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  1. A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet

    psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
    April 05, 2013 - Study A coaching program to improve employee engagement, culture of safety, and patient experience. Citation Text: Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…

  2. Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet

    psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
    February 08, 2023 - Study Restorative just culture: an exploration of the enabling conditions for successful implementation. Citation Text: Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…

  3. Psychology insights on apologizing to patients. | PSNet

    psnet.ahrq.gov/issue/psychology-insights-apologizing-patients
    March 27, 2024 - Commentary Psychology insights on apologizing to patients. Citation Text: Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  4. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. | PSNet

    psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
    April 24, 2019 - Newspaper/Magazine Article Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. Citation Text: Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…

  5. Hospital checklists are meant to save lives—so why do they often fail? | PSNet

    psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail
    July 31, 2013 - Newspaper/Magazine Article Hospital checklists are meant to save lives—so why do they often fail? Citation Text: Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. Copy Citation Format: DOI G…

  6. A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. | PSNet

    psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
    May 11, 2016 - Study A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. Citation Text: Castner J, Foltz-Ramos K, Schwartz DG, et al. A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. J Nurs Adm. 2012;42(10):467-47…

  7. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. | PSNet

    psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
    October 19, 2022 - Study A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Citation Text: Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…

  8. Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. | PSNet

    psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
    August 24, 2022 - Toolkit Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Citation Text: Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. …

  9. Medical Device Use Error: Root Cause Analysis. | PSNet

    psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
    January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. Copy Citation Save Save to your library Print Down…

  10. Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. | PSNet

    psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
    April 05, 2023 - Commentary Emerging Classic Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. Citation Text: Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…

  11. Factors associated with diagnostic error: an analysis of closed medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
    July 13, 2022 - Study Factors associated with diagnostic error: an analysis of closed medical malpractice claims. Citation Text: Grenon V, Szymonifka J, Adler-Milstein J, et al. Factors associated with diagnostic error: an analysis of closed medical malpractice claims. J Patient Saf. 2023;19(3):211-215.…

  12. Safe use of health information technology. | PSNet

    psnet.ahrq.gov/issue/safe-use-health-information-technology
    December 23, 2016 - Sentinel Event Alerts Safe use of health information technology. Citation Text: Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6. Copy Citation Save Save to your library Print Download PDF Share Faceb…

  13. Trends in anesthesia-related liability and lessons learned. | PSNet

    psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
    August 22, 2018 - Review Trends in anesthesia-related liability and lessons learned. Citation Text: Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. Copy Citation Format: DOI Go…

  14. Incomplete care—on the trail of flaws in the system. | PSNet

    psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
    February 17, 2011 - Commentary Incomplete care—on the trail of flaws in the system. Citation Text: Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313. Copy Citation Format: DOI Google Scholar PubMed B…

  15. Teamwork during resuscitation. | PSNet

    psnet.ahrq.gov/issue/teamwork-during-resuscitation
    January 21, 2017 - Review Teamwork during resuscitation. Citation Text: Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am. 2008;55(4):1011-24, xi-xii. doi:10.1016/j.pcl.2008.04.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  16. Medical students' experiences with medical errors: an analysis of medical student essays. | PSNet

    psnet.ahrq.gov/issue/medical-students-experiences-medical-errors-analysis-medical-student-essays
    June 22, 2022 - Study Medical students' experiences with medical errors: an analysis of medical student essays. Citation Text: Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x. …

  17. Evaluation of a redesign initiative in an internal-medicine residency. | PSNet

    psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
    February 17, 2011 - Study Evaluation of a redesign initiative in an internal-medicine residency. Citation Text: McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. Copy Citation …

  18. A vision for patient-centered health information systems. | PSNet

    psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems
    April 12, 2011 - Commentary A vision for patient-centered health information systems. Citation Text: Krist AH, Woolf SH. A vision for patient-centered health information systems. JAMA. 2011;305(3):300-1. doi:10.1001/jama.2010.2011. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  19. Patient-assisted incident reporting: including the patient in patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
    June 16, 2011 - Commentary Patient-assisted incident reporting: including the patient in patient safety. Citation Text: Millman A, Pronovost P, Makary MA, et al. Patient-assisted incident reporting: including the patient in patient safety. J Patient Saf. 2011;7(2):106-8. doi:10.1097/PTS.0b013e31821b3c…

  20. What causes prescribing errors in children? Scoping review. | PSNet

    psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
    September 09, 2015 - Review What causes prescribing errors in children? Scoping review. Citation Text: Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. Copy Citation Format: DOI Google …
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