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  1. Is excessive resource utilization an adverse event? | PSNet

    psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
    February 02, 2022 - Commentary Is excessive resource utilization an adverse event? Citation Text: Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  2. Improving patient safety through simulation training in anesthesiology: where are we? | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
    October 13, 2018 - Review Improving patient safety through simulation training in anesthesiology: where are we? Citation Text: Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.…

  3. Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. | PSNet

    psnet.ahrq.gov/issue/ensuring-healthcare-safety-throughout-covid-19-pandemic
    January 13, 2021 - Webinar Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. Citation Text: Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…

  4. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. | PSNet

    psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
    May 29, 2015 - Study Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. Citation Text: Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jama…

  5. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. | PSNet

    psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
    September 07, 2021 - Book/Report Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Citation Text: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…

  6. 2019 update on pediatric medical overuse: a systematic review. | PSNet

    psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
    May 11, 2019 - Review 2019 update on pediatric medical overuse: a systematic review. Citation Text: Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849. Copy Citation Format: DOI Goog…

  7. Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet

    psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
    April 24, 2018 - Study Critical phase distractions in anaesthesia and the sterile cockpit concept. Citation Text: Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. Copy…

  8. Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. | PSNet

    psnet.ahrq.gov/issue/independent-mortality-review-cardiac-surgery-st-georges-university-hospitals-nhs-foundation
    May 24, 2023 - Book/Report Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. Citation Text: Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. NHS Improvement. Independent Mortality Review of …

  9. Surgical confusions in ophthalmology. | PSNet

    psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
    November 16, 2022 - Study Surgical confusions in ophthalmology. Citation Text: Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  10. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  11. Operating room fires. | PSNet

    psnet.ahrq.gov/issue/operating-room-fires
    March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  12. Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
    November 17, 2010 - Commentary Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Citation Text: Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…

  13. Inpatient suicide: preventing a common sentinel event. | PSNet

    psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
    May 28, 2015 - Review Inpatient suicide: preventing a common sentinel event. Citation Text: Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007. Copy Citation Format: DOI Google Scholar …

  14. You can't understand something you hide: transparency as a path to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-safety
    October 04, 2006 - Newspaper/Magazine Article You can't understand something you hide: transparency as a path to improve patient safety. Citation Text: You can't understand something you hide: transparency as a path to improve patient safety. Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June…

  15. Computerized physician order entry: helpful or harmful? | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
    January 06, 2018 - Commentary Classic Computerized physician order entry: helpful or harmful? Citation Text: Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. Copy Citation Format: Google Scholar …

  16. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. | PSNet

    psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective
    November 11, 2020 - Commentary Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Citation Text: Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bj…

  17. Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. | PSNet

    psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
    February 10, 2015 - Study Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Citation Text: Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thoma…

  18. Work system design for patient safety: the SEIPS model. | PSNet

    psnet.ahrq.gov/issue/work-system-design-patient-safety-seips-model
    December 18, 2013 - Commentary Work system design for patient safety: the SEIPS model. Citation Text: Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842. Copy Citation Form…

  19. Situational awareness—what it means for clinicians, its recognition and importance in patient safety. | PSNet

    psnet.ahrq.gov/issue/situational-awareness-what-it-means-clinicians-its-recognition-and-importance-patient-safety
    July 10, 2017 - Review Situational awareness—what it means for clinicians, its recognition and importance in patient safety. Citation Text: Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721…

  20. Applying hierarchical task analysis to medication administration errors. | PSNet

    psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
    December 18, 2017 - Commentary Applying hierarchical task analysis to medication administration errors. Citation Text: Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79. Copy Citation Format: Google Scholar…
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