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  1. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
    October 19, 2022 - Commentary Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. Citation Text: Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.…

  2. Medication errors and response bias: the tip of the iceberg. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
    February 07, 2024 - Study Medication errors and response bias: the tip of the iceberg. Citation Text: Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

  3. Prevention of wrong-site tooth extraction: clinical guidelines. | PSNet

    psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines
    August 04, 2021 - Commentary Prevention of wrong-site tooth extraction: clinical guidelines. Citation Text: Lee JS, Curley AW, Smith RA, et al. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral Maxillofac Surg. 2007;65(9):1793-9. Copy Citation Format: Google Scholar Pu…

  4. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. | PSNet

    psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system
    June 23, 2010 - Commentary Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. Citation Text: Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system er…

  5. Cognitive bias and public health policy during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/cognitive-bias-and-public-health-policy-during-covid-19-pandemic
    September 29, 2021 - Commentary Cognitive bias and public health policy during the COVID-19 pandemic. Citation Text: Halpern SD, Truog RD, Miller FG. Cognitive bias and public health policy during the COVID-19 pandemic. JAMA. 2020;324(4):337-338. doi:10.1001/jama.2020.11623. Copy Citation Format: …

  6. Moving beyond implicit bias in antiracist academic medicine initiatives. | PSNet

    psnet.ahrq.gov/issue/moving-beyond-implicit-bias-antiracist-academic-medicine-initiatives
    May 18, 2022 - Commentary Moving beyond implicit bias in antiracist academic medicine initiatives. Citation Text: Calhoun A, Genao I, Martin A, et al. Moving beyond implicit bias in antiracist academic medicine initiatives. Acad Med. 2022;97(6):790-792. doi:10.1097/acm.0000000000004562. Copy Citation…

  7. Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
    October 19, 2022 - Review Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. Citation Text: Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…

  8. 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…

  9. Incidence and types of non-ideal care events in an emergency department. | PSNet

    psnet.ahrq.gov/issue/incidence-and-types-non-ideal-care-events-emergency-department
    April 27, 2010 - Study Incidence and types of non-ideal care events in an emergency department. Citation Text: Hall KK, Schenkel SM, Hirshon JM, et al. Incidence and types of non-ideal care events in an emergency department. Qual Saf Health Care. 2010;19 Suppl 3:i20-5. doi:10.1136/qshc.2010.040246. C…

  10. Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. | PSNet

    psnet.ahrq.gov/issue/diagnostic-stewardship-leveraging-laboratory-improve-antimicrobial-use
    March 15, 2023 - Commentary Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. Citation Text: Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531. Copy Citation …

  11. Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study. | PSNet

    psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
    December 21, 2011 - Study Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study. Citation Text: Zohar E, Noga Y, Davidson E, et al. Perioperative patient safety: correct patient, correct surgery, correct side--a multifacete…

  12. Clinician factors associated with delayed diagnosis of appendicitis. | PSNet

    psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
    October 26, 2022 - Study Clinician factors associated with delayed diagnosis of appendicitis. Citation Text: Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119. Copy Citation…

  13. 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 …

  14. 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…

  15. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet

    psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
    June 21, 2016 - Book/Report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Citation Text: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation Save Save to your library Print …

  16. Adverse events in hospitals: the patient's point of view. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
    December 29, 2014 - Review Adverse events in hospitals: the patient's point of view. Citation Text: Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585. Copy Citation Format: DO…

  17. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
    February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …

  18. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet

    psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
    January 06, 2016 - Commentary Towards high-reliability organising in healthcare: a strategy for building organisational capacity. Citation Text: Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(…

  19. Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. | PSNet

    psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability-learning-and
    July 01, 2016 - Commentary Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. Citation Text: Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership, accountability, learning and innovation in …

  20. The development of the National Reporting and Learning System in England and Wales, 2001-2005. | PSNet

    psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001-2005
    September 14, 2022 - Commentary The development of the National Reporting and Learning System in England and Wales, 2001-2005. Citation Text: Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:1…
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