-
psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
March 04, 2011 - Commentary
Communication failure: basic components, contributing factors, and the call for structure.
Citation Text:
Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47.
Copy Ci…
-
psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
November 06, 2015 - Study
Governing the surgical count through communication interactions: implications for patient safety.
Citation Text:
Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…
-
psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
August 04, 2021 - Commentary
Improving patient care. My right knee.
Citation Text:
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
-
psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
January 01, 2008 - Commentary
Preventing vincristine administration errors: does evidence support minibag infusions?
Citation Text:
Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …
-
psnet.ahrq.gov/issue/reducing-adverse-drug-events
August 09, 2017 - Book/Report
Classic
Reducing Adverse Drug Events.
Citation Text:
Reducing Adverse Drug Events. Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998.
Copy Citation
Save
Save to your library
…
-
psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture
March 14, 2016 - Commentary
Multilayered approach to patient safety culture.
Citation Text:
Reiman T, Pietikäinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care. 2010;19(5):e20. doi:10.1136/qshc.2008.029793.
Copy Citation
Format:
DOI Google Scholar Pu…
-
psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - Review
Surgical adverse events: a systematic review.
Citation Text:
Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX…
-
psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
-
psnet.ahrq.gov/issue/what-are-critical-success-factors-team-training-health-care
March 21, 2017 - Commentary
What are the critical success factors for team training in health care?
Citation Text:
Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
March 21, 2017 - Commentary
Building high reliability teams: progress and some reflections on teamwork training.
Citation Text:
Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015.
Copy C…
-
psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem
August 04, 2021 - Commentary
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.
Citation Text:
Kanwar M, Irvin CB, Frank JJ, et al. Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a p…
-
psnet.ahrq.gov/issue/ashp-statement-pharmacists-role-medication-reconciliation
June 30, 2021 - Commentary
ASHP statement on the pharmacist's role in medication reconciliation.
Citation Text:
ASHP Statement on the Pharmacist’s Role in Medication Reconciliation. Am J Health Syst Pharm. 2013;70(5):453-456. doi:10.2146/sp120009.
Copy Citation
Format:
DOI Google Scholar B…
-
psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice
November 17, 2021 - Newspaper/Magazine Article
Intravenous (IV) push medications – bridging the gap between education and clinical practice.
Citation Text:
Intravenous (IV) push medications – bridging the gap between education and clinical practice. ISMP Medication Safety Alert! Acute Care. November 2, …
-
psnet.ahrq.gov/issue/how-avoid-seven-deadly-sins-surgery
June 17, 2014 - Commentary
How to avoid the 'seven deadly sins of surgery.'
Citation Text:
Kirby R, Challacombe B, Dasgupta P, et al. How to avoid the 'seven deadly sins of surgery'. BJU Int. 2012;109(2):171-3. doi:10.1111/j.1464-410X.2011.10802.x.
Copy Citation
Format:
DOI Google Scholar…
-
psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
January 26, 2022 - Newspaper/Magazine Article
Patients went into the hospital for care. After testing positive there for Covid, some never came out.
Citation Text:
Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
-
psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - We believe that there is a way to take the environment and the skill set of the nurses into account. … technology in the unit; the admissions, discharges, and transfers into and out of the unit; and the nurses' skill … To the extent that we don't have a full appreciation of each other's skill sets and knowledge base, we
-
psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - Although few studies examine physical diagnosis skills over successive generations of physicians, skill … skills in North America will ever come back to their apogee, when this art form was practiced with great skill … Without leadership in this area from regulatory organizations and specialty societies, this skill set
-
psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - Simulation offers a potential solution for resuscitation skill acquisition and retention. … shows objective improvements in ACLS proficiency, subjective
ratings of both confidence in one’s own skill … The five-stage model of adult skill acquisition. Bull Sci Technol Soc. 2004;24:177-181.
5.
-
psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
October 16, 2012 - December 9, 2020
Nursing skill mix in European hospitals: cross-sectional study of the
-
psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - August 2, 2015
Surgical skill and complication rates after bariatric surgery.