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Medication reconciliation in a rural trauma population. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population

April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…

Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. | PSNet

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April 18, 2011 - Study Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Citation Text: Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21…

Addressing patient safety in rapid response activations for nonhospitalized persons. | PSNet

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June 18, 2014 - Study Addressing patient safety in rapid response activations for nonhospitalized persons. Citation Text: Lakshminarayana PH, Darby JM, Simmons RL. Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. J Patient Saf. 2017;13(1):14-19. doi:10.1097/PTS.000000…

Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. | PSNet

psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety

August 08, 2018 - Newspaper/Magazine Article Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. Citation Text: Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…

Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet

psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors

February 04, 2015 - Commentary Using morbidity and mortality conferences to drive quality improvement and reduce errors. Citation Text: Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. Copy Cit…

The relationship between safety culture and patient outcomes: results from pilot meta-analyses. | PSNet

psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses

January 08, 2020 - Study The relationship between safety culture and patient outcomes: results from pilot meta-analyses. Citation Text: Groves PS. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. West J Nurs Res. 2014;36(1):66-83. doi:10.1177/019394591349008…

Drug shortages: a complex health care crisis. | PSNet

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September 12, 2016 - Review Drug shortages: a complex health care crisis. Citation Text: Fox ER, Sweet B, Jensen V. Drug shortages: a complex health care crisis. Mayo Clin Proc. 2014;89(3):361-73. doi:10.1016/j.mayocp.2013.11.014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. | PSNet

psnet.ahrq.gov/issue/effect-comprehensive-obstetric-patient-safety-program-compensation-payments-and-sentinel

July 26, 2010 - Study Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. Citation Text: Grunebaum A, Chervenak F, Skupski D. Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. Am J Obstet Gyneco…

Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. | PSNet

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April 05, 2023 - Commentary Emerging Classic Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. Citation Text: Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…

Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet

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February 08, 2023 - Study Restorative just culture: an exploration of the enabling conditions for successful implementation. Citation Text: Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…

Using medical-error reporting to drive patient safety efforts. | PSNet

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September 18, 2024 - Commentary Using medical-error reporting to drive patient safety efforts. Citation Text: Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet

psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs

September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…

NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. | PSNet

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February 15, 2023 - Book/Report NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Citation Text: NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Rockvil…

National Healthcare Quality and Disparities Report Chartbook on Patient Safety. | PSNet

psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0

May 02, 2017 - Book/Report National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Citation Text: National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046. Cop…

The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. | PSNet

psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health

October 05, 2022 - Book/Report The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. Citation Text: The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Scienc…

Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. | PSNet

psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect

April 19, 2011 - Study Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. Citation Text: Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…

Piece of my mind. Stories doctors tell. | PSNet

psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell

August 28, 2013 - Commentary Piece of my mind. Stories doctors tell. Citation Text: Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. | PSNet

psnet.ahrq.gov/issue/reimagining-healthcare-teams-leveraging-patient-clinician-ai-triad-improve-diagnostic-safety

September 13, 2023 - Book/Report Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. Citation Text: Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. James C, Singh K, Valley TS, et al. Rockville, MD; Agency…

Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

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December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

Does a unit shift report "blackout" period improve patient safety? | PSNet

psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patient-safety

August 04, 2021 - Commentary Does a unit shift report "blackout" period improve patient safety? Citation Text: Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8-10. doi:10.1097/01.NUMA.0000553500.85897.51. Copy Citation Format: DOI Googl…

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