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"Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. | PSNet

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January 22, 2016 - Study "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. Citation Text: O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis expl…

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. | PSNet

psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry

September 11, 2019 - Study Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. Citation Text: Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN …

Medical morbidity and mortality conferences: past, present and future. | PSNet

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November 30, 2022 - Review Medical morbidity and mortality conferences: past, present and future. Citation Text: George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103. Copy Citation Format: D…

Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. | PSNet

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December 18, 2014 - Study Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. Citation Text: Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk man…

Quality-monitoring program for bar-code–assisted medication administration. | PSNet

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November 16, 2022 - Study Quality-monitoring program for bar-code–assisted medication administration. Citation Text: Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172. Copy…

Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. | PSNet

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May 18, 2022 - Study Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Citation Text: Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.…

Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. | PSNet

psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating

December 07, 2011 - Study Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. Citation Text: Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety practices and f…

Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. | PSNet

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November 15, 2018 - Commentary Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. Citation Text: Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation i…

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

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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…

Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

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August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. | PSNet

psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives

May 11, 2019 - Commentary The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. Citation Text: Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…

Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. | PSNet

psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian

July 19, 2023 - Study Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. Citation Text: Jacobson T, Belcher E, Sarr B, et al. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. J Contin Educ Nurs. 2010;41(8):347-53; quiz 354-5. doi:10.3928/0…

Morbidity and mortality: delays in my patient’s cancer care. | PSNet

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July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…

Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

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April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…

Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. | PSNet

psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi

July 05, 2017 - Commentary Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. Citation Text: Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Int…

What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. | PSNet

psnet.ahrq.gov/issue/what-ring-tone-should-be-used-patient-safety-early-results-blackberry-based-telementoring

February 28, 2011 - Study What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. Citation Text: Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety…

The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. | PSNet

psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience

October 04, 2011 - Study The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. Citation Text: Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience…

Misreading injectable medications—causes and solutions: an integrative literature review. | PSNet

psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review

May 04, 2010 - Review Misreading injectable medications—causes and solutions: an integrative literature review. Citation Text: Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…

Successful use of a rapid response team in the pediatric oncology outpatient setting. | PSNet

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December 21, 2016 - Commentary Successful use of a rapid response team in the pediatric oncology outpatient setting. Citation Text: Avent Y, Johnson S, Henderson N, et al. Successful use of a rapid response team in the pediatric oncology outpatient setting. Jt Comm J Qual Patient Saf. 2010;36(1):43-5. Cop…

Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet

psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries

July 29, 2020 - Study Determinants of patient-reported medication errors: a comparison among seven countries. Citation Text: Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…

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