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  1. AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. | PSNet

    psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
    October 23, 2019 - Book/Report AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Citation Text: AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…

  2. Partnering to prevent falls: using a multimodal multidisciplinary team. | PSNet

    psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
    June 22, 2010 - Commentary Partnering to prevent falls: using a multimodal multidisciplinary team. Citation Text: Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. Copy Citation Format: …

  3. Training Program for Nurses on Shift Work and Long Work Hours. | PSNet

    psnet.ahrq.gov/issue/training-program-nurses-shift-work-and-long-work-hours
    October 28, 2020 - Audiovisual Training Program for Nurses on Shift Work and Long Work Hours. Citation Text: Training Program for Nurses on Shift Work and Long Work Hours. Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health…

  4. Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. | PSNet

    psnet.ahrq.gov/issue/tragedy-policy-quantitative-study-nurses-attitudes-toward-patient-advocacy-activities
    June 01, 2011 - Study Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. Citation Text: Black LM. Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. Am J Nurs. 2011;111(6):26-37. doi:10.1097/01.NAJ.0000398537…

  5. Americans' Experiences With Medical Errors and Views on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
    January 06, 2015 - Book/Report Classic Americans' Experiences With Medical Errors and Views on Patient Safety. Citation Text: Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…

  6. Good and bad reasons: the Swiss cheese model and its critics. | PSNet

    psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics
    September 14, 2022 - Commentary Classic Good and bad reasons: the Swiss cheese model and its critics. Citation Text: Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci. 2020;126:104660. doi:10.1016/j.ssci.2020.104660. Copy Citation …

  7. Improving the quality of health care: who will lead? | PSNet

    psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead
    June 14, 2011 - Commentary Classic Improving the quality of health care: who will lead? Citation Text: Becher EC, Chassin MR. Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. Copy Citation Format: Google Scholar PubM…

  8. Development of a pediatric adverse events terminology. | PSNet

    psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
    November 16, 2022 - Commentary Development of a pediatric adverse events terminology. Citation Text: Gipson DS, Kirkendall E, Gumbs-Petty B, et al. Development of a Pediatric Adverse Events Terminology. Pediatrics. 2017;139(1). doi:10.1542/peds.2016-0985. Copy Citation Format: DOI Google Schol…

  9. Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
    April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…

  10. Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
    January 22, 2016 - Review Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. Citation Text: Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. Copy Citati…

  11. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
    February 15, 2023 - Study Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Citation Text: Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.339…

  12. Frequency of medication administration timing error in hospitals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-administration-timing-error-hospitals-systematic-review
    March 15, 2023 - Review Frequency of medication administration timing error in hospitals: a systematic review. Citation Text: Pullam T, Russell CL, White-Lewis S. Frequency of medication administration timing error in hospitals: a systematic review. J Nurs Care Qual. 2023;38(2):126-133. doi:10.1097/ncq.0…

  13. Variation in the reporting of elective surgeries and its influence on patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
    June 30, 2021 - Study Variation in the reporting of elective surgeries and its influence on patient safety indicators. Citation Text: Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(…

  14. Near miss research in the healthcare system: a scoping review. | PSNet

    psnet.ahrq.gov/issue/near-miss-research-healthcare-system-scoping-review
    July 15, 2020 - Review Near miss research in the healthcare system: a scoping review. Citation Text: Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. Copy Citation Format: …

  15. Identifying diagnostic errors in primary care using an electronic screening algorithm. | PSNet

    psnet.ahrq.gov/issue/identifying-diagnostic-errors-primary-care-using-electronic-screening-algorithm
    April 04, 2011 - Study Identifying diagnostic errors in primary care using an electronic screening algorithm. Citation Text: Singh H, Thomas EJ, Khan MM, et al. Identifying diagnostic errors in primary care using an electronic screening algorithm. Arch Intern Med. 2007;167(3):302-308. Copy Citation …

  16. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
    November 15, 2023 - Study Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. Citation Text: Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…

  17. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. | PSNet

    psnet.ahrq.gov/issue/organisational-readiness-exploring-preconditions-success-organisation-wide-patient-safety
    February 01, 2011 - Study Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. Citation Text: Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety im…

  18. Improving maternal safety at scale with the mentor model of collaborative improvement. | PSNet

    psnet.ahrq.gov/issue/improving-maternal-safety-scale-mentor-model-collaborative-improvement
    March 31, 2021 - Study Improving maternal safety at scale with the mentor model of collaborative improvement. Citation Text: Main EK, Dhurjati R, Cape V, et al. Improving Maternal Safety at Scale with the Mentor Model of Collaborative Improvement. Jt Comm J Qual Patient Saf. 2018;44(5):250-259. doi:10.10…

  19. Transforming healthcare: a safety imperative. | PSNet

    psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
    June 26, 2019 - Commentary Classic Transforming healthcare: a safety imperative. Citation Text: Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Health Care. 2009;18(6):424-8. doi:10.1136/qshc.2009.036954. Copy Citation Format: …

  20. Decision fatigue in hospital settings: a scoping review. | PSNet

    psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review
    November 16, 2022 - Review Decision fatigue in hospital settings: a scoping review. Citation Text: Perry K, Jones S, Stumpff JC, et al. Decision fatigue in hospital settings: a scoping review. J Hosp Med. 2024;Epub Nov 11. doi:10.1002/jhm.13550. Copy Citation Format: DOI Google Scholar BibTeX …
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