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Beyond the team: understanding interprofessional work in two North American ICUs. | PSNet

psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus

January 14, 2014 - Study Beyond the team: understanding interprofessional work in two North American ICUs. Citation Text: Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…

Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. | PSNet

psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american-pathologists-study-136

January 08, 2016 - Study Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. Citation Text: Nakhleh RE, Idowu MO, Souers RJ, et al. Mislabeling of cases, specimens, blocks, and slides: a college of american pathologists study of 136 instituti…

Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/frequency-hiv-related-medication-errors-and-associated-risk-factors-hospitalized-patients

April 24, 2018 - Study Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Citation Text: Pastakia SD, Corbett AH, Raasch RH, et al. Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Ann Pharmacother. 2008;42(4)…

Impact of a comprehensive patient safety strategy on obstetric adverse events. | PSNet

psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events

October 20, 2014 - Study Impact of a comprehensive patient safety strategy on obstetric adverse events. Citation Text: Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.0…

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents

August 23, 2023 - Study A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. Citation Text: Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …

Longitudinal analysis of culture of patient safety survey results in surgical departments. | PSNet

psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments

October 12, 2022 - Study Longitudinal analysis of culture of patient safety survey results in surgical departments. Citation Text: Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…

How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. | PSNet

psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts

August 18, 2021 - Commentary How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Citation Text: Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…

Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes

March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment

August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet

psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution

June 27, 2011 - Study Classic Perceptions of safety culture vary across the intensive care units of a single institution. Citation Text: Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Car…

Predictors of nursing home nurses' willingness to report medication near-misses. | PSNet

psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses

July 31, 2024 - Study Predictors of nursing home nurses' willingness to report medication near-misses. Citation Text: Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-0…

Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety

November 20, 2015 - Study Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. Citation Text: Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. | PSNet

psnet.ahrq.gov/issue/didactic-and-simulation-nontechnical-skills-team-training-improve-perinatal-patient-outcomes

October 21, 2011 - Study Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Citation Text: Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a commun…

Disciplinary action by medical boards and prior behavior in medical schools. | PSNet

psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools

October 19, 2022 - Study Classic Disciplinary action by medical boards and prior behavior in medical schools. Citation Text: Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82…

A trigger tool to detect harm in pediatric inpatient settings. | PSNet

psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings

December 07, 2016 - Study Classic A trigger tool to detect harm in pediatric inpatient settings. Citation Text: Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. C…

Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. | PSNet

psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program

November 15, 2023 - Study Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. Citation Text: Battar S, Dickerson KRW, Sedgwick C, et al. Understand…

Improving patient safety in intensive care units in Michigan. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan

February 17, 2011 - Study Classic Improving patient safety in intensive care units in Michigan. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…

Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. | PSNet

psnet.ahrq.gov/issue/assessment-fidelity-interventions-improve-hand-hygiene-healthcare-workers-systematic-review

June 02, 2019 - Review Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. Citation Text: Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Contro…

Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet

psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review

September 07, 2016 - Review Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. Citation Text: Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 20…

A review of patient safety measures based on routinely collected hospital data. | PSNet

psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data

February 10, 2012 - Review A review of patient safety measures based on routinely collected hospital data. Citation Text: Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697. C…

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