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  1. Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. | PSNet

    psnet.ahrq.gov/issue/effective-board-governance-safe-care-theoretically-underpinned-cross-sectioned-examination
    March 14, 2018 - Book/Report Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. Citation Text: Effective Board Governance of Safe Care: A …

  2. Eight recommendations for policies for communicating abnormal test results. | PSNet

    psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
    March 10, 2011 - Commentary Eight recommendations for policies for communicating abnormal test results. Citation Text: Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J Qual Patient Saf. 2010;36(5):226-232. Copy Citation Format: Google Sc…

  3. Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. | PSNet

    psnet.ahrq.gov/issue/distractions-anesthesia-work-environment-impact-patient-safety-report-meeting-sponsored
    July 24, 2024 - Commentary Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. Citation Text: van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a M…

  4. Accountability sought by patients following adverse events from medical care: the New Zealand experience. | PSNet

    psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
    June 25, 2010 - Study Accountability sought by patients following adverse events from medical care: the New Zealand experience. Citation Text: Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…

  5. Peer review of medical practices: missed opportunities to learn. | PSNet

    psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn
    November 16, 2022 - Commentary Peer review of medical practices: missed opportunities to learn. Citation Text: Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018. Copy Citation Format: DOI Google Sc…

  6. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. | PSNet

    psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
    April 11, 2011 - Study The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. Citation Text: Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…

  7. CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. | PSNet

    psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
    February 27, 2019 - Government Resource CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. Citation Text: Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5. Cop…

  8. First with Kids: Medication Errors. | PSNet

    psnet.ahrq.gov/issue/first-kids-medication-errors
    February 03, 2021 - Audiovisual First with Kids: Medication Errors. Citation Text: First L. NBC5. First with Kids: Medication Errors. August 1, 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  9. Patient Safety: Emerging Applications of Safety Science. | PSNet

    psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
    February 09, 2022 - Book/Report Patient Safety: Emerging Applications of Safety Science. Citation Text: Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834. Copy Citation Format: Google Scholar BibTeX En…

  10. Painting a picture of nurse presenteeism: a multi-country integrative review. | PSNet

    psnet.ahrq.gov/issue/painting-picture-nurse-presenteeism-multi-country-integrative-review
    December 02, 2020 - Review Painting a picture of nurse presenteeism: a multi-country integrative review. Citation Text: Freeling M, Rainbow JG, Chamberlain D. Painting a picture of nurse presenteeism: a multi-country integrative review. Int J Nurs Stud. 2020;109:103659. doi:10.1016/j.ijnurstu.2020.103659. …

  11. Building comprehensive strategies for obstetric safety: simulation drills and communication. | PSNet

    psnet.ahrq.gov/issue/building-comprehensive-strategies-obstetric-safety-simulation-drills-and-communication
    May 08, 2019 - Commentary Building comprehensive strategies for obstetric safety: simulation drills and communication. Citation Text: Austin N, Goldhaber-Fiebert SN, Daniels K, et al. Building Comprehensive Strategies for Obstetric Safety: Simulation Drills and Communication. Anesth Analg. 2016;123(5):…

  12. Does an insulin double-checking procedure improve patient safety? | PSNet

    psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
    April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

  13. Coaching to improve the quality of communication during briefings and debriefings. | PSNet

    psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
    March 02, 2022 - Study Coaching to improve the quality of communication during briefings and debriefings. Citation Text: Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. Co…

  14. Missed diagnoses by urologists resulting in malpractice payment. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
    November 21, 2021 - Study Missed diagnoses by urologists resulting in malpractice payment. Citation Text: Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9. Copy Citation Format: Google Scholar PubMed BibTeX End…

  15. The global burden of diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
    May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

  16. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. | PSNet

    psnet.ahrq.gov/issue/safety-attitudes-questionnaire-tool-benchmarking-safety-culture-nicu
    March 02, 2012 - Study The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Citation Text: Profit J, Etchegaray J, Petersen L, et al. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Arch Dis Child Fetal Neonatal Ed. 2012;97(…

  17. Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. | PSNet

    psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
    June 17, 2015 - Study Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. Citation Text: Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and admi…

  18. 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…

  19. An institution-wide handoff task force to standardise and improve physician handoffs. | PSNet

    psnet.ahrq.gov/issue/institution-wide-handoff-task-force-standardise-and-improve-physician-handoffs
    January 07, 2015 - Study An institution-wide handoff task force to standardise and improve physician handoffs. Citation Text: Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71. Copy Citation …

  20. 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: …
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