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  1. Escape Fire: Lessons for the Future of Health Care. | PSNet

    psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
    July 05, 2008 - Book/Report Classic Escape Fire: Lessons for the Future of Health Care. Citation Text: Escape Fire: Lessons for the Future of Health Care. Berwick DM. Washington DC: Commonwealth Fund; 2002. Copy Citation Save Save to your library P…

  2. Measure Dx: implementing pathways to discover and learn from diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
    August 25, 2021 - Commentary Measure Dx: implementing pathways to discover and learn from diagnostic errors. Citation Text: Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.…

  3. 2019 update on pediatric medical overuse: a systematic review. | PSNet

    psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
    May 11, 2019 - Review 2019 update on pediatric medical overuse: a systematic review. Citation Text: Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849. Copy Citation Format: DOI Goog…

  4. 2018 update on pediatric medical overuse: a review. | PSNet

    psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review
    March 04, 2020 - Review 2018 update on pediatric medical overuse: a review. Citation Text: Coon ER, Quinonez RA, Morgan DJ, et al. 2018 Update on Pediatric Medical Overuse: A Review. JAMA Pediatr. 2019;173(4):379-384. doi:10.1001/jamapediatrics.2018.5550. Copy Citation Format: DOI Google Sc…

  5. Situational awareness—what it means for clinicians, its recognition and importance in patient safety. | PSNet

    psnet.ahrq.gov/issue/situational-awareness-what-it-means-clinicians-its-recognition-and-importance-patient-safety
    July 10, 2017 - Review Situational awareness—what it means for clinicians, its recognition and importance in patient safety. Citation Text: Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721…

  6. Teamwork errors in trauma resuscitation. | PSNet

    psnet.ahrq.gov/issue/teamwork-errors-trauma-resuscitation
    December 22, 2018 - Study Teamwork errors in trauma resuscitation. Citation Text: Sarcevic A, Marsic I, Burd RS. Teamwork Errors in Trauma Resuscitation. ACM Trans Comput Hum Interact. 2012;19(2):13:1-13:30. doi:10.1145/2240156.2240161. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  7. Pediatric patient safety in the prehospital/emergency department setting. | PSNet

    psnet.ahrq.gov/issue/pediatric-patient-safety-prehospitalemergency-department-setting
    June 21, 2010 - Review Pediatric patient safety in the prehospital/emergency department setting. Citation Text: Barata IA, Benjamin LS, Mace SE, et al. Pediatric patient safety in the prehospital/emergency department setting. Pediatr Emerg Care. 2007;23(6):412-8. Copy Citation Format: Go…

  8. Pediatric emergency nurses self-reported medication safety practices. | PSNet

    psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
    March 03, 2019 - Study Pediatric emergency nurses self-reported medication safety practices. Citation Text: Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005. Copy Citation Format: …

  9. I-PASS handover system: a decade of evidence demands action. | PSNet

    psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
    July 07, 2021 - Commentary I-PASS handover system: a decade of evidence demands action. Citation Text: Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. Copy Citation Format: DOI Google Scholar BibTeX …

  10. Rethinking medical ward quality. | PSNet

    psnet.ahrq.gov/issue/rethinking-medical-ward-quality
    November 03, 2015 - Commentary Rethinking medical ward quality. Citation Text: Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  11. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. | PSNet

    psnet.ahrq.gov/issue/time-out-procedure-institutional-ethnography-how-it-conducted-actual-clinical-practice
    November 06, 2015 - Study The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. Citation Text: Braaf S, Manias E, Riley R. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. BMJ Qual Saf. 2013;22(8)…

  12. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
    April 16, 2014 - Study Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Citation Text: Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 20…

  13. Medication administration technologies and patient safety: a mixed-method systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
    May 18, 2022 - Review Medication administration technologies and patient safety: a mixed-method systematic review. Citation Text: Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed-method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.…

  14. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
    July 02, 2019 - Study Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. Citation Text: Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code …

  15. Interruptions during nurses' work: a state-of-the-science review. | PSNet

    psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-review
    October 21, 2009 - Review Interruptions during nurses' work: a state-of-the-science review. Citation Text: Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs Health. 2013;36(1):38-53. doi:10.1002/nur.21515. Copy Citation Format: DOI Google Sc…

  16. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. | PSNet

    psnet.ahrq.gov/issue/markers-enhancing-team-cognition-complex-environments-power-team-performance-diagnosis
    August 30, 2006 - Review Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Citation Text: Salas E, Rosen MA, Burke S, et al. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Aviat Space Environ Med…

  17. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet

    psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
    November 10, 2010 - Commentary ReCASTing the RCA: an improved model for performing root cause analyses. Citation Text: Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…

  18. Hospital RNs' experiences with disruptive behavior: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/hospital-rns-experiences-disruptive-behavior-qualitative-study
    September 09, 2015 - Study Hospital RNs' experiences with disruptive behavior: a qualitative study. Citation Text: Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e. Copy Citation …

  19. Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). | PSNet

    psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application
    January 03, 2017 - Study Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, valid…

  20. Identifying organizational cultures that promote patient safety. | PSNet

    psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
    June 16, 2011 - Study Identifying organizational cultures that promote patient safety. Citation Text: Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c. Copy Citation …
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