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  1. Checking all the boxes: a checklist for when and how to use checklists effectively. | PSNet

    psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
    June 29, 2022 - Commentary Checking all the boxes: a checklist for when and how to use checklists effectively. Citation Text: Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bm…

  2. The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study. | PSNet

    psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events
    August 18, 2010 - Study The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study. Citation Text: van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preve…

  3. Making electronic health records both SAFER and SMARTER. | PSNet

    psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter
    September 02, 2020 - Commentary Making electronic health records both SAFER and SMARTER. Citation Text: Johnson KB, Stead WW. Making electronic health records both SAFER and SMARTER. JAMA. 2022;328(6):523-524. doi:10.1001/jama.2022.12243. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  4. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. | PSNet

    psnet.ahrq.gov/issue/incorporating-nursing-complexity-reimbursement-coding-systems-potential-impact-missed-care
    September 28, 2022 - Commentary Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. Citation Text: Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;2…

  5. Public sector organizational failure: a study of collective denial in the UK national health service. | PSNet

    psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
    June 03, 2020 - Study Public sector organizational failure: a study of collective denial in the UK national health service. Citation Text: Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…

  6. Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. | PSNet

    psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
    March 11, 2020 - Study Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. Citation Text: Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on med…

  7. 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).…

  8. 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…

  9. 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…

  10. 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…

  11. Building collaborative teams in neonatal intensive care. | PSNet

    psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care
    August 14, 2019 - Study Building collaborative teams in neonatal intensive care. Citation Text: Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909. Copy Citation Format: DOI Google Scho…

  12. Surgical team training: the Northwestern Memorial Hospital experience. | PSNet

    psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
    March 03, 2011 - Study Surgical team training: the Northwestern Memorial Hospital experience. Citation Text: Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545. Copy Citatio…

  13. Diffusing aviation innovations in a hospital in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
    August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. Citation Text: de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. Copy Citation Format: Go…

  14. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
    November 30, 2016 - Review Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Citation Text: Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English pr…

  15. Syndromic surveillance for health information system failures: a feasibility study. | PSNet

    psnet.ahrq.gov/issue/syndromic-surveillance-health-information-system-failures-feasibility-study
    November 03, 2015 - Study Syndromic surveillance for health information system failures: a feasibility study. Citation Text: Ong M-S, Magrabi F, Coiera E. Syndromic surveillance for health information system failures: a feasibility study. J Am Med Inform Assoc. 2013;20(3):506-12. doi:10.1136/amiajnl-2012-00…

  16. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet

    psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
    November 03, 2015 - Study Last orders: follow-up of tests ordered on the day of hospital discharge. Citation Text: Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. Copy C…

  17. A framework for the analysis of communication errors in health care. | PSNet

    psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
    October 21, 2020 - Commentary A framework for the analysis of communication errors in health care. Citation Text: Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303. Copy Citat…

  18. Preventing wrong site, procedure, and patient events using a common cause analysis. | PSNet

    psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
    October 03, 2017 - Study Preventing wrong site, procedure, and patient events using a common cause analysis. Citation Text: Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…

  19. A 3-year study of medication incidents in an acute general hospital. | PSNet

    psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital
    July 15, 2020 - Study A 3-year study of medication incidents in an acute general hospital. Citation Text: Song L, Chui WCM, Lau CP, et al. A 3-year study of medication incidents in an acute general hospital. J Clin Pharm Ther. 2008;33(2):109-14. doi:10.1111/j.1365-2710.2007.00880.x. Copy Citation …

  20. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. | PSNet

    psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
    November 16, 2022 - Commentary I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/me…
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