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7441. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  | PSNet
      psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
      January 16, 2019 - Government Resource The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Citation Text: The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Kutner M, Greenberg E, Jin Y, et al. Washin…

7442. Where should patient safety be installed? | PSNet
      psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
      October 05, 2022 - Commentary Where should patient safety be installed? Citation Text: Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17. doi:10.1002/jhrm.21285. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

7443. Critical laboratory value notification: a failure mode effects and criticality analysis. | PSNet
      psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
      June 27, 2018 - Commentary Critical laboratory value notification: a failure mode effects and criticality analysis. Citation Text: Saxena S, Kempf R, Wilcox S, et al. Critical laboratory value notification: a failure mode effects and criticality analysis. Jt Comm J Qual Patient Saf. 2005;31(9):495-506…

7444. Instrument count sheets and set reviews as patient safety tools. | PSNet
      psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
      February 28, 2011 - Commentary Instrument count sheets and set reviews as patient safety tools. Citation Text: Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007. Copy Citation Format: DOI Google Scholar PubMed …

7445. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. | PSNet
      psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-updated-edition
      March 27, 2005 - Book/Report Classic Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. Citation Text: Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. Wachter R, Shojan…

7446. Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. | PSNet
      psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
      May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9…

7447. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet
      psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
      June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

7448. Barriers to adverse event and error reporting in anesthesia. | PSNet
      psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
      April 19, 2017 - Study Barriers to adverse event and error reporting in anesthesia. Citation Text: Heard GC, Sanderson PM, Thomas RD. Barriers to Adverse Event and Error Reporting in Anesthesia. Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8. Copy Citation Format: D…

7449. Many people of color worry good health care is tied to their appearance. | PSNet
      psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
      September 20, 2023 - Newspaper/Magazine Article Many people of color worry good health care is tied to their appearance. Citation Text: Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023 Copy Citation Save Save to y…

7450. Defending a "never event." | PSNet
      psnet.ahrq.gov/issue/defending-never-event
      February 14, 2017 - Commentary Defending a "never event." Citation Text: Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7451. Mistakes, Errors and Failures across Cultures. | PSNet
      psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
      January 20, 2021 - Book/Report Mistakes, Errors and Failures across Cultures. Citation Text: Mistakes, Errors and Failures across Cultures. Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739 Copy Citation Save Save to your library P…

7452. Judging whether a patient is actually improving: more pitfalls from the science of human perception. | PSNet
      psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
      September 04, 2019 - Review Judging whether a patient is actually improving: more pitfalls from the science of human perception. Citation Text: Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…

7453. Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. | PSNet
      psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
      October 14, 2015 - Study Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. Citation Text: Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. …

7454. Human reliability analysis: a critique and review for managers. | PSNet
      psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
      November 21, 2021 - Review Human reliability analysis: a critique and review for managers. Citation Text: French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008. Copy Citation Format: DOI Go…

7455. Hospitalized patients' understanding of their plan of care. | PSNet
      psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-plan-care
      June 11, 2010 - Study Hospitalized patients' understanding of their plan of care. Citation Text: O'Leary KJ, Kulkarni N, Landler MP, et al. Hospitalized patients' understanding of their plan of care. Mayo Clin Proc. 2010;85(1):47-52. doi:10.4065/mcp.2009.0232. Copy Citation Format: DOI Goo…

7456. Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. | PSNet
      psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
      November 18, 2011 - Book/Report Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Citation Text: Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Adams M, Bates D, Coffman G, et al. Bosto…

7457. Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. | PSNet
      psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
      August 21, 2019 - Book/Report Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Citation Text: Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …

7458. Building high reliability teams: progress and some reflections on teamwork training. | PSNet
      psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
      March 21, 2017 - Commentary Building high reliability teams: progress and some reflections on teamwork training. Citation Text: Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015. Copy C…

7459. A cycle of redemption in a medical error disclosure and apology program. | PSNet
      psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
      July 17, 2024 - Commentary A cycle of redemption in a medical error disclosure and apology program. Citation Text: Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res. 2014;24(6):860-869. Copy Citation Format: Google Scholar PubMed BibTeX En…

7460. Error disclosure and apology in radiology: the case for further dialogue. | PSNet
      psnet.ahrq.gov/issue/error-disclosure-and-apology-radiology-case-further-dialogue
      October 19, 2022 - Commentary Error disclosure and apology in radiology: the case for further dialogue. Citation Text: Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126. Copy Citation …