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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…

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…

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…

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

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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…

System-related factors contributing to diagnostic errors. | PSNet

psnet.ahrq.gov/issue/system-related-factors-contributing-diagnostic-errors

January 11, 2023 - Review System-related factors contributing to diagnostic errors. Citation Text: Thammasitboon S, Thammasitboon S, Singhal G. System-related factors contributing to diagnostic errors. Curr Probl Pediatr Adolesc Health Care. 2013;43(9):242-7. doi:10.1016/j.cppeds.2013.07.004. Copy Citat…

Senior staff safety rounds: a commitment to ensure safety is the top priority. | PSNet

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May 30, 2018 - Commentary Senior staff safety rounds: a commitment to ensure safety is the top priority. Citation Text: Senior staff safety rounds: a commitment to ensure safety is the top priority. O'Connell RT, Ivy ME. NEJM Catalyst. May 1, 2018. Copy Citation Save Save to you…

Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet

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June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

Eliminating Medication Overload: A National Action Plan. | PSNet

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June 19, 2019 - Book/Report Eliminating Medication Overload: A National Action Plan. Citation Text: Eliminating Medication Overload: A National Action Plan. Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020. Copy Citation Save Save to your library …

Patient safety 2.0: slaying dragons, not just investigating them. | PSNet

psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them

September 14, 2016 - Commentary Patient safety 2.0: slaying dragons, not just investigating them. Citation Text: Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. Copy Citation Format: DOI Google Schol…

Mistake-proofing healthcare: why stopping processes may be a good start. | PSNet

psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopping-processes-may-be-good-start

March 14, 2022 - Commentary Mistake-proofing healthcare: why stopping processes may be a good start. Citation Text: Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. Copy Citation Forma…

Prioritizing Patient Safety Through Quality Measurement. | PSNet

psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement

November 14, 2011 - Webinar Prioritizing Patient Safety Through Quality Measurement. Citation Text: Prioritizing Patient Safety Through Quality Measurement. Centers for Medicare & Medicaid Services, March 6 and 21, 2024. Copy Citation Save Save to your library Print …

Surgical fires, a clear and present danger. | PSNet

psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger

May 16, 2018 - Review Surgical fires, a clear and present danger. Citation Text: Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92. doi:10.1016/j.surge.2010.01.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

To err is human, unless you are a healthcare provider. | PSNet

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March 22, 2023 - Commentary To err is human, unless you are a healthcare provider. Citation Text: To err is human, unless you are a healthcare provider. Zajicek J. Belmont Health Law J. 2020;4:79-135. Copy Citation Save Save to your library Print Download PDF Sha…

Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. | PSNet

psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication

October 19, 2022 - Press Release/Announcement Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Citation Text: Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022. C…

Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet

psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers

September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…

Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. | PSNet

psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care

March 10, 2021 - Book/Report Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Citation Text: Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. Copy Cita…

Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. | PSNet

psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices

September 07, 2016 - Book/Report Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. Citation Text: Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. Washington, DC: United States Government Accountability Office; January 5, …

VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. | PSNet

psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities

October 26, 2022 - Book/Report VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. Citation Text: VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83. …

Improving safety throughout the medication use process in a neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit

January 27, 2012 - Commentary Improving safety throughout the medication use process in a neonatal intensive care unit. Citation Text: Asdigha MN. Improving Safety Throughout the Medication Use Process in a Neonatal Intensive Care Unit. Hosp Pharm. 2010;41(11):1067-1075. doi:10.1310/hpj4111-1067. Copy Ci…

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