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  1. Mary Lanning Memorial Hospital: communication is key. | PSNet

    psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key
    July 16, 2015 - Award Recipient Mary Lanning Memorial Hospital: communication is key. Citation Text: Lindblad B, Chilcott J, Rolls L. Mary Lanning Memorial Hospital: communication is key. Joint Commission journal on quality and safety. 2004;30(10):551-8. Copy Citation Format: Google Schola…

  2. Chasing the 6-sigma: drawing lessons from the cockpit culture. | PSNet

    psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons-cockpit-culture
    April 22, 2015 - Commentary Chasing the 6-sigma: drawing lessons from the cockpit culture. Citation Text: Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. Copy Citation F…

  3. Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet

    psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
    August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…

  4. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. | PSNet

    psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
    January 10, 2011 - Commentary Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Citation Text: Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix. Copy Citation Format…

  5. 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…

  6. A handoff is not a telegram: an understanding of the patient is co-constructed. | PSNet

    psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
    September 03, 2014 - Commentary A handoff is not a telegram: an understanding of the patient is co-constructed. Citation Text: Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536. Copy Citation…

  7. Unprofessional workplace conduct...defining and defusing it. | PSNet

    psnet.ahrq.gov/issue/unprofessional-workplace-conductdefining-and-defusing-it
    November 12, 2014 - Commentary Unprofessional workplace conduct...defining and defusing it. Citation Text: MacLean L, Coombs C, Breda K. Unprofessional workplace conduct..defining and defusing it. Nurs Manage. 2016;47(9):30-34. doi:10.1097/01.NUMA.0000491126.68354.be. Copy Citation Format: DOI…

  8. Beyond medication reconciliation: the correct medication list. | PSNet

    psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
    February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…

  9. 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. | PSNet

    psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
    August 12, 2020 - Newspaper/Magazine Article 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. Citation Text: 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…

  10. A national survey of safe practice with epidural analgesia in obstetric units. | PSNet

    psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
    July 28, 2021 - Study A national survey of safe practice with epidural analgesia in obstetric units. Citation Text: Jones R, Swales HA, Lyons GR. A national survey of safe practice with epidural analgesia in obstetric units. Anaesthesia. 2008;63(5):516-9. doi:10.1111/j.1365-2044.2007.05398.x. Copy C…

  11. Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet

    psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
    November 01, 2017 - Review Emerging Classic Overdiagnosis in primary care: framing the problem and finding solutions. Citation Text: Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. Copy C…

  12. Safety in home care: a broadened perspective of patient safety. | PSNet

    psnet.ahrq.gov/issue/safety-home-care-broadened-perspective-patient-safety
    December 04, 2016 - Commentary Safety in home care: a broadened perspective of patient safety. Citation Text: Lang A, Edwards N, Fleiszer A. Safety in home care: a broadened perspective of patient safety. International Journal for Quality in Health Care. 2007;20(2). doi:10.1093/intqhc/mzm068. Copy Citat…

  13. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. | PSNet

    psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors
    July 15, 2015 - Commentary Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. Citation Text: Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s0…

  14. EACTS guidelines for the use of patient safety checklists. | PSNet

    psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklists
    October 31, 2012 - Commentary EACTS guidelines for the use of patient safety checklists. Citation Text: Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009. Copy Citation Format: …

  15. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. | PSNet

    psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
    January 13, 2021 - Review Review: bringing patient safety to the forefront through structured computerisation during clinical handover. Citation Text: Matic J, Davidson PM, Salamonson Y. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J Clin N…

  16. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
    November 16, 2022 - Commentary Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. Citation Text: Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4. Copy Citation …

  17. Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-teamwork-hospitals-review-and-practical-recommendations-improvement
    October 10, 2012 - Review Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. Citation Text: O'Leary KJ, Sehgal NL, Terrell G, et al. Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. J Hosp Med. 2012;7(1):48-54. do…

  18. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. | PSNet

    psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
    December 16, 2020 - Study Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Citation Text: Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. C…

  19. Can the aviation industry be useful in teaching oncology about safety? | PSNet

    psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
    June 13, 2011 - Commentary Can the aviation industry be useful in teaching oncology about safety? Citation Text: Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. Copy Citation …

  20. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. | PSNet

    psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
    July 10, 2017 - Study Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. Citation Text: Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …
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