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  1. Engaging the front line: tapping into hospital-wide quality and safety initiatives. | PSNet

    psnet.ahrq.gov/issue/engaging-front-line-tapping-hospital-wide-quality-and-safety-initiatives
    March 20, 2019 - Commentary Engaging the front line: tapping into hospital-wide quality and safety initiatives. Citation Text: Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:1…

  2. Design of a safety dashboard for patients. | PSNet

    psnet.ahrq.gov/issue/design-safety-dashboard-patients
    March 16, 2022 - Study Design of a safety dashboard for patients. Citation Text: Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  3. Matching identifiers in electronic health records: implications for duplicate records and patient safety. | PSNet

    psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
    October 13, 2015 - Study Matching identifiers in electronic health records: implications for duplicate records and patient safety. Citation Text: McCoy AB, Wright A, Kahn MG, et al. Matching identifiers in electronic health records: implications for duplicate records and patient safety. BMJ Qual Saf. 20…

  4. Responding to unprofessional behavior by trainees - a "just culture" framework. | PSNet

    psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
    June 24, 2020 - Commentary Responding to unprofessional behavior by trainees - a "just culture" framework. Citation Text: Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…

  5. Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008. | PSNet

    psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
    February 27, 2019 - Study Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008. Citation Text: Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92. Copy Citatio…

  6. Identification by families of pediatric adverse events and near misses overlooked by health care providers. | PSNet

    psnet.ahrq.gov/issue/identification-families-pediatric-adverse-events-and-near-misses-overlooked-health-care
    November 23, 2016 - Study Identification by families of pediatric adverse events and near misses overlooked by health care providers. Citation Text: Daniels JP, Hunc K, Cochrane D, et al. Identification by families of pediatric adverse events and near misses overlooked by health care providers. CMAJ. 2012…

  7. Communication of preclinical emergency teams in critical situations: a nationwide study. | PSNet

    psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study
    January 23, 2019 - Study Communication of preclinical emergency teams in critical situations: a nationwide study. Citation Text: Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.…

  8. Epidemiology of adverse events in air medical transport. | PSNet

    psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
    July 03, 2014 - Study Epidemiology of adverse events in air medical transport. Citation Text: MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. Copy Citation Format: DOI Go…

  9. Comparison of physician and computer diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/comparison-physician-and-computer-diagnostic-accuracy
    November 03, 2015 - Study Comparison of physician and computer diagnostic accuracy. Citation Text: Semigran HL, Levine DM, Nundy S, et al. Comparison of Physician and Computer Diagnostic Accuracy. JAMA Intern Med. 2016;176(12):1860-1861. doi:10.1001/jamainternmed.2016.6001. Copy Citation Format: …

  10. Explaining ethnic disparities in patient safety: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/explaining-ethnic-disparities-patient-safety-qualitative-analysis
    April 14, 2021 - Study Explaining ethnic disparities in patient safety: a qualitative analysis. Citation Text: Suurmond J, Uiters E, de Bruijne M, et al. Explaining ethnic disparities in patient safety: a qualitative analysis. Am J Public Health. 2010;100 Suppl 1:S113-7. doi:10.2105/AJPH.2009.167064. …

  11. Diagnostic error in stroke — reasons and proposed solutions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
    March 01, 2023 - Review Diagnostic error in stroke — reasons and proposed solutions. Citation Text: Bakradze E, Liberman AL. Diagnostic Error in Stroke-Reasons and Proposed Solutions. Curr Atheroscler Rep. 2018;20(2):11. doi:10.1007/s11883-018-0712-3. Copy Citation Format: DOI Google Schola…

  12. Using Medical Emergency Teams to detect preventable adverse events. | PSNet

    psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
    December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

  13. A public health approach to patient safety reporting systems is urgently needed. | PSNet

    psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed
    January 14, 2014 - Review A public health approach to patient safety reporting systems is urgently needed. Citation Text: Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. …

  14. Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet

    psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
    April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

  15. Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
    August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

  16. Time to accelerate integration of human factors and ergonomics in patient safety. | PSNet

    psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
    October 03, 2013 - Commentary Time to accelerate integration of human factors and ergonomics in patient safety. Citation Text: Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. …

  17. Measuring communication in the surgical ICU: better communication equals better care. | PSNet

    psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
    April 03, 2005 - Study Measuring communication in the surgical ICU: better communication equals better care. Citation Text: Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…

  18. Safety in the academic medical center: transforming challenges into ingredients for improvement. | PSNet

    psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement
    February 17, 2011 - Review Safety in the academic medical center: transforming challenges into ingredients for improvement. Citation Text: Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. Copy Citation …

  19. Changes in physician practice patterns after implementation of a communication-and-resolution program. | PSNet

    psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
    September 01, 2018 - Study Changes in physician practice patterns after implementation of a communication-and-resolution program. Citation Text: Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;5…

  20. Between choice and chance: the role of human factors in acute care equipment decisions. | PSNet

    psnet.ahrq.gov/issue/between-choice-and-chance-role-human-factors-acute-care-equipment-decisions
    February 22, 2023 - Study Between choice and chance: the role of human factors in acute care equipment decisions. Citation Text: Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…
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