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psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process
September 23, 2020 - Commentary
Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015).
Citation Text:
Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric Oncology: Quality and Safety Process Impr…
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psnet.ahrq.gov/issue/experiential-learning-through-local-implementation-national-chief-resident-quality-and
November 16, 2022 - Commentary
Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum.
Citation Text:
Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Sa…
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psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
September 25, 2008 - Study
Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014.
Citation Text:
Moore TJ, Furberg CD, Mattison DR, et al. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Pharmacoe…
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psnet.ahrq.gov/issue/exploring-human-factors-prescribing-errors-paediatric-intensive-care-units
March 06, 2024 - Study
Emerging Classic
Exploring the human factors of prescribing errors in paediatric intensive care units.
Citation Text:
Sutherland A, Ashcroft DM, Phipps D. Exploring the human factors of prescribing errors in paediatric intensive care units. Arch Dis Child.…
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psnet.ahrq.gov/issue/association-overlapping-surgery-patient-outcomes-large-series-neurosurgical-cases
November 16, 2022 - Study
Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases.
Citation Text:
Howard BM, Holland CM, Mehta C, et al. Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases. JAMA Surg. 2018;153(4):313-321…
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psnet.ahrq.gov/issue/how-active-resisters-and-organizational-constipators-affect-health-care-acquired-infection
September 15, 2010 - Study
How active resisters and organizational constipators affect health care–acquired infection prevention efforts.
Citation Text:
Saint S, Kowalski CP, Banaszak-Holl J, et al. How active resisters and organizational constipators affect health care-acquired infection prevention effort…
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psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
August 04, 2021 - Study
"To err is human" but disclosure must be taught: a simulation-based assessment study.
Citation Text:
Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…
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psnet.ahrq.gov/issue/drug-calculation-ability-qualified-paramedics-pilot-study
June 25, 2018 - Study
Drug calculation ability of qualified paramedics: a pilot study.
Citation Text:
Boyle MJ, Eastwood K. Drug calculation ability of qualified paramedics: A pilot study. World J Emerg Med. 2018;9(1):41-45. doi:10.5847/wjem.j.1920-8642.2018.01.006.
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psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
July 01, 2017 - Study
The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture.
Citation Text:
Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…
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psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
June 13, 2015 - Study
Evaluation of near-miss wrong-patient events in radiology reports.
Citation Text:
Sadigh G, Loehfelm T, Applegate KE, et al. JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. AJR Am J Roentgenol. 2015;205(2):337-43. doi:10.2214/AJR.14.13339.
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psnet.ahrq.gov/issue/patient-misidentifications-caused-errors-standard-barcode-technology
June 13, 2012 - Study
Patient misidentifications caused by errors in standard barcode technology.
Citation Text:
Snyder ML, Carter A, Jenkins K, et al. Patient misidentifications caused by errors in standard bar code technology. Clin Chem. 2010;56(10):1554-60. doi:10.1373/clinchem.2010.150094.
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psnet.ahrq.gov/issue/doctor-jazz-lessons-medical-professionals-can-learn-jazz-musicians
August 10, 2022 - Review
"Doctor Jazz": lessons that medical professionals can learn from jazz musicians.
Citation Text:
van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205.
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psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care
July 20, 2022 - Commentary
Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century.
Citation Text:
Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st…
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psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
February 10, 2015 - Commentary
What is driving hospitals' patient-safety efforts?
Citation Text:
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15.
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psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
October 19, 2022 - Commentary
A lethal hidden curriculum—death of a medical student from opioid use disorder.
Citation Text:
Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537.
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psnet.ahrq.gov/node/33810/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Registered Nurse's Perspective
June 1, 2016
Frank K. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurse…
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psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call
October 28, 2020 - Review
Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action.
Citation Text:
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…
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psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care
May 12, 2021 - Study
Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations.
Citation Text:
Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care…
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psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
May 26, 2021 - Study
Development and validation of a brief culture-of-safety survey.
Citation Text:
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
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psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
June 18, 2014 - Study
The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy.
Citation Text:
Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic orde…