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  1. Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations. | PSNet

    psnet.ahrq.gov/issue/adjusting-duty-hour-reforms-residents-perception-safety-climate-interdisciplinary-night-float
    June 01, 2022 - Study Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations. Citation Text: Lafleur A, Harvey A, Simard C. Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotatio…

  2. Using simulation to identify sources of medical diagnostic error in child physical abuse. | PSNet

    psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
    January 12, 2022 - Study Using simulation to identify sources of medical diagnostic error in child physical abuse. Citation Text: Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.…

  3. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
    December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

  4. Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
    June 08, 2022 - Newspaper/Magazine Article Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. Citation Text: Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. Copy Citation Format: Go…

  5. Unexpected hypoglycemia in a critically ill patient. | PSNet

    psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
    July 25, 2018 - Study Classic Unexpected hypoglycemia in a critically ill patient. Citation Text: Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  6. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. | PSNet

    psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety
    March 02, 2016 - Study Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Citation Text: Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Q…

  7. Nursing interruptions in a trauma intensive care unit: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational-study
    November 09, 2016 - Study Nursing interruptions in a trauma intensive care unit: a prospective observational study. Citation Text: Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…

  8. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. | PSNet

    psnet.ahrq.gov/issue/beam-me-scotty-impact-personal-wireless-communication-devices-emergency-department
    July 17, 2013 - Study Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Citation Text: Richards JD, Harris T. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Emerg Med J. 2011;28(1):29-32. doi:10.1136/emj…

  9. Changes in intern attitudes toward medical error and disclosure. | PSNet

    psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
    November 10, 2021 - Study Changes in intern attitudes toward medical error and disclosure. Citation Text: Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x. Copy Citation Fo…

  10. Blood sampling guidelines with focus on patient safety and identification—a review. | PSNet

    psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
    August 10, 2016 - Review Blood sampling guidelines with focus on patient safety and identification—a review. Citation Text: Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.…

  11. Algorithmic prediction of failure modes in healthcare. | PSNet

    psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
    September 06, 2023 - Study Algorithmic prediction of failure modes in healthcare. Citation Text: Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151. Copy Citation Format: DOI G…

  12. Beyond the medical record: other modes of error acknowledgment. | PSNet

    psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment
    August 03, 2009 - Study Beyond the medical record: other modes of error acknowledgment. Citation Text: Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. Copy Citation Format: Google Scholar PubMe…

  13. Workforce planning and safe workload in sterile compounding hospital pharmacy services. | PSNet

    psnet.ahrq.gov/issue/workforce-planning-and-safe-workload-sterile-compounding-hospital-pharmacy-services
    October 19, 2022 - Study Workforce planning and safe workload in sterile compounding hospital pharmacy services. Citation Text: Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.10…

  14. Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
    March 12, 2025 - Study Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. Citation Text: Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 20…

  15. Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. | PSNet

    psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-ems-formulating-research-questions-and
    March 14, 2018 - Study Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. Citation Text: Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Out…

  16. Thirty-day outcomes support implementation of a surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/thirty-day-outcomes-support-implementation-surgical-safety-checklist
    April 10, 2024 - Study Thirty-day outcomes support implementation of a surgical safety checklist. Citation Text: Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012…

  17. Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. | PSNet

    psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
    June 07, 2018 - Commentary Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. Citation Text: Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…

  18. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. | PSNet

    psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
    September 05, 2009 - Study Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. Citation Text: Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…

  19. Impact of intensive care unit discharge time on patient outcome. | PSNet

    psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
    December 14, 2022 - Study Impact of intensive care unit discharge time on patient outcome. Citation Text: Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  20. Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and-identification-risk
    April 12, 2019 - Study Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Citation Text: Benavidez OJ, Gauvreau K, Jenkins KJ, et al. Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Ci…
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