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Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet

psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety

August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. | PSNet

psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have

April 08, 2020 - Study Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. Citation Text: Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…

Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. | PSNet

psnet.ahrq.gov/issue/use-safety-attitudes-questionnaire-measure-patient-safety-improvement

August 18, 2010 - Study Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. Citation Text: Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. J Patient Saf. 2010;6(4):206-9. Copy Citation For…

Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. | PSNet

psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth

July 17, 2024 - Commentary Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. Citation Text: Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…

Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts

November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. | PSNet

psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study

December 06, 2010 - Study Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Citation Text: Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1…

Intensive care unit alarms—how many do we need? | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need

March 01, 2011 - Study Intensive care unit alarms—how many do we need? Citation Text: Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. Copy Citation Format: DOI Google Scholar PubMed BibT…

Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. | PSNet

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March 18, 2020 - Study Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. Citation Text: Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…

Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. | PSNet

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March 20, 2019 - Study Emerging Classic Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. Citation Text: Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

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February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

Passing the "Yo' Mama" test. | PSNet

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February 15, 2023 - Commentary Passing the "Yo' Mama" test. Citation Text: Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. Copy Citation Format: …

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive

October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

Tenfold therapeutic dosing errors in young children reported to US poison control centers. | PSNet

psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers

July 10, 2024 - Study Tenfold therapeutic dosing errors in young children reported to US poison control centers. Citation Text: Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…

The ins and outs of change of shift handoffs between nurses: a communication challenge. | PSNet

psnet.ahrq.gov/issue/ins-and-outs-change-shift-handoffs-between-nurses-communication-challenge

October 19, 2022 - Study The ins and outs of change of shift handoffs between nurses: a communication challenge. Citation Text: Carroll JS, Williams M, Gallivan TM. The ins and outs of change of shift handoffs between nurses: a communication challenge. BMJ Qual Saf. 2012;21(7):586-93. doi:10.1136/bmjqs-2…

Development of a medication safety and quality survey for small rural hospitals. | PSNet

psnet.ahrq.gov/issue/development-medication-safety-and-quality-survey-small-rural-hospitals

July 15, 2010 - Study Development of a medication safety and quality survey for small rural hospitals. Citation Text: Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.00000000…

An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. | PSNet

psnet.ahrq.gov/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and

March 23, 2022 - Study An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Citation Text: Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Subs…

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. | PSNet

psnet.ahrq.gov/issue/acceptance-recommendations-inpatient-pharmacy-case-managers-unintended-consequences

November 16, 2022 - Study Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. Citation Text: Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…

Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. | PSNet

psnet.ahrq.gov/issue/scaffolding-our-systems-patients-and-families-reaching-source-healthcare-resilience

February 23, 2022 - Commentary Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. Citation Text: O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…

Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-prescribed-and-actual-pediatric-home-parenteral-nutrition-solutions

November 11, 2009 - Study Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. Citation Text: Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.117…

Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. | PSNet

psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study

December 10, 2014 - Study Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. Citation Text: March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…

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