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psnet.ahrq.gov/node/37564/psn-pdf
June 12, 2008 - The medical emergency team system: a two hospital
comparison.
June 12, 2008
Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison.
Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016.
https://psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospit…
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psnet.ahrq.gov/node/36204/psn-pdf
September 30, 2010 - Automated medication error studies with audit
supplementation were effectively designed and analyzed
by time series.
September 30, 2010
Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were
effectively designed and analyzed by time series. J Clin Epidemiol. 2006;59(9).
doi…
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psnet.ahrq.gov/node/37376/psn-pdf
March 28, 2012 - Duty hours restriction and their effect on resident
education and academic departments: the American
perspective.
March 28, 2012
Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic
departments: the American perspective. Curr Opin Anaesthesiol. 2007;20(6):580-4.
https://…
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psnet.ahrq.gov/node/36965/psn-pdf
February 15, 2011 - Strategic work-arounds to accommodate new technology:
the case of smart pumps in hospital care.
February 15, 2011
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New
Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
https://psnet.ahrq.gov/issue/strat…
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psnet.ahrq.gov/node/39103/psn-pdf
November 18, 2009 - Identifying organizational cultures that promote patient
safety.
November 18, 2009
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.
https://psnet.ahrq.gov/issue/identifying-organizatio…
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psnet.ahrq.gov/node/840494/psn-pdf
November 30, 2022 - Safety of anesthetic and perioperative medication
practices.
November 30, 2022
Meyer TA. Anesthesiology News. October 31, 2022.
https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
Medication use in the surgical environment is complex and high-risk. This article describes steps tow…
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psnet.ahrq.gov/node/39973/psn-pdf
January 04, 2011 - Residency training at a crossroads: duty-hour standards
2010.
January 4, 2011
Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010.
Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287.
https://psnet.ahrq.gov/issue/residency-training-cross…
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psnet.ahrq.gov/node/38701/psn-pdf
June 28, 2011 - Selection of indicators for continuous monitoring of
patient safety: recommendations of the project 'safety
improvement for patients in Europe.'
June 28, 2011
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety:
recommendations of the project 'safety improvement f…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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psnet.ahrq.gov/node/43495/psn-pdf
December 15, 2014 - Disruptive behaviors among physicians.
December 15, 2014
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210.
doi:10.1001/jama.2014.10218.
https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
This commentary spotlights concerns about physicians with disruptive behaviors an…
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psnet.ahrq.gov/node/34618/psn-pdf
July 28, 2013 - National Survey on Consumers' Experiences With Patient
Safety and Quality Information.
July 28, 2013
Washington DC: Kaiser Family Foundation, Agency for Healthcare Research and Quality, Harvard School
of Public Health; 2004.
https://psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-qual…
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psnet.ahrq.gov/node/46494/psn-pdf
January 24, 2018 - Complications.
January 24, 2018
Anaesthesia. 2018;73(suppl 1):3-101.
https://psnet.ahrq.gov/issue/complications
Study of complications can provide insights into presurgical patient counseling, risk assessment, and
medical harm prevention. Articles in this special issue explore complications in anesthesia, includin…
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psnet.ahrq.gov/node/44110/psn-pdf
May 13, 2015 - Simulation in Anaesthesia and Surgery.
May 13, 2015
Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96.
https://psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery
In the last decade, simulation has emerged as an educational strategy for teaching clinical skills. Articles in
this sp…
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psnet.ahrq.gov/node/36796/psn-pdf
August 26, 2011 - Patient safety curriculum for surgical residency
programs: results of a national consensus conference.
August 26, 2011
Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results
of a national consensus conference. Surgery. 2007;141(4):427-41.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/35110/psn-pdf
April 06, 2011 - Medication safety program reduces adverse drug events
in a community hospital.
April 6, 2011
Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a
community hospital. Qual Saf Health Care. 2005;14(3):169-74.
https://psnet.ahrq.gov/issue/medication-safety-program-reduces-…
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psnet.ahrq.gov/node/38117/psn-pdf
September 29, 2017 - Advances in Patient Safety: New Directions and
Alternative Approaches.
September 29, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-
4).
https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
The 115 articles freel…
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psnet.ahrq.gov/node/73453/psn-pdf
June 30, 2021 - Algorithmic Bias Playbook.
June 30, 2021
Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June
2021.
https://psnet.ahrq.gov/issue/algorithmic-bias-playbook
Biased algorithms are receiving increasing attention as artificial intelligence (AI) becomes more present…
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psnet.ahrq.gov/node/41297/psn-pdf
September 19, 2012 - Failure mode and effects analysis: too little for too much?
September 19, 2012
Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf.
2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723.
https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-mu…
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psnet.ahrq.gov/node/38785/psn-pdf
September 02, 2009 - An ethnographic study of classifying and accounting for
risk at the sharp end of medical wards.
September 2, 2009
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk
at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…
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psnet.ahrq.gov/node/36221/psn-pdf
October 20, 2010 - Enhancing patient safety during hand-offs: standardized
communication and teamwork using the 'SBAR' method.
October 20, 2010
Hohenhaus S, Powell S, Hohenhaus JT. Am J Nurs. 2006;106(8):72A-72B.
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-
teamwork-using-sba…