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  1. Five reasons for optimism on World Patient Safety Day. | PSNet

    psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
    March 30, 2022 - Commentary Five reasons for optimism on World Patient Safety Day. Citation Text: Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8. Copy Citation Format: DOI …

  2. How providers can optimize effective and safe scribe use: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study
    November 18, 2020 - Study How providers can optimize effective and safe scribe use: a qualitative study. Citation Text: Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. …

  3. Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/comparison-intensive-care-unit-medication-errors-reported-united-states-medmarx-and-united
    December 29, 2014 - Study Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study. Citation Text: Wahr JA, Shore AD, Harris LH, et al. Comparison of intensive care unit medication er…

  4. Paying the piper: investing in infrastructure for patient safety.  | PSNet

    psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
    July 01, 2017 - Commentary Classic Paying the piper: investing in infrastructure for patient safety.  Citation Text: Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. Co…

  5. Transforming team performance through reimplementation of the surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
    March 09, 2022 - Study Transforming team performance through reimplementation of the surgical safety checklist. Citation Text: Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…

  6. Real time patient safety audits: improving safety every day. | PSNet

    psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
    April 14, 2021 - Study Real time patient safety audits: improving safety every day. Citation Text: Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542. Copy Citation Format: DOI Google Scholar BibT…

  7. Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. | PSNet

    psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident
    July 27, 2016 - Study Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. Citation Text: Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause analysis of a critical incident…

  8. The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. | PSNet

    psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety
    October 06, 2021 - Study The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. Citation Text: Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 20…

  9. How to prevent or reduce prescribing errors: an evidence brief for policy authors. | PSNet

    psnet.ahrq.gov/issue/how-prevent-or-reduce-prescribing-errors-evidence-brief-policy-authors
    July 27, 2022 - Review How to prevent or reduce prescribing errors: an evidence brief for policy authors. Citation Text: de Araújo BC, de Melo RC, de Bortoli MC, et al. How to prevent or reduce prescribing errors: an evidence brief for policy authors. Front Pharmacol. 2019;10:439. doi:10.3389/fphar.2019…

  10. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. | PSNet

    psnet.ahrq.gov/issue/outcomes-quality-improvement-project-educating-nurses-medication-administration-and-errors
    April 24, 2018 - Study Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. Citation Text: Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursin…

  11. Adverse events in healthcare: learning from mistakes. | PSNet

    psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
    February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

  12. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. | PSNet

    psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital-patients-canada
    July 07, 2021 - Study Classic The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Citation Text: Baker R, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients…

  13. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet

    psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
    October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…

  14. The benefits and harms of open notes in mental health: a Delphi survey of international experts. | PSNet

    psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts
    July 07, 2021 - Study The benefits and harms of open notes in mental health: a Delphi survey of international experts. Citation Text: Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. d…

  15. A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. | PSNet

    psnet.ahrq.gov/issue/qualitative-evaluation-healthcare-professionals-perceptions-adverse-events-focusing
    April 16, 2008 - Study A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. Citation Text: Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse eve…

  16. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/efficacy-educational-video-game-versus-traditional-educational-apps-improving-physician
    August 04, 2021 - Study Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. Citation Text: Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational apps …

  17. Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. | PSNet

    psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
    January 04, 2017 - Study Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. Citation Text: Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…

  18. Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. | PSNet

    psnet.ahrq.gov/issue/measuring-experiences-and-outcomes-patient-safety-primary-care-systematic-review-available
    April 25, 2018 - Review Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. Citation Text: Ricci-Cabello I, Gonçalves DC, Rojas-García A, et al. Measuring experiences and outcomes of patient safety in primary care: a systematic review of ava…

  19. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. | PSNet

    psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
    November 26, 2014 - Study Classic Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Citation Text: O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…

  20. What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. | PSNet

    psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
    March 02, 2022 - Study What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. Citation Text: Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…
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