-
psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
December 16, 2011 - Study
Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.
Citation Text:
Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …
-
psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
October 19, 2022 - Commentary
Use of failure mode and effects analysis to improve emergency department handoff processes.
Citation Text:
Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…
-
psnet.ahrq.gov/issue/medication-prescribing-errors-prehospital-setting-and-ed
September 13, 2017 - Study
Medication prescribing errors in the prehospital setting and in the ED.
Citation Text:
Lifshitz AE, Goldstein LH, Sharist M, et al. Medication prescribing errors in the prehospital setting and in the ED. Am J Emerg Med. 2012;30(5):726-31. doi:10.1016/j.ajem.2011.04.023.
Copy Ci…
-
psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
February 15, 2011 - Study
Raising the awareness of inpatient nursing staff about medication errors.
Citation Text:
Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90.
Copy Citation
Format:
Google Sc…
-
psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
November 21, 2021 - Study
Time for a change in injury and trauma care delivery: a trauma death review analysis.
Citation Text:
Sugrue M, Caldwell E, D'Amours S, et al. Time for a change in injury and trauma care delivery: a trauma death review analysis. ANZ J Surg. 2008;78(11):949-954. doi:10.1111/j.1445-…
-
psnet.ahrq.gov/issue/iatrogenesis-context-residential-dementia-care-concept-analysis
August 17, 2022 - Commentary
Iatrogenesis in the context of residential dementia care: a concept analysis.
Citation Text:
Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028.
Copy Citati…
-
psnet.ahrq.gov/issue/disseminating-innovations-health-care
August 04, 2021 - Commentary
Classic
Disseminating innovations in health care.
Citation Text:
Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3…
-
psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
August 04, 2021 - Commentary
Beyond the prescription: medication monitoring and adverse drug events in older adults.
Citation Text:
Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. d…
-
psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
April 24, 2018 - Study
Decoding laboratory test names: a major challenge to appropriate patient care.
Citation Text:
Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…
-
psnet.ahrq.gov/issue/little-shop-errors-innovative-simulation-patient-safety-workshop-community-health-care
October 14, 2009 - Commentary
Little shop of errors: an innovative simulation patient safety workshop for community health care professionals.
Citation Text:
Tupper JB, Pearson KB, Meinersmann KM, et al. Little shop of errors: an innovative simulation patient safety workshop for community health care pro…
-
psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
March 17, 2021 - Study
Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery.
Citation Text:
Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …
-
psnet.ahrq.gov/issue/explaining-unexplainable-impact-physicians-attitude-towards-litigation-their-incident
March 26, 2014 - Study
Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour.
Citation Text:
Renkema E, Broekhuis MH, Ahaus K. Explaining the unexplainable - the impact of physicians' attitude towards litigation on their incident disclos…
-
www.ahrq.gov/talkingquality/plan/your-audience/index.html
December 01, 2022 - Identify the Audience for Your Healthcare Quality Report
Before doing anything else, you need to consider your audience:
For whom are you creating this report?
What do they want to know?
What will they do with the information?
First Priority: The Primary Audience
The group you are trying to reach …
-
psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
January 22, 2016 - Commentary
Errors as allies: error management training in health professions education.
Citation Text:
King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945.
Copy Citatio…
-
psnet.ahrq.gov/issue/relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
April 30, 2014 - Study
Relating faults in diagnostic reasoning with diagnostic errors and patient harm.
Citation Text:
Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6.
Copy…
-
psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
December 19, 2018 - Commentary
JAMA professionalism: disclosure of medical error.
Citation Text:
Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
-
psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
November 16, 2022 - Study
Diagnostic error in pediatric cancer.
Citation Text:
Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML…
-
psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
April 22, 2015 - Commentary
The bare minimum: the reality of global anaesthesia and patient safety.
Citation Text:
McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x.
Copy Citatio…
-
psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
August 26, 2011 - Study
Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection.
Citation Text:
Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…
-
psnet.ahrq.gov/issue/description-and-yield-current-quality-and-safety-review-selected-us-academic-emergency
July 13, 2016 - Study
Description and yield of current quality and safety review in selected US academic emergency departments.
Citation Text:
Griffey RT, Schneider RM, Sharp BR, et al. Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments. J Patient Sa…