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How can we make diagnosis safer? | PSNet

psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer

April 12, 2014 - Commentary How can we make diagnosis safer? Citation Text: Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138. doi:10.1097/ACM.0b013e31823f711c. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. | PSNet

psnet.ahrq.gov/issue/identifying-causes-adverse-events-detected-automated-trigger-tool-through-depth-analysis

October 05, 2011 - Study Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Citation Text: Muething SE, Conway PH, Kloppenborg E, et al. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Qual Saf Health…

The incidence and nature of prescribing and medication administration errors in paediatric inpatients. | PSNet

psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients

July 08, 2008 - Study The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Citation Text: Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…

American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. | PSNet

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August 20, 2018 - Commentary American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. Citation Text: Bates DW, Clark NG, Cook RI, et al. American College of Endocrinology and Amer…

Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. | PSNet

psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists

November 16, 2022 - Commentary Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. Citation Text: Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…

An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. | PSNet

psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy

April 28, 2010 - Study An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. Citation Text: Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…

How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. | PSNet

psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers

February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…

Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. | PSNet

psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review

August 29, 2018 - Review Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. Citation Text: Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…

A patient safety checklist for the cardiac catheterisation laboratory. | PSNet

psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory

October 19, 2022 - Commentary A patient safety checklist for the cardiac catheterisation laboratory. Citation Text: Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. Copy Citation …

Bending the patient safety curve: how much can AI help? | PSNet

psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help

March 31, 2021 - Commentary Bending the patient safety curve: how much can AI help? Citation Text: Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5. Copy Citation Format: DOI Google Schola…

Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. | PSNet

psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation

October 23, 2024 - Study Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. Citation Text: Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization after implementat…

Rounding to influence. | PSNet

psnet.ahrq.gov/issue/rounding-influence

February 22, 2010 - Newspaper/Magazine Article Rounding to influence. Citation Text: Reinertsen JL, Johnson KM. Rounding to influence. Leadership method helps executives answer the "hows" in patient safety initiatives. Healthcare executive. 2010;25(5):72-5. Copy Citation Format: Google Schol…

Practice Advisory on Intraoperative Awareness and Brain Function Monitoring. | PSNet

psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring

July 16, 2018 - Review Practice Advisory on Intraoperative Awareness and Brain Function Monitoring. Citation Text: Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative …

Strategies used by critical care nurses to identify, interrupt, and correct medical errors. | PSNet

psnet.ahrq.gov/issue/strategies-used-critical-care-nurses-identify-interrupt-and-correct-medical-errors

September 27, 2016 - Study Strategies used by critical care nurses to identify, interrupt, and correct medical errors. Citation Text: Henneman EA, Gawlinski A, Blank FS, et al. Strategies used by critical care nurses to identify, interrupt, and correct medical errors. Am J Crit Care. 2010;19(6):500-9. doi:10…

Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet

psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment

September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. Citation Text: Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…

"Second victim" casualties and how physician leaders can help. | PSNet

psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help

August 28, 2024 - Newspaper/Magazine Article "Second victim" casualties and how physician leaders can help. Citation Text: MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Addressing health care disparities by improving quality and safety. | PSNet

psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety

January 27, 2021 - Sentinel Event Alerts Addressing health care disparities by improving quality and safety. Citation Text: Addressing health care disparities by improving quality and safety. Sentinel Event Alert. Nov 10 2021;(64):1-7. Copy Citation Save Save to your library …

Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mothers and babies. | PSNet

psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save

January 06, 2016 - Review Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mothers and babies. Citation Text: Cornthwaite K, Edwards S, Siassakos D. Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mot…

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient? | PSNet

psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse-events

April 22, 2015 - Review Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient? Citation Text: Massey D, Aitken LM, Chaboyer W. Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriora…

Second victims and mindfulness: a systematic review. | PSNet

psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review

July 22, 2020 - Review Second victims and mindfulness: a systematic review. Citation Text: S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. Copy Citation Format: DOI Google Scholar…

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