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  1. Analysis of human performance deficiencies associated with surgical adverse events. | PSNet

    psnet.ahrq.gov/issue/analysis-human-performance-deficiencies-associated-surgical-adverse-events
    April 15, 2016 - Study Emerging Classic Analysis of human performance deficiencies associated with surgical adverse events. Citation Text: Suliburk JW, Buck QM, Pirko CJ, et al. Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events. JAMA Netw Open. 2…

  2. Communicating critical test results: safe practice recommendations. | PSNet

    psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
    June 13, 2011 - Study Communicating critical test results: safe practice recommendations. Citation Text: Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. Copy Citation Format: Google Schol…

  3. Medication error prevention by pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
    August 04, 2021 - Study Classic Medication error prevention by pharmacists. Citation Text: Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  4. Barriers and facilitators to injection safety in ambulatory care settings. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-injection-safety-ambulatory-care-settings
    November 18, 2016 - Review Barriers and facilitators to injection safety in ambulatory care settings. Citation Text: Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82.…

  5. Patient safety and quality improvement: reducing risk of harm. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
    November 15, 2011 - Review Patient safety and quality improvement: reducing risk of harm. Citation Text: Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. Copy Citation Format: DOI Google Scholar Pu…

  6. A novel process audit for standardized perioperative handoff protocols. | PSNet

    psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
    June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

  7. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. | PSNet

    psnet.ahrq.gov/issue/living-aftermath-second-victim-experience-among-certified-registered-nurse-anesthetists
    April 12, 2019 - Study Living with the aftermath: the second victim experience among certified registered nurse anesthetists. Citation Text: Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173…

  8. Analysis and prioritization of near-miss adverse events in a radiology department. | PSNet

    psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
    June 15, 2016 - Study Analysis and prioritization of near-miss adverse events in a radiology department. Citation Text: Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…

  9. Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system. | PSNet

    psnet.ahrq.gov/issue/measuring-faculty-reflection-adverse-patient-events-development-and-initial-validation-case
    September 20, 2011 - Study Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system. Citation Text: Wittich CM, Lopez-Jimenez F, Decker LK, et al. Measuring faculty reflection on adverse patient events: development and initial validation of a …

  10. Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
    November 16, 2022 - Study Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. Citation Text: Lai JS, Yokoyama G, Louie C, et al. Impact of Computerized Prescriber Order Entry (CPOE) on Clinical Pharmacy Practice: A Hypothesis-Generating Study. H…

  11. Prescribing errors in hospital practice. | PSNet

    psnet.ahrq.gov/issue/prescribing-errors-hospital-practice
    July 01, 2017 - Review Prescribing errors in hospital practice. Citation Text: Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  12. Hospital quality and patient safety competencies: development, description, and recommendations for use. | PSNet

    psnet.ahrq.gov/issue/hospital-quality-and-patient-safety-competencies-development-description-and-recommendations
    January 10, 2018 - Commentary Hospital quality and patient safety competencies: development, description, and recommendations for use. Citation Text: O'Leary KJ, Afsar-Manesh N, Budnitz T, et al. Hospital quality and patient safety competencies: Development, description, and recommendations for use. J Ho…

  13. A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? | PSNet

    psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make
    July 01, 2017 - Study A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? Citation Text: Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1).…

  14. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. | PSNet

    psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals
    October 16, 2019 - Study A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. Citation Text: Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf. 20…

  15. Changing conversations: teaching safety and quality in residency training. | PSNet

    psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
    January 02, 2017 - Study Changing conversations: teaching safety and quality in residency training. Citation Text: Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. Copy Citati…

  16. Rapid response systems in adult academic medical centers. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
    February 16, 2011 - Study Rapid response systems in adult academic medical centers. Citation Text: Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. Copy Citation Format: Google Scholar PubMed BibTeX E…

  17. Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. | PSNet

    psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014
    July 02, 2009 - Special or Theme Issue Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. Citation Text: Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801. Copy Citation …

  18. Burnout in pediatric residents: three years of national survey | PSNet

    psnet.ahrq.gov/issue/burnout-pediatric-residents-three-years-national-survey
    November 16, 2022 - Study Emerging Classic Burnout in pediatric residents: three years of national survey Citation Text: Kemper KJ, Schwartz A, Wilson PM, et al. Burnout in Pediatric Residents: Three Years of National Survey Data. Pediatrics. 2020;145(1):e20191030. doi:10.1542/peds…

  19. A comparison of voluntarily reported medication errors in intensive care and general care units. | PSNet

    psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units
    October 26, 2010 - Study A comparison of voluntarily reported medication errors in intensive care and general care units. Citation Text: Kane-Gill SL, Kowiatek JG, Weber RJ. A comparison of voluntarily reported medication errors in intensive care and general care units. Qual Saf Health Care. 2010;19(1):5…

  20. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

    psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
    July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …
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