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  1. Managing and mitigating conflict in healthcare teams: an integrative review. | PSNet

    psnet.ahrq.gov/issue/managing-and-mitigating-conflict-healthcare-teams-integrative-review
    July 19, 2023 - Review Managing and mitigating conflict in healthcare teams: an integrative review. Citation Text: Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903. Copy Citati…

  2. Using HFMEA to assess potential for patient harm from tubing misconnections. | PSNet

    psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections
    April 19, 2013 - Commentary Using HFMEA to assess potential for patient harm from tubing misconnections. Citation Text: Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381. Copy Citation Format: …

  3. Nurses' communication of safety events to nursing home residents and families. | PSNet

    psnet.ahrq.gov/issue/nurses-communication-safety-events-nursing-home-residents-and-families
    September 23, 2020 - Study Nurses' communication of safety events to nursing home residents and families. Citation Text: Wagner LM, Driscoll L, Darlington JL, et al. Nurses' Communication of Safety Events to Nursing Home Residents and Families. J Gerontol Nurs. 2018;44(2):25-32. doi:10.3928/00989134-20171002…

  4. Understanding the peer, manager, and system influence on patient safety. | PSNet

    psnet.ahrq.gov/issue/understanding-peer-manager-and-system-influence-patient-safety
    July 22, 2020 - Study Understanding the peer, manager, and system influence on patient safety. Citation Text: Forbes TH, Wynn J, Anderson T, et al. Understanding the peer, manager, and system influence on patient safety. Nurs Manage. 2020;51(12):36-42. doi:10.1097/01.numa.0000721828.72471.4a. Copy Cit…

  5. Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. | PSNet

    psnet.ahrq.gov/issue/hidden-curricula-ethics-and-professionalism-clinical-learning-environments-becoming-and-being
    June 19, 2019 - Commentary Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. Citation Text: Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimi…

  6. Embracing multiple aims in healthcare improvement and innovation. | PSNet

    psnet.ahrq.gov/issue/embracing-multiple-aims-healthcare-improvement-and-innovation
    June 24, 2020 - Commentary Embracing multiple aims in healthcare improvement and innovation. Citation Text: Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. Copy Citation Fo…

  7. Preventing and mitigating radiology system failures: a guide to disaster planning. | PSNet

    psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning
    November 23, 2016 - Commentary Preventing and mitigating radiology system failures: a guide to disaster planning. Citation Text: Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg…

  8. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

    psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
    June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…

  9. Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet

    psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
    August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

  10. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

    psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
    December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

  11. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. | PSNet

    psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient-retrieval-systems
    March 09, 2016 - Commentary Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Citation Text: Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):9…

  12. Design and implementation of an ICU incident registry. | PSNet

    psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
    February 14, 2024 - Study Design and implementation of an ICU incident registry. Citation Text: van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  13. What context features might be important determinants of the effectiveness of patient safety practice interventions? | PSNet

    psnet.ahrq.gov/issue/what-context-features-might-be-important-determinants-effectiveness-patient-safety-practice
    September 20, 2011 - Study What context features might be important determinants of the effectiveness of patient safety practice interventions? Citation Text: Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions?…

  14. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
    September 28, 2010 - Study Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. Citation Text: Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …

  15. Chief resident for quality improvement and patient safety: a description. | PSNet

    psnet.ahrq.gov/issue/chief-resident-quality-improvement-and-patient-safety-description
    July 02, 2014 - Commentary Chief resident for quality improvement and patient safety: a description. Citation Text: Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034. Copy Citat…

  16. Implementing an error disclosure coaching model: a multicenter case study. | PSNet

    psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
    May 11, 2016 - Study Implementing an error disclosure coaching model: a multicenter case study. Citation Text: White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260. Copy Citati…

  17. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet

    psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
    September 10, 2014 - Study Improved incident reporting following the implementation of a standardized emergency department peer review process. Citation Text: Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …

  18. Framing patient safety initiatives: working model and case example. | PSNet

    psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
    April 05, 2017 - Commentary Framing patient safety initiatives: working model and case example. Citation Text: Kruger N, Hurley A, Gustafson M. Framing patient safety initiatives: working model and case example. J Nurs Adm. 2006;36(4):200-204. Copy Citation Format: Google Scholar PubMed B…

  19. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-comparing-experiences-surgical-safety-checklist-hospitals-high-income-and
    June 16, 2021 - Study A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries. Citation Text: Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-…

  20. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. | PSNet

    psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
    February 19, 2020 - Commentary Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. Citation Text: Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's p…
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