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  1. From heroism to safe design: leveraging technology. | PSNet

    psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
    August 17, 2017 - Commentary From heroism to safe design: leveraging technology. Citation Text: Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. Copy Citation Format: DOI Google S…

  2. Evaluating a handheld decision support device in pediatric intensive care settings. | PSNet

    psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
    January 18, 2023 - Study Evaluating a handheld decision support device in pediatric intensive care settings. Citation Text: Evaluating a handheld decision support device in pediatric intensive care settings. Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61. Copy Citation …

  3. Medication errors in mental healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-mental-healthcare-systematic-review
    September 22, 2021 - Review Medication errors in mental healthcare: a systematic review. Citation Text: Maidment ID, Lelliott P, Paton C. Medication errors in mental healthcare: a systematic review. Qual Saf Health Care. 2006;15(6):409-13. Copy Citation Format: Google Scholar PubMed BibTeX En…

  4. Fatal errors in nitrous oxide delivery. | PSNet

    psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
    March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  5. From good intentions to successful implementation: the case of patient safety in Canada. | PSNet

    psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
    February 24, 2011 - Commentary From good intentions to successful implementation: the case of patient safety in Canada. Citation Text: Thomas PG. From good intentions to successful implementation: the case of patient safety in Canada. Canadian Public Administration/Administration publique du Canada. 2008;…

  6. Trends in anesthesia-related liability and lessons learned. | PSNet

    psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
    August 22, 2018 - Review Trends in anesthesia-related liability and lessons learned. Citation Text: Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. Copy Citation Format: DOI Go…

  7. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. | PSNet

    psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
    March 19, 2018 - Study Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. Citation Text: Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surger…

  8. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. | PSNet

    psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors-outpatient-care
    July 31, 2019 - Study Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. Citation Text: Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient ca…

  9. The value of inking breast cores to reduce specimen mix-up. | PSNet

    psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
    January 14, 2011 - Study The value of inking breast cores to reduce specimen mix-up. Citation Text: Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  10. Supervision, autonomy, and medical error in the teaching clinic. | PSNet

    psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
    November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. Citation Text: Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. Copy Citation Format: …

  11. Words: the "drug" with the highest frequency of dispensing errors. | PSNet

    psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
    March 04, 2015 - Commentary Words: the "drug" with the highest frequency of dispensing errors. Citation Text: Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x. Copy Citation Format: DOI Google…

  12. Nursing student medication errors involving tubing and catheters: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study
    July 14, 2010 - Study Nursing student medication errors involving tubing and catheters: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.200…

  13. Surgical ward round quality and impact on variable patient outcomes. | PSNet

    psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
    June 17, 2015 - Study Surgical ward round quality and impact on variable patient outcomes. Citation Text: Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376. Copy Citation Format: …

  14. Diagnostic errors and diagnostic calibration. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-diagnostic-calibration
    April 04, 2018 - Commentary Diagnostic errors and diagnostic calibration. Citation Text: Cifu AS. Diagnostic Errors and Diagnostic Calibration. JAMA. 2017;318(10):905-906. doi:10.1001/jama.2017.11030. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  15. Structural iatrogenesis—a 43-year-old man with "opioid misuse." | PSNet

    psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
    September 04, 2016 - Commentary Structural iatrogenesis—a 43-year-old man with "opioid misuse." Citation Text: Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. Copy Citation Format: DOI Google S…

  16. Multidisciplinary crisis simulations: the way forward for training surgical teams. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams
    July 31, 2008 - Study Multidisciplinary crisis simulations: the way forward for training surgical teams. Citation Text: Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. Copy Citation Form…

  17. Strategies to increase reporting of near misses and adverse events. | PSNet

    psnet.ahrq.gov/issue/strategies-increase-reporting-near-misses-and-adverse-events
    September 30, 2012 - Commentary Strategies to increase reporting of near misses and adverse events. Citation Text: Conerly C. Strategies to increase reporting of near misses and adverse events. J Nurs Care Qual. 2007;22(2):102-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  18. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet

    psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
    June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

  19. Clinical nurse specialists as leaders in rapid response. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
    July 19, 2023 - Commentary Clinical nurse specialists as leaders in rapid response. Citation Text: Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9. Copy Citation Format: DOI Google Schola…

  20. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. | PSNet

    psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
    January 11, 2017 - Study Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Citation Text: Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…
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