 - Making patient safety the centerpiece of medical liability
reform.
February 17, 2011
Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England
Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100.
https://psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical…
-
psnet.ahrq.gov/node/866855/psn-pdf
October 02, 2024 - Reduction in preventable time-critical dose omissions:
impact of electronic medication management systems on
in-patients.
October 2, 2024
Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of
electronic medication management systems on in-patients. Contemp Nurse. 2…
-
psnet.ahrq.gov/node/837694/psn-pdf
July 20, 2022 - Implementing root cause analysis and action: integrating
human factors to create strong interventions and reduce
risk of patient harm.
July 20, 2022
Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to
create strong interventions and reduce risk of patient har…
-
psnet.ahrq.gov/node/37309/psn-pdf
January 05, 2012 - Adverse drug events in hospitalized cardiac patients.
January 5, 2012
Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol.
2007;100(9):1465-9.
https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
This study noted two adverse drug event…
-
psnet.ahrq.gov/node/837139/psn-pdf
May 18, 2022 - Multispecialty physician online survey reveals that
burnout related to adverse event involvement may be
mitigated by peer support.
May 18, 2022
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related
to adverse event involvement may be mitigated by peer support…
-
psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
September 23, 2020 - Review
Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.
Citation Text:
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12.
Copy Citation
Format:
Google Sc…
-
psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
June 27, 2018 - Commentary
A medication safety education program to reduce the risk of harm caused by medication errors.
Citation Text:
Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84.
Copy Citation
Fo…
-
psnet.ahrq.gov/issue/why-worry-worry-risk-perceptions-and-willingness-act-reduce-medical-errors
September 10, 2009 - Study
Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors.
Citation Text:
Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.…
-
psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
August 02, 2015 - Study
BONE break: a hot debrief tool to reduce second victim syndrome for nurses.
Citation Text:
Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.…
-
psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
April 24, 2018 - Commentary
Making residents part of the safety culture: improving error reporting and reducing harms.
Citation Text:
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…
-
psnet.ahrq.gov/issue/reducing-diagnostic-errors-through-effective-communication-harnessing-power-information
March 10, 2011 - Commentary
Reducing diagnostic errors through effective communication: harnessing the power of information technology.
Citation Text:
Singh H, Naik AD, Rao R, et al. Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology. J Gen Intern…
-
psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
October 28, 2020 - Grant Announcement
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication
Citation Text:
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
Copy Citati…
-
psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
March 28, 2011 - Study
Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
Citation Text:
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…
-
psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
February 18, 2019 - Commentary
Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors.
Citation Text:
Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000…
-
psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
September 01, 2018 - Study
Connected care: reducing errors through automated vital signs data upload.
Citation Text:
Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65.
Cop…
-
psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
November 18, 2015 - Study
Using Six Sigma to reduce medication errors in a home-delivery pharmacy service.
Citation Text:
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
Copy Citation
…