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  1. Patients' perspectives of surgical safety: do they feel safe? | PSNet

    psnet.ahrq.gov/issue/patients-perspectives-surgical-safety-do-they-feel-safe
    November 18, 2013 - Study Patients' perspectives of surgical safety: do they feel safe? Citation Text: Dixon JL, Tillman MM, Wehbe-Janek H, et al. Patients' Perspectives of Surgical Safety: Do They Feel Safe? The Ochsner J. 2015;15(2):143-148. Copy Citation Format: Google Scholar PubMed BibTeX…

  2. A piece of my mind. Coping with fallibility. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility
    June 26, 2015 - Commentary Classic A piece of my mind. Coping with fallibility. Citation Text: Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  3. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. | PSNet

    psnet.ahrq.gov/issue/we-meant-no-harm-yet-we-made-mistake-why-not-apologize-it-students-view
    May 25, 2016 - Commentary We meant no harm, yet we made a mistake; why not apologize for it? A student's view. Citation Text: Sanford DE, Fleming DA. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. HEC Forum. 2010;22(2):159-69. doi:10.1007/s10730-010-9131-8. Copy …

  4. Rapid response systems: from implementation to evidence base. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
    September 24, 2010 - Commentary Rapid response systems: from implementation to evidence base. Citation Text: Sarani B, Scott SD. Rapid response systems: from implementation to evidence base. Jt Comm J Qual Patient Saf. 2010;36(11):514-7, 481. Copy Citation Format: Google Scholar PubMed BibTeX E…

  5. Rapid response teams seen through the eyes of the nurse. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-seen-through-eyes-nurse
    June 03, 2010 - Study Rapid response teams seen through the eyes of the nurse. Citation Text: Shapiro SE, Donaldson NE, Scott MB. Rapid response teams seen through the eyes of the nurse. Am J Nurs. 2010;110(6):28-34; quiz 35-36. doi:10.1097/01.NAJ.0000377686.64479.84. Copy Citation Format: …

  6. Ensuring staff safety when treating potentially violent patients. | PSNet

    psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-violent-patients
    July 14, 2010 - Commentary Ensuring staff safety when treating potentially violent patients. Citation Text: Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. Copy Citation Format: DOI G…

  7. Intra-operative monitoring—many alarms with minor impact. | PSNet

    psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
    June 18, 2014 - Study Intra-operative monitoring—many alarms with minor impact. Citation Text: de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact. Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289. Copy Citation Format: DOI Google Scholar …

  8. Using simulation to address hierarchy issues during medical crises. | PSNet

    psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises
    June 15, 2012 - Commentary Using simulation to address hierarchy issues during medical crises. Citation Text: Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…

  9. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. | PSNet

    psnet.ahrq.gov/issue/checkpoint-simple-tool-measure-surgical-safety-checklist-implementation-fidelity
    December 06, 2023 - Study CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. Citation Text: Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136…

  10. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. | PSNet

    psnet.ahrq.gov/issue/role-assistant-nurse-implementing-who-surgical-safety-checklist-perception-and-perspectives
    January 17, 2024 - Study The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Citation Text: Ališić E, Krupić M, Alić J, et al. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Cureus. 20…

  11. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. | PSNet

    psnet.ahrq.gov/issue/residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams-teaching-hospitals
    February 07, 2024 - Study Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. Citation Text: Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teachi…

  12. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. | PSNet

    psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
    February 12, 2020 - Study The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. Citation Text: Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…

  13. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. | PSNet

    psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness
    January 12, 2022 - Review Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. Citation Text: Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid sc…

  14. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. | PSNet

    psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist-10-years
    March 17, 2021 - Study Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. Citation Text: Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational s…

  15. The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

    psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care
    November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

  16. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet

    psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
    March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Citation Text: Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…

  17. Use of error management theory to quantify and characterize residents' error recovery strategies. | PSNet

    psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
    June 14, 2023 - Study Use of error management theory to quantify and characterize residents' error recovery strategies. Citation Text: Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:1…

  18. Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice. | PSNet

    psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice
    July 19, 2023 - Study Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice. Citation Text: Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. d…

  19. Patient falls in the operating room setting: an analysis of reported safety events. | PSNet

    psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
    November 17, 2021 - Study Patient falls in the operating room setting: an analysis of reported safety events. Citation Text: Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503…

  20. Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. | PSNet

    psnet.ahrq.gov/issue/modifications-medical-emergency-team-activation-criteria-and-implications-patient-safety
    July 20, 2022 - Study Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. Citation Text: Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and implications for patient safety: a point …
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