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  1. Challenge Competition: Impact of Patient Safety Tools. | PSNet

    psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
    December 24, 2008 - Grant Recipient Challenge Competition: Impact of Patient Safety Tools. Citation Text: Challenge Competition: Impact of Patient Safety Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2023. Copy Citation Save Save to your library Print…

  2. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

  3. The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. | PSNet

    psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
    August 06, 2016 - Book/Report Classic The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Citation Text: The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023. Copy Citation …

  4. Potassium may no longer be stocked on patient care units, but serious threats still exist! | PSNet

    psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-exist
    May 02, 2018 - Newspaper/Magazine Article Potassium may no longer be stocked on patient care units, but serious threats still exist! Citation Text: Potassium may no longer be stocked on patient care units, but serious threats still exist! ISMP Medication Safety Alert! Acute care edition. October 4, 200…

  5. Special Issue on Resilience Engineering and High Reliability Organizations. | PSNet

    psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
    July 22, 2019 - Special or Theme Issue Special Issue on Resilience Engineering and High Reliability Organizations. Citation Text: Special Issue on Resilience Engineering and High Reliability Organizations. Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533. Copy Citation Save …

  6. Transparency and public reporting are essential for a safe health care system. | PSNet

    psnet.ahrq.gov/issue/transparency-and-public-reporting-are-essential-safe-health-care-system
    March 05, 2010 - Newspaper/Magazine Article Transparency and public reporting are essential for a safe health care system. Citation Text: Transparency and public reporting are essential for a safe health care system. Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010. …

  7. TeamSTEPPS for Diagnosis Improvement. | PSNet

    psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
    July 17, 2024 - Toolkit TeamSTEPPS for Diagnosis Improvement. Citation Text: TeamSTEPPS for Diagnosis Improvement. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your librar…

  8. Common Program Requirements. The Learning and Working Environment (Duty Hours). | PSNet

    psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
    November 18, 2020 - Multi-use Website Common Program Requirements. The Learning and Working Environment (Duty Hours). Citation Text: Common Program Requirements. The Learning and Working Environment (Duty Hours). Accreditation Council for Graduate Medical Education. Copy Citation Save …

  9. Opioid Stewardship. | PSNet

    psnet.ahrq.gov/issue/opioid-stewardship
    February 06, 2019 - Special or Theme Issue Opioid Stewardship. Citation Text: Opioid Stewardship. Ochsner J. 2018;18(1):20-45. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…

  10. IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. | PSNet

    psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
    January 09, 2019 - Measurement Tool/Indicator Classic IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Citation Text: IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Instit…

  11. Clinician support: five years of lessons learned. | PSNet

    psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
    March 20, 2017 - Newspaper/Magazine Article Clinician support: five years of lessons learned. Citation Text: Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31. Copy Citation Save Save to your li…

  12. Contemporary View of Medication-Related Harm. A New Paradigm. | PSNet

    psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
    July 20, 2012 - Tools/Toolkit Contemporary View of Medication-Related Harm. A New Paradigm. Citation Text: Contemporary View of Medication-Related Harm. A New Paradigm. National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP. Copy Citation Save Save t…

  13. Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. | PSNet

    psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
    August 23, 2007 - Newspaper/Magazine Article Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Citation Text: Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Wang SS. Washington Post. August 31, 2007.…

  14. Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. | PSNet

    psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
    February 17, 2021 - Book/Report Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Citation Text: Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…

  15. Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. | PSNet

    psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
    August 31, 2016 - Study Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Citation Text: Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…

  16. Just a Cup of Tea – an Introduction to the SEIPS Framework. | PSNet

    psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
    January 31, 2018 - Audiovisual Presentation Just a Cup of Tea – an Introduction to the SEIPS Framework. Citation Text: Just a Cup of Tea – an Introduction to the SEIPS Framework. Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023. Copy Citation …

  17. Human Error. | PSNet

    psnet.ahrq.gov/issue/human-error
    March 06, 2005 - Book/Report Classic Human Error. Citation Text: Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  18. If safety is your yardstick, measuring culture from the top down must be a priority. | PSNet

    psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
    April 29, 2018 - Newspaper/Magazine Article If safety is your yardstick, measuring culture from the top down must be a priority. Citation Text: If safety is your yardstick, measuring culture from the top down must be a priority. ISMP Medication Safety Alert! Acute care edition. March 22, 2007. Copy Cit…

  19. Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. | PSNet

    psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-keep-getting
    April 22, 2020 - Newspaper/Magazine Article Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. Citation Text: Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. Hopkins E, Kohler J. ProPublica. April 3, …

  20. Pharmacy mixes up prescriptions. | PSNet

    psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
    March 10, 2021 - Commentary Pharmacy mixes up prescriptions. Citation Text: Brushwood DB. Pharmacy error leads to fatal medication mix-up. Pharmacy Today. 2017;23(12):42. doi:10.1016/j.ptdy.2017.11.012. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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