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  1. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. | PSNet

    psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using
    September 26, 2016 - Study Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. Citation Text: White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a c…

  2. Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program. | PSNet

    psnet.ahrq.gov/issue/patient-safety-womens-health-care-professional-colleges-can-make-difference-society
    November 28, 2018 - Commentary Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program. Citation Text: Milne JK, Lalonde AB. Patient safety in women's health-care: professional colleges can make a differ…

  3. Postoperative handover: problems, pitfalls, and prevention of error. | PSNet

    psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
    September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. Citation Text: Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. Copy Citation …

  4. Interruptions during the delivery of high-risk medications. | PSNet

    psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications
    September 26, 2016 - Study Interruptions during the delivery of high-risk medications. Citation Text: Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047. Copy Citation Format: DOI G…

  5. In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

    psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
    June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

  6. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. | PSNet

    psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
    October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…

  7. Improving incident reporting among physician trainees. | PSNet

    psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
    October 08, 2016 - Study Improving incident reporting among physician trainees. Citation Text: Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. Copy Citation Format: DOI Google Sc…

  8. Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet

    psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
    April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

  9. Process changes to increase compliance with the Universal Protocol for bedside procedures. | PSNet

    psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
    December 01, 2014 - Study Process changes to increase compliance with the Universal Protocol for bedside procedures. Citation Text: Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…

  10. Patient safety incidents caused by poor quality surgical instruments. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
    April 06, 2022 - Study Patient safety incidents caused by poor quality surgical instruments. Citation Text: Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. Copy Citation Format: DOI Google Schola…

  11. Medication errors in injured patients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-injured-patients
    April 03, 2019 - Study Medication errors in injured patients. Citation Text: Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. The use of a checklist in a pediatric oncology clinic. | PSNet

    psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
    April 24, 2019 - Study The use of a checklist in a pediatric oncology clinic. Citation Text: McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. Copy Citation Format: DOI Google Sch…

  13. Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs. | PSNet

    psnet.ahrq.gov/issue/anaesthetic-drug-administration-potential-contributor-healthcare-associated-infections
    January 07, 2015 - Study Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs. Citation Text: Gargiulo DA, Sheridan J, Webster CS, et al. Anaesthetic drug …

  14. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. | PSNet

    psnet.ahrq.gov/issue/oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-leukemia
    August 12, 2020 - Study Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Citation Text: Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6. Copy Cita…

  15. Patient safety teams recognised at BMJ awards. | PSNet

    psnet.ahrq.gov/issue/patient-safety-teams-recognised-bmj-awards
    October 19, 2022 - Press Release/Announcement Patient safety teams recognised at BMJ awards. Citation Text: Gulland A. Berwick Patient Safety Team: making the NHS a safer place. BMJ. 2014;348(mar28 1). doi:10.1136/bmj.g2404. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  16. Addressing the taboo of medical error through IGBOs: I got burnt once! | PSNet

    psnet.ahrq.gov/issue/addressing-taboo-medical-error-through-igbos-i-got-burnt-once
    October 31, 2014 - Study Addressing the taboo of medical error through IGBOs: I got burnt once! Citation Text: Dumitrescu A, Ryan A. Addressing the taboo of medical error through IGBOs: I got burnt once!. Eur J Pediatr. 2014;173(4):503-8. doi:10.1007/s00431-013-2168-3. Copy Citation Format: D…

  17. Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet

    psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
    August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

  18. Medical malpractice claims by members of the uniformed services. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
    November 14, 2011 - Regulation Medical malpractice claims by members of the uniformed services. Citation Text: Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. Copy Cit…

  19. Common predictors of nurse-reported quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
    March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…

  20. Diffusing aviation innovations in a hospital in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
    August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. Citation Text: de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. Copy Citation Format: Go…
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