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  1. When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? | PSNet

    psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
    June 28, 2011 - Commentary When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Citation Text: Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…

  2. How do simulated error experiences impact attitudes related to error prevention? | PSNet

    psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention
    October 19, 2022 - Study How do simulated error experiences impact attitudes related to error prevention? Citation Text: Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? Simul Healthc. 2016;11(5):323-333. Copy Citation Format: …

  3. Surgical team training: promoting high reliability with nontechnical skills. | PSNet

    psnet.ahrq.gov/issue/surgical-team-training-promoting-high-reliability-nontechnical-skills
    May 01, 2019 - Commentary Surgical team training: promoting high reliability with nontechnical skills. Citation Text: Paige JT. Surgical team training: promoting high reliability with nontechnical skills. Surg Clin North Am. 2010;90(3):569-81. doi:10.1016/j.suc.2010.02.007. Copy Citation Format…

  4. Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. | PSNet

    psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air
    November 25, 2009 - Study Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. Citation Text: Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary healt…

  5. Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. | PSNet

    psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
    May 26, 2011 - Study Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. Citation Text: Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…

  6. Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors. | PSNet

    psnet.ahrq.gov/issue/prejudice-perceptions-physicians-influence-race-and-gender-evaluations-medical-errors
    March 27, 2019 - Study Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors. Citation Text: Brown D, Martinez LR, Hebl MMR. Prejudice in Perceptions of Physicians?: The Influence of Race and Gender on Evaluations of Medical Errors. J Gen Intern Med. 2…

  7. Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? | PSNet

    psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
    October 30, 2013 - Commentary Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? Citation Text: Hunt GJF, Callaghan KSN. COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED? ANZ J Surg. 2008;78(8). doi:1…

  8. The effect of health information technology on quality in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/effect-health-information-technology-quality-us-hospitals
    September 27, 2010 - Study The effect of health information technology on quality in U.S. hospitals. Citation Text: McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S. hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155. …

  9. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/impact-proactive-rounding-rapid-response-team-patient-outcomes-academic-medical-center
    January 19, 2012 - Study Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. Citation Text: Butcher BW, Vittinghoff E, Maselli J, et al. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. J Hosp Med…

  10. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet

    psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
    January 12, 2022 - Commentary Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Citation Text: Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…

  11. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/systematic-review-antimicrobial-urinary-catheters-prevent-catheter-associated-urinary-tract
    October 19, 2022 - Review Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. Citation Text: Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract i…

  12. Simulation in graduate medical education 2008: a review for emergency medicine. | PSNet

    psnet.ahrq.gov/issue/simulation-graduate-medical-education-2008-review-emergency-medicine
    July 13, 2010 - Commentary Simulation in graduate medical education 2008: a review for emergency medicine. Citation Text: McLaughlin S, Fitch MT, Goyal DG, et al. Simulation in graduate medical education 2008: a review for emergency medicine. Acad Emerg Med. 2008;15(11):1117-29. doi:10.1111/j.1553-271…

  13. Examining medical office owners and clinicians perceptions on patient safety climate. | PSNet

    psnet.ahrq.gov/issue/examining-medical-office-owners-and-clinicians-perceptions-patient-safety-climate
    December 21, 2018 - Study Examining medical office owners and clinicians perceptions on patient safety climate. Citation Text: Mazurenko O, Richter J, Kazley AS, et al. Examining Medical Office Owners and Clinicians Perceptions on Patient Safety Climate. J Patient Saf. 2021;17(8):e1537-e1545. doi:10.1097/PT…

  14. Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? | PSNet

    psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…

  15. Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. | PSNet

    psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication
    June 29, 2011 - Study Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. Citation Text: Graves K, Symes L, Cesario SK, et al. Is There Light? Well It Depends--A Grounded Theory Study of Nurses, Lighting, and Medication Administration. Nurs Forum. …

  16. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
    March 13, 2013 - Study Improving patient safety and optimizing nursing teamwork using crew resource management techniques. Citation Text: West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…

  17. Medication reconciliation to facilitate transitions of care after hospitalization. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
    December 02, 2015 - Commentary Medication reconciliation to facilitate transitions of care after hospitalization. Citation Text: Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. Copy C…

  18. Functional safety of health information technology. | PSNet

    psnet.ahrq.gov/issue/functional-safety-health-information-technology
    February 14, 2024 - Commentary Functional safety of health information technology. Citation Text: Chadwick L, Fallon EF, van der Putten WJ, et al. Functional safety of health information technology. Health Informatics J. 2012;18(1):36-49. doi:10.1177/1460458211432587. Copy Citation Format: D…

  19. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
    August 29, 2018 - Study Patient safety in dentistry—state of play as revealed by a national database of errors. Citation Text: Thusu S, Panesar S, Bedi R. Patient safety in dentistry - state of play as revealed by a national database of errors. Br Dent J. 2012;213(3):E3. doi:10.1038/sj.bdj.2012.669. C…

  20. Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
    January 24, 2024 - Commentary Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. Citation Text: Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive…
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