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  1. Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity. | PSNet

    psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic
    January 24, 2018 - Study Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity. Citation Text: Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in primary care: ins…

  2. Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. | PSNet

    psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis
    March 23, 2012 - Study Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. Citation Text: Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge su…

  3. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. | PSNet

    psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
    September 21, 2022 - Study Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. Citation Text: Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…

  4. The association of hospital quality ratings with adverse events. | PSNet

    psnet.ahrq.gov/issue/association-hospital-quality-ratings-adverse-events
    April 30, 2014 - Study The association of hospital quality ratings with adverse events. Citation Text: Weissman JS, López L, Schneider EC, et al. The association of hospital quality ratings with adverse events. Int J Qual Health Care. 2014;26(2):129-35. doi:10.1093/intqhc/mzt092. Copy Citation Form…

  5. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet

    psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
    May 02, 2012 - Study Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Citation Text: Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08…

  6. Process of care failures in breast cancer diagnosis. | PSNet

    psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
    January 06, 2017 - Study Process of care failures in breast cancer diagnosis. Citation Text: Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. Copy Citation Format: DOI Googl…

  7. On resident duty hour restrictions and neurosurgical training: review of the literature. | PSNet

    psnet.ahrq.gov/issue/resident-duty-hour-restrictions-and-neurosurgical-training-review-literature
    September 23, 2020 - Review On resident duty hour restrictions and neurosurgical training: review of the literature. Citation Text: Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS1427…

  8. Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. | PSNet

    psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
    March 12, 2014 - Study Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. Citation Text: Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…

  9. Distractions in the operating room: a survey of the healthcare team. | PSNet

    psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
    November 16, 2022 - Study Distractions in the operating room: a survey of the healthcare team. Citation Text: Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. Copy Citation …

  10. Physician spending and subsequent risk of malpractice claims: observational study. | PSNet

    psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
    May 01, 2015 - Study Classic Physician spending and subsequent risk of malpractice claims: observational study. Citation Text: Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. …

  11. Hospital safety climate and safety behavior: a social exchange perspective. | PSNet

    psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective
    February 15, 2023 - Study Hospital safety climate and safety behavior: a social exchange perspective. Citation Text: Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.…

  12. A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections
    January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

  13. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet

    psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
    March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. Citation Text: Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…

  14. Organizational response to known medical errors: does peer review protection impede improvement? | PSNet

    psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement
    April 24, 2018 - Commentary Organizational response to known medical errors: does peer review protection impede improvement? Citation Text: Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1…

  15. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

    psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
    September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

  16. Technological distractions—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/technological-distractions-part-1-and-part-2
    April 24, 2018 - Review Technological distractions—part 1 and part 2. Citation Text: Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …

  17. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

    psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
    March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

  18. Second victims need emotional support after adverse events: even in a just safety culture. | PSNet

    psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture
    April 12, 2023 - Commentary Second victims need emotional support after adverse events: even in a just safety culture. Citation Text: Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events: even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.11…

  19. Association between implementation of an intensivist-led medical emergency team and mortality. | PSNet

    psnet.ahrq.gov/issue/association-between-implementation-intensivist-led-medical-emergency-team-and-mortality
    July 13, 2010 - Study Association between implementation of an intensivist-led medical emergency team and mortality. Citation Text: Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152…

  20. Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet

    psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
    December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…
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