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  1. Clinical perspective: creating an effective practice peer review process—a primer. | PSNet

    psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
    November 16, 2022 - Commentary Clinical perspective: creating an effective practice peer review process—a primer. Citation Text: Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.aj…

  2. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/effect-checklist-quality-post-anaesthesia-patient-handover-randomized-controlled-trial
    February 15, 2012 - Study The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Citation Text: Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int…

  3. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. | PSNet

    psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
    November 07, 2012 - Study Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Citation Text: Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation. 2006;113(8):1079-85. Copy C…

  4. 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…

  5. For whom the Bell Commission tolls: unintended effects of limiting residents' hours. | PSNet

    psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
    April 20, 2011 - Commentary For whom the Bell Commission tolls: unintended effects of limiting residents' hours. Citation Text: Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9. Copy Citation Format: Google Sc…

  6. 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…

  7. Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. | PSNet

    psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation-10-steps
    November 15, 2018 - Commentary Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. Citation Text: Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation i…

  8. Quality improvement implementation and hospital performance on patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
    January 12, 2022 - Study Classic Quality improvement implementation and hospital performance on patient safety indicators. Citation Text: Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care …

  9. 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…

  10. 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…

  11. 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.…

  12. 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.…

  13. 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 …

  14. 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 …

  15. 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…

  16. Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. | PSNet

    psnet.ahrq.gov/issue/task-errors-emergency-physicians-are-associated-interruptions-multitasking-fatigue-and
    March 29, 2017 - Study Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. Citation Text: Westbrook JI, Raban MZ, Walter SR, et al. Task errors by emergency physicians are associated with interr…

  17. 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: …

  18. Applying modern error theory to the problem of missed injuries in trauma. | PSNet

    psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
    June 15, 2011 - Study Applying modern error theory to the problem of missed injuries in trauma. Citation Text: Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7. Copy Cita…

  19. Team communication during patient handover from the operating room: more than facts and figures. | PSNet

    psnet.ahrq.gov/issue/team-communication-during-patient-handover-operating-room-more-facts-and-figures
    December 16, 2009 - Study Team communication during patient handover from the operating room: more than facts and figures. Citation Text: Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56. Cop…

  20. 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…
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