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  1. Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
    October 16, 2019 - Study Day of discharge does not impact hospital readmission after major cardiac surgery. Citation Text: Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.201…

  2. Taking the pulse of health care systems: experiences of patients with health problems in six countries. | PSNet

    psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries
    December 23, 2012 - Multi-use Website Classic Taking the pulse of health care systems: experiences of patients with health problems in six countries. Citation Text: Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients With Health P…

  3. Efficacy of an incident-reporting system in cellular pathology: a practical experience. | PSNet

    psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience
    August 21, 2024 - Study Efficacy of an incident-reporting system in cellular pathology: a practical experience. Citation Text: Rakha EA, Clark D, Chohan BS, et al. Efficacy of an incident-reporting system in cellular pathology: a practical experience. J Clin Pathol. 2012;65(7):643-8. doi:10.1136/jclinpa…

  4. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. | PSNet

    psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
    January 30, 2008 - Study Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. Citation Text: Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…

  5. Medicines management support to older people: understanding the context of systems failure. | PSNet

    psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure
    October 04, 2023 - Study Medicines management support to older people: understanding the context of systems failure. Citation Text: Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-00…

  6. Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify-medication-errors
    January 23, 2017 - Study Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. Citation Text: Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Err…

  7. Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. | PSNet

    psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united-kingdom
    November 02, 2011 - Study Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. Citation Text: Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):79…

  8. Evaluation of the culture of safety and quality in pediatric primary care practices. | PSNet

    psnet.ahrq.gov/issue/evaluation-culture-safety-and-quality-pediatric-primary-care-practices
    January 26, 2022 - Study Evaluation of the culture of safety and quality in pediatric primary care practices. Citation Text: Oyegoke S, Gigli KH. Evaluation of the culture of safety and quality in pediatric primary care practices. J Patient Saf. 2022;18(4):e753-e759. doi:10.1097/pts.0000000000000942. Cop…

  9. Simulation safety first: an imperative. | PSNet

    psnet.ahrq.gov/issue/simulation-safety-first-imperative
    February 13, 2014 - Commentary Simulation safety first: an imperative. Citation Text: Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  10. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review
    October 30, 2013 - Review The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Citation Text: Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…

  11. Novel telephone-based interactive voice response system for incident reporting. | PSNet

    psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
    September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

  12. Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/occupational-stress-and-cognitive-failure-nurses-and-associations-self-reported-adverse
    June 09, 2021 - Study Emerging Classic Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. Citation Text: Kakemam E, Kalhor R, Khakdel Z, et al. Occupational stress and cognitive failure o…

  13. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. | PSNet

    psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
    November 17, 2014 - Study Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. Citation Text: Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing …

  14. Making patients safer: nurses' responses to patient safety alerts. | PSNet

    psnet.ahrq.gov/issue/making-patients-safer-nurses-responses-patient-safety-alerts
    April 13, 2011 - Study Making patients safer: nurses' responses to patient safety alerts. Citation Text: Lankshear A, Lowson K, Harden J, et al. Making patients safer: nurses’ responses to patient safety alerts. J Adv Nurs. 2008;63(6). doi:10.1111/j.1365-2648.2008.04741.x. Copy Citation Format: …

  15. "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. | PSNet

    psnet.ahrq.gov/issue/doctor-jazz-lessons-medical-professionals-can-learn-jazz-musicians
    August 10, 2022 - Review "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. Citation Text: van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. Copy Ci…

  16. No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). | PSNet

    psnet.ahrq.gov/issue/no-safety-no-quality-synthesis-research-hospital-and-patient-safety-1996-2007
    January 04, 2010 - Review No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). Citation Text: Tzeng H-M, Yin C-Y. No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). J Nurs Care Qual. 2007;22(4):299-306. Copy Citation Format: …

  17. Risk of medication safety incidents with antibiotic use measured by defined daily doses. | PSNet

    psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses
    July 06, 2022 - Study Risk of medication safety incidents with antibiotic use measured by defined daily doses. Citation Text: Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33810/psn-pdf
    June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective June 1, 2016 Frank K. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurse…

  19. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
    November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

  20. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet

    psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
    August 20, 2018 - Study Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. Citation Text: Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…
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