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  1. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. | PSNet

    psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside
    December 14, 2011 - Study Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. Citation Text: Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisc…

  2. Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. | PSNet

    psnet.ahrq.gov/issue/development-and-reliability-explicit-professional-oral-communication-observation-tool
    April 23, 2014 - Study Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. Citation Text: Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communi…

  3. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. | PSNet

    psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis-international
    September 18, 2024 - Review Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. Citation Text: Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international resea…

  4. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
    January 19, 2022 - Study Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. Citation Text: Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive c…

  5. Talking with patients about other clinicians' errors. | PSNet

    psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors
    October 27, 2021 - Study Classic Talking with patients about other clinicians' errors. Citation Text: Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119. Copy Citation …

  6. Effect of noise on auditory processing in the operating room. | PSNet

    psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room
    November 16, 2022 - Study Effect of noise on auditory processing in the operating room. Citation Text: Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. Copy Citation Format: …

  7. Digital Health Literacy | PSNet

    psnet.ahrq.gov/primer/digital-health-literacy
    August 30, 2023 - Digital Health Literacy Citation Text: Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74758/psn-pdf
    February 09, 2022 - Emotional harm in the radiology department: analysis of an underrecognized preventable error. February 9, 2022 Siewert B, Swedeen S, Brook OR, et al. Emotional harm in the radiology department: analysis of an underrecognized preventable error. Radiology. 2022;302(3):613-619. doi:10.1148/radiol.2021211846. https://…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60791/psn-pdf
    August 12, 2020 - Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. August 12, 2020 Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. BMC Health Serv Res. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74726/psn-pdf
    February 02, 2022 - Disclosing adverse events in clinical practice: the delicate act of being open. February 2, 2022 Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.1830550. https://psnet.ahrq.gov/is…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36178/psn-pdf
    September 30, 2010 - Analysis of surgical errors in closed malpractice claims at 4 liability insurers. September 30, 2010 Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. https://psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malp…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44592/psn-pdf
    December 02, 2015 - Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. December 2, 2015 Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47335/psn-pdf
    August 22, 2018 - Seeking answers, hearing silence. August 22, 2018 Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334. doi:10.1377/hlthaff.2017.1535. https://psnet.ahrq.gov/issue/seeking-answers-hearing-silence Lack of transparency regarding errors in patient care contributes to harm, mistr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838972/psn-pdf
    October 27, 2022 - The Unhappy Patient Leaves Against Medical Advice. October 27, 2022 Nichols A. The Unhappy Patient Leaves Against Medical Advice. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice The Case A 61-year-old woman was placed on bedrest following major surgery. Her posto…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861882/psn-pdf
    January 31, 2024 - Patient Safety in Office-Based Care Settings January 31, 2024 Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings The Institute of Medicine’s 2000 publication To Err Is Human summarized res…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867685/psn-pdf
    March 05, 2025 - Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. March 5, 2025 Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operative vaginal birth through multidis…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837730/psn-pdf
    January 01, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. July 28, 2022 Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73217/psn-pdf
    May 05, 2021 - Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021 Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questi…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40355/psn-pdf
    July 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47725/psn-pdf
    March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
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