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  1. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
    December 18, 2013 - Study Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Citation Text: Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…

  2. Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet

    psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
    September 13, 2017 - Study Classic Simulation study of rested versus sleep-deprived anesthesiologists. Citation Text: Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…

  3. Using safety culture results to guide the merger of four general practices in the UK. | PSNet

    psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
    February 01, 2023 - Study Using safety culture results to guide the merger of four general practices in the UK. Citation Text: Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-…

  4. Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. | PSNet

    psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal
    January 26, 2022 - Study Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. Citation Text: Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…

  5. Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. | PSNet

    psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
    August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…

  6. Challenges in patient safety improvement research in the era of electronic health records. | PSNet

    psnet.ahrq.gov/issue/challenges-patient-safety-improvement-research-era-electronic-health-records
    November 11, 2020 - Commentary Challenges in patient safety improvement research in the era of electronic health records. Citation Text: Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.…

  7. Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. | PSNet

    psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology
    July 19, 2018 - Review Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. Citation Text: Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psycho…

  8. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet

    psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
    December 29, 2014 - Study Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. Citation Text: Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: Organisational factors and indicato…

  9. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. | PSNet

    psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
    June 29, 2022 - Study Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. Citation Text: Falcone ML, Tokac U, Fish AF, et al. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory fac…

  10. Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. | PSNet

    psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
    May 01, 2012 - Study Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. Citation Text: Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…

  11. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. | PSNet

    psnet.ahrq.gov/issue/approval-and-perceived-impact-duty-hour-regulations-survey-pediatric-program-directors
    February 27, 2013 - Study Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Citation Text: Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi…

  12. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
    November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

  13. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet

    psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
    March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

  14. 40 years behind the mask: safety revisited. | PSNet

    psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
    January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

  15. Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation
    January 15, 2020 - Study Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…

  16. US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. | PSNet

    psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and
    July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…

  17. Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. | PSNet

    psnet.ahrq.gov/issue/effect-us-drug-enforcement-administrations-rescheduling-hydrocodone-combination-analgesic
    August 04, 2021 - Study Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. Citation Text: Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of Hydrocodone Combination Anal…

  18. Ensuring access to medications in the US during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic
    May 08, 2017 - Commentary Ensuring access to medications in the US during the COVID-19 pandemic. Citation Text: Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic. JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016. Copy Citation Format: DOI Goog…

  19. Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. | PSNet

    psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
    September 01, 2021 - Study Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. Citation Text: Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associ…

  20. Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-management-policies
    December 23, 2020 - Study Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. Citation Text: Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff Toward Medical Error Ma…
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