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  1. The role of patient safety culture in the causation of unintended events in hospitals. | PSNet

    psnet.ahrq.gov/issue/role-patient-safety-culture-causation-unintended-events-hospitals
    October 14, 2009 - Study The role of patient safety culture in the causation of unintended events in hospitals. Citation Text: Smits M, Wagner C, Spreeuwenberg P, et al. The role of patient safety culture in the causation of unintended events in hospitals. J Clin Nurs. 2012;21(23-24):3392-401. doi:10.1111…

  2. Patient safety in North America: beyond "operate through your initials" and "sign your site." | PSNet

    psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
    March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…

  3. Fixing healthcare from the inside, today. | PSNet

    psnet.ahrq.gov/issue/fixing-healthcare-inside-today
    February 28, 2011 - Commentary Classic Fixing healthcare from the inside, today. Citation Text: Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  4. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. | PSNet

    psnet.ahrq.gov/issue/5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited
    December 21, 2014 - Commentary The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Citation Text: Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. …

  5. A framework for operationalizing risk: a practical approach to patient safety.  | PSNet

    psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
    October 13, 2018 - Commentary A framework for operationalizing risk: a practical approach to patient safety.  Citation Text: Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21…

  6. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. | PSNet

    psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
    June 16, 2019 - Study Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Citation Text: Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…

  7. Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey
    September 01, 2018 - Study Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. Citation Text: Etchegaray J, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf. 2012;21(6)…

  8. The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. | PSNet

    psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
    July 14, 2010 - Study The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. Citation Text: McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…

  9. Managing risk in hazardous conditions: improvisation is not enough. | PSNet

    psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
    November 06, 2024 - Commentary Managing risk in hazardous conditions: improvisation is not enough. Citation Text: Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443. Copy Citation Format: DO…

  10. Preventing health care–associated harm in children. | PSNet

    psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
    March 14, 2022 - Commentary Preventing health care–associated harm in children. Citation Text: Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  11. Measuring and comparing safety climate in intensive care units. | PSNet

    psnet.ahrq.gov/issue/measuring-and-comparing-safety-climate-intensive-care-units
    January 05, 2011 - Study Measuring and comparing safety climate in intensive care units. Citation Text: France DJ, Greevy RA, Liu X, et al. Measuring and comparing safety climate in intensive care units. Med Care. 2010;48(3):279-84. doi:10.1097/MLR.0b013e3181c162d6. Copy Citation Format: DOI…

  12. Care transitions and home health care. | PSNet

    psnet.ahrq.gov/issue/care-transitions-and-home-health-care
    August 25, 2011 - Review Care transitions and home health care. Citation Text: Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  13. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. | PSNet

    psnet.ahrq.gov/issue/building-team-and-technical-competency-obstetric-emergencies-mobile-obstetric-emergencies
    March 21, 2017 - Commentary Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. Citation Text: Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies …

  14. Guideline implementation: team communication. | PSNet

    psnet.ahrq.gov/issue/guideline-implementation-team-communication
    October 15, 2014 - Commentary Guideline implementation: team communication. Citation Text: Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  15. Strategies to improve patient safety: the evidence base matures. | PSNet

    psnet.ahrq.gov/issue/strategies-improve-patient-safety-evidence-base-matures
    March 16, 2013 - Commentary Strategies to improve patient safety: the evidence base matures. Citation Text: Wachter RM, Pronovost P, Shekelle PG. Strategies to Improve Patient Safety: The Evidence Base Matures. Ann Intern Med. 2013;158(5_Part_1):350. doi:10.7326/0003-4819-158-5-201303050-00010. Copy Ci…

  16. Medical overuse as a physician cognitive error: looking under the hood. | PSNet

    psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
    September 25, 2019 - Commentary Medical overuse as a physician cognitive error: looking under the hood. Citation Text: Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. Copy Citation Format: …

  17. Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. | PSNet

    psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions
    July 14, 2010 - Study Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. Citation Text: Flanders S, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: lessons learned and future directions. J Patient Saf. 2009;5(1):3-8. doi:10.1097/P…

  18. Patient safety climate in hospitals: act locally on variation across units. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-hospitals-act-locally-variation-across-units
    August 27, 2012 - Study Patient safety climate in hospitals: act locally on variation across units. Citation Text: Campbell EG, Singer SJ, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf. 2010;36(7):319-26. Copy Citation Format:…

  19. Coupling policymaking with evaluation—the case of the opioid crisis. | PSNet

    psnet.ahrq.gov/issue/coupling-policymaking-evaluation-case-opioid-crisis
    September 29, 2017 - Commentary Coupling policymaking with evaluation—the case of the opioid crisis. Citation Text: Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014. Copy Citation F…

  20. VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet

    psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
    July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…
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