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  1. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. | PSNet

    psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
    April 18, 2019 - Commentary Addressing racial and ethnic bias in pulse oximeters—a wicked problem. Citation Text: Shachar C, Drabo EF, Iwashyna TJ, et al. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. JAMA. 2025;333(7):563-564. doi:10.1001/jama.2024.25443. Copy Citation For…

  2. Instruments for patient safety assessment: a scoping review. | PSNet

    psnet.ahrq.gov/issue/instruments-patient-safety-assessment-scoping-review
    October 12, 2022 - Review Instruments for patient safety assessment: a scoping review. Citation Text: Nunes E, Sirtoli F, Lima E, et al. Instruments for patient safety assessment: a scoping review. Healthcare. 2024;12(20):2075. doi:10.3390/healthcare12202075. Copy Citation Format: DOI Google …

  3. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. | PSNet

    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
    July 08, 2020 - Study Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Citation Text: Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555. Copy …

  4. Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice. | PSNet

    psnet.ahrq.gov/issue/nurse-physician-teamwork-emergency-department-impact-perceptions-job-environment-autonomy-and
    November 04, 2012 - Study Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice. Citation Text: Ajeigbe DO, McNeese-Smith D, Leach LS, et al. Nurse-physician teamwork in the emergency department: impact on perceptions of job env…

  5. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. | PSNet

    psnet.ahrq.gov/issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-preceptors
    September 24, 2016 - Study Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. Citation Text: Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928…

  6. Modes of failure in venous thromboembolism prophylaxis. | PSNet

    psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
    October 19, 2022 - Study Modes of failure in venous thromboembolism prophylaxis. Citation Text: Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. Copy Citation Format: DOI Google Scholar…

  7. Dispensing error rates in pharmacy: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
    June 10, 2020 - Review Dispensing error rates in pharmacy: a systematic review and meta-analysis. Citation Text: Um IS, Clough A, Tan ECK. Dispensing error rates in pharmacy: a systematic review and meta-analysis. Res Social Adm Pharm. 2024;20(1):1-9. doi:10.1016/j.sapharm.2023.10.003. Copy Citation …

  8. Learning from latent safety threats identified during simulation to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
    June 10, 2020 - Study Learning from latent safety threats identified during simulation to improve patient safety. Citation Text: Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):…

  9. Therapeutic duplication on the general surgical wards. | PSNet

    psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards
    December 22, 2021 - Study Therapeutic duplication on the general surgical wards. Citation Text: Huynh I, Rajendran T. Therapeutic duplication on the general surgical wards. BMJ Open Qual. 2021;10(3):e001363. doi:10.1136/bmjoq-2021-001363. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  10. Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. | PSNet

    psnet.ahrq.gov/issue/association-between-electronic-health-record-implementations-and-hospital-acquired-conditions
    September 01, 2016 - Study Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. Citation Text: Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations and hospital-acquired conditions in pediatric …

  11. Racism and electronic health records (EHRs): perspectives for research and practice. | PSNet

    psnet.ahrq.gov/issue/racism-and-electronic-health-records-ehrs-perspectives-research-and-practice
    March 27, 2024 - Commentary Racism and electronic health records (EHRs): perspectives for research and practice. Citation Text: Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jami…

  12. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. | PSNet

    psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
    March 17, 2021 - Study Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Citation Text: Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …

  13. Validating patient safety in the endoscopy unit using The Joint Commission standards. | PSNet

    psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
    March 02, 2011 - Commentary Validating patient safety in the endoscopy unit using The Joint Commission standards. Citation Text: Ragsdale JA. Validating patient safety in the endoscopy unit using the joint commission standards. Gastroenterol Nurs. 2011;34(3):218-23. doi:10.1097/SGA.0b013e3181d6e4b1. …

  14. Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. | PSNet

    psnet.ahrq.gov/issue/peer-feedback-learning-and-improvement-answering-call-institute-medicine-report-diagnostic
    March 20, 2024 - Commentary Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. Citation Text: Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…

  15. Participation in EHR based simulation improves recognition of patient safety issues. | PSNet

    psnet.ahrq.gov/issue/participation-ehr-based-simulation-improves-recognition-patient-safety-issues
    April 24, 2013 - Study Participation in EHR based simulation improves recognition of patient safety issues. Citation Text: Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-22…

  16. Diffusing aviation innovations in a hospital in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
    August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. Citation Text: de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. Copy Citation Format: Go…

  17. How do we learn about error? A cross-sectional study of urology trainees. | PSNet

    psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
    October 21, 2010 - Study How do we learn about error? A cross-sectional study of urology trainees. Citation Text: Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. Copy Citation Fo…

  18. Patient safety stories: a project utilizing narratives in resident training. | PSNet

    psnet.ahrq.gov/issue/patient-safety-stories-project-utilizing-narratives-resident-training
    May 10, 2016 - Study Patient safety stories: a project utilizing narratives in resident training. Citation Text: Cox LAM, Logio LS. Patient safety stories: a project utilizing narratives in resident training. Acad Med. 2011;86(11):1473-8. doi:10.1097/ACM.0b013e318230efaa. Copy Citation Format: …

  19. Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. | PSNet

    psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
    April 26, 2006 - Book/Report Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Citation Text: Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Washington, DC: VA Office of Inspector General; April 20, 201…

  20. Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet

    psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
    July 29, 2020 - Study Determinants of patient-reported medication errors: a comparison among seven countries. Citation Text: Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…
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