AHRQ Search | Home Page

Navigating towards improved surgical safety using aviation-based strategies. | PSNet

psnet.ahrq.gov/issue/navigating-towards-improved-surgical-safety-using-aviation-based-strategies

January 04, 2011 - Review Navigating towards improved surgical safety using aviation-based strategies. Citation Text: Kao LS, Thomas EJ. Navigating towards improved surgical safety using aviation-based strategies. J Surg Res. 2008;145(2):327-35. Copy Citation Format: Google Scholar PubMed B…

Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences. | PSNet

psnet.ahrq.gov/issue/communicating-pathology-and-laboratory-errors-anatomic-pathologists-and-laboratory-medical

May 18, 2022 - Study Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences. Citation Text: Dintzis SM, Stetsenko GY, Sitlani CM, et al. Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medi…

The use of human factors methods to identify and mitigate safety issues in radiation therapy. | PSNet

psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy

March 22, 2011 - Study The use of human factors methods to identify and mitigate safety issues in radiation therapy. Citation Text: Chan AJ, Islam MK, Rosewall T, et al. The use of human factors methods to identify and mitigate safety issues in radiation therapy. Radiother Oncol. 2010;97(3):596-600. do…

Developing a tool for assessing competency in root cause analysis. | PSNet

psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis

May 01, 2014 - Study Developing a tool for assessing competency in root cause analysis. Citation Text: Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42. Copy Citation Format: Google Scholar PubMed BibTeX E…

Patient safety instruction in US health professions education. | PSNet

psnet.ahrq.gov/issue/patient-safety-instruction-us-health-professions-education

September 01, 2015 - Review Patient safety instruction in US health professions education. Citation Text: Kiersma ME, Plake KS, Darbishire PL. Patient safety instruction in US health professions education. Am J Pharm Educ. 2011;75(8):162. doi:10.5688/ajpe758162. Copy Citation Format: DOI Goog…

Enhancing medication use safety: benefits of learning from your peers. | PSNet

psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers

May 07, 2008 - Study Enhancing medication use safety: benefits of learning from your peers. Citation Text: Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938. Copy Cit…

Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet

psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient

June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

Management of adverse surgical events: a structured education module for residents. | PSNet

psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents

August 26, 2011 - Study Management of adverse surgical events: a structured education module for residents. Citation Text: Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90. Copy Citation Form…

Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. | PSNet

psnet.ahrq.gov/issue/safeguarding-medication-administration-understanding-pre-registration-nursing-students-survey

June 27, 2012 - Study Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. Citation Text: Andrew S, Mansour M. Safeguarding in medication administration: understanding pre-registration nursing students' s…

What did the doctor say? Health literacy and recall of medical instructions. | PSNet

psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions

December 21, 2014 - Study What did the doctor say? Health literacy and recall of medical instructions. Citation Text: McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. Copy C…

Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." | PSNet

psnet.ahrq.gov/issue/hospitalization-associated-disability-she-was-probably-able-ambulate-im-not-sure

August 04, 2015 - Study Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." Citation Text: Covinsky KE, Pierluissi E, Johnston B. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure". JAMA. 2011;306(16):1782-93. doi:10.1001…

John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. | PSNet

psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center

March 02, 2011 - Commentary John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Citation Text: Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;…

Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. | PSNet

psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors

October 09, 2013 - Press Release/Announcement Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. Citation Text: Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. …

The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet

psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation

October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…

The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? | PSNet

psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our

July 27, 2016 - Newspaper/Magazine Article The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? Citation Text: Hofmann PB. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and ou…

The reliability of AHRQ Common Format Harm Scales in rating patient safety events. | PSNet

psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events

January 23, 2017 - Study The reliability of AHRQ Common Format Harm Scales in rating patient safety events. Citation Text: Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3…

Certain uncertainties: modes of patient safety in healthcare. | PSNet

psnet.ahrq.gov/issue/certain-uncertainties-modes-patient-safety-healthcare

April 04, 2011 - Study Certain uncertainties: modes of patient safety in healthcare. Citation Text: Jerak-Zuiderent S. Certain uncertainties: modes of patient safety in healthcare. Soc Stud Sci. 2012;42(5):732-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

Disclosure of harmful medical errors in out-of-hospital care. | PSNet

psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care

June 18, 2014 - Review Disclosure of harmful medical errors in out-of-hospital care. Citation Text: Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004. Copy Citation Format: …

Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. | PSNet

psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety

April 27, 2019 - Review Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Citation Text: Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…

Patient safety: what is really at issue? | PSNet

psnet.ahrq.gov/issue/patient-safety-what-really-issue

October 18, 2017 - Commentary Patient safety: what is really at issue? Citation Text: Bagian JP. Patient safety: what is really at issue? Front Health Serv Manage. 2005;22(1):3-16. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Search AHRQ

Results