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The role of purple pens in learning to prescribe. | PSNet

psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe

June 17, 2020 - Commentary The role of purple pens in learning to prescribe. Citation Text: Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. | PSNet

psnet.ahrq.gov/issue/pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting

August 04, 2021 - Study A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. Citation Text: Liu SW, Thomas SH, Gordon JA, et al. A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Ann E…

Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. | PSNet

psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center

September 30, 2020 - Book/Report Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Citation Text: Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Office of the Inspector General. Washington, DC: Departme…

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems

May 18, 2022 - Study Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Citation Text: Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…

Proposal for a 'surgical checklist' for ambulatory oral surgery. | PSNet

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January 17, 2012 - Commentary Proposal for a 'surgical checklist' for ambulatory oral surgery. Citation Text: Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Proposal for a 'surgical checklist' for ambulatory oral surgery. Int J Oral Maxillofac Surg. 2011;40(9):949-54. doi:10.1016/j.ijom.2011.04.0…

General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. | PSNet

psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey

September 13, 2023 - Study General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Citation Text: Mikkelsen TH, Sokolowski I, Olesen F. General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Scand J Prim …

Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. | PSNet

psnet.ahrq.gov/issue/catastrophic-drug-errors-involving-tranexamic-acid-administered-during-spinal-anaesthesia

September 23, 2020 - Review Emerging Classic Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Citation Text: Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaes…

Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet

psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va

July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…

Making infection prevention and control everyone's business? Hospital staff views on patient involvement. | PSNet

psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient

April 29, 2015 - Study Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Citation Text: Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…

The successful anesthesia patient safety officer. | PSNet

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December 22, 2018 - Commentary The successful anesthesia patient safety officer. Citation Text: Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 …

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. | PSNet

psnet.ahrq.gov/issue/reducing-potentially-fatal-errors-associated-high-doses-insulin-successful-multifaceted

August 17, 2016 - Study Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. Citation Text: Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful mul…

Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet

psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere

September 23, 2020 - Study Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. Citation Text: Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm.…

Measuring hospital-acquired complications associated with low-value care. | PSNet

psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care

August 11, 2021 - Study Emerging Classic Measuring hospital-acquired complications associated with low-value care. Citation Text: Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…

Nurses' knowledge and teaching of possible postpartum complications. | PSNet

psnet.ahrq.gov/issue/nurses-knowledge-and-teaching-possible-postpartum-complications

May 31, 2023 - Study Nurses' knowledge and teaching of possible postpartum complications. Citation Text: Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371. Copy Citatio…

White paper on recommendation for systems-based practice competency. | PSNet

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December 18, 2017 - Commentary White paper on recommendation for systems-based practice competency. Citation Text: Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NC…

Consumer perceptions of safety in hospitals. | PSNet

psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals

June 15, 2011 - Study Consumer perceptions of safety in hospitals. Citation Text: Evans S, Berry JG, Smith B, et al. Consumer perceptions of safety in hospitals. BMC Public Health. 2006;6:41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. | PSNet

psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized

November 12, 2014 - Commentary Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. Citation Text: Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs…

Implementation of standardized dosing units for I.V. medications. | PSNet

psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications

May 11, 2014 - Study Implementation of standardized dosing units for I.V. medications. Citation Text: Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046. Copy Citation Format: …

Structured handover in general surgery: an audit of current practice. | PSNet

psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice

August 08, 2018 - Study Structured handover in general surgery: an audit of current practice. Citation Text: Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. Copy Citation Format:…

Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. | PSNet

psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks

May 08, 2017 - Commentary Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Citation Text: Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a…

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