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Strategies used by nurses to recover medical errors in an academic emergency department setting. | PSNet

psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting

September 26, 2016 - Study Strategies used by nurses to recover medical errors in an academic emergency department setting. Citation Text: Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-…

Design for reliability: barcoded medication administration. | PSNet

psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration

July 21, 2021 - Newspaper/Magazine Article Design for reliability: barcoded medication administration. Citation Text: Design for reliability: barcoded medication administration. Hayden AC; Lanoue ET; Still CJ. Copy Citation Save Save to your library Print Download PDF …

Characteristics of medication errors made by students during the administration phase: a descriptive study. | PSNet

psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study

July 13, 2009 - Study Characteristics of medication errors made by students during the administration phase: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…

The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. | PSNet

psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand

August 16, 2023 - Study The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. Citation Text: Jirapaet V, Jirapaet K, Sopajaree C. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. J Obstet Gynecol Neonatal …

Failure to rescue in neonatal care. | PSNet

psnet.ahrq.gov/issue/failure-rescue-neonatal-care

July 06, 2011 - Commentary Failure to rescue in neonatal care. Citation Text: Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say. | PSNet

psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern-doctors-say

May 06, 2020 - Newspaper/Magazine Article Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say. Citation Text: Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say. Abdelmalek M, Bruggeman L. ABC News. May 14, 2020. Copy Citation…

Patient Safety and Quality: An Evidence-Based Handbook for Nurses. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses

May 29, 2024 - Book/Report Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Citation Text: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043. Copy Ci…

Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet

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November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. Citation Text: Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…

FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. | PSNet

psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework

June 29, 2016 - Government Resource FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Citation Text: FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…

Understanding the root cause analysis process to increase safety event reporting. | PSNet

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August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event reporting. Citation Text: Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. Copy Citation Format: …

Guideline implementation: prevention of retained surgical items. | PSNet

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October 23, 2024 - Commentary Guideline implementation: prevention of retained surgical items. Citation Text: Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. Copy Citation Format: DOI Google Scholar PubMed B…

Communication failure: basic components, contributing factors, and the call for structure. | PSNet

psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure

March 04, 2011 - Commentary Communication failure: basic components, contributing factors, and the call for structure. Citation Text: Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47. Copy Ci…

Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. | PSNet

psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance

July 10, 2017 - Commentary Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. Citation Text: Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…

Is it time to move beyond errors in clinical reasoning and discuss accuracy? | PSNet

psnet.ahrq.gov/issue/it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy

September 26, 2016 - Commentary Is it time to move beyond errors in clinical reasoning and discuss accuracy? Citation Text: Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. Copy Citatio…

Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition

June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…

From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. | PSNet

psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and

October 19, 2022 - Study From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. Citation Text: Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…

Preventing pressure ulcers: the goal is zero. | PSNet

psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero

September 30, 2010 - Commentary Preventing pressure ulcers: the goal is zero. Citation Text: Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

Patient safety: lessons learned. | PSNet

psnet.ahrq.gov/issue/patient-safety-lessons-learned

October 18, 2017 - Commentary Patient safety: lessons learned. Citation Text: Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…

Work-arounds in health care settings: literature review and research agenda. | PSNet

psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda

October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…

National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. | PSNet

psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report

January 11, 2013 - Book/Report National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Citation Text: National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012. Copy Citation …

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