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  1. Patient misidentification in the neonatal intensive care unit: quantification of risk. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk
    April 11, 2011 - Study Patient misidentification in the neonatal intensive care unit: quantification of risk. Citation Text: Gray J, Suresh G, Ursprung R, et al. Patient misidentification in the neonatal intensive care unit: quantification of risk. Pediatrics. 2006;117(1):e43-e47. Copy Citation F…

  2. Eight critical factors in creating and implementing a successful simulation program. | PSNet

    psnet.ahrq.gov/issue/eight-critical-factors-creating-and-implementing-successful-simulation-program
    August 27, 2014 - Commentary Eight critical factors in creating and implementing a successful simulation program. Citation Text: Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. …

  3. I-PASS, a mnemonic to standardize verbal handoffs. | PSNet

    psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
    November 12, 2014 - Commentary I-PASS, a mnemonic to standardize verbal handoffs. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. Copy Citation Format: DOI Google Scholar…

  4. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

  5. Issues and complexities in safety culture assessment in healthcare. | PSNet

    psnet.ahrq.gov/issue/issues-and-complexities-safety-culture-assessment-healthcare
    October 09, 2024 - Commentary Issues and complexities in safety culture assessment in healthcare. Citation Text: Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. Copy Citation …

  6. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
    January 25, 2023 - Study Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. Citation Text: Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…

  7. Incidence, staff awareness and mortality of patients at risk on general wards. | PSNet

    psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards
    November 15, 2023 - Study Incidence, staff awareness and mortality of patients at risk on general wards. Citation Text: Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…

  8. The underappreciated role of habit in highly reliable healthcare. | PSNet

    psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
    April 25, 2016 - Commentary The underappreciated role of habit in highly reliable healthcare. Citation Text: Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512. Copy Citation Format: DOI Goog…

  9. Why even good physicians do not wash their hands. | PSNet

    psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands
    September 21, 2022 - Commentary Why even good physicians do not wash their hands. Citation Text: Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  10. Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. | PSNet

    psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
    August 29, 2018 - Review Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. Citation Text: Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…

  11. Safety organizing, emotional exhaustion, and turnover in hospital nursing units. | PSNet

    psnet.ahrq.gov/issue/safety-organizing-emotional-exhaustion-and-turnover-hospital-nursing-units
    April 04, 2012 - Study Safety organizing, emotional exhaustion, and turnover in hospital nursing units. Citation Text: Vogus TJ, Cooil B, Sitterding M, et al. Safety organizing, emotional exhaustion, and turnover in hospital nursing units. Med Care. 2014;52(10):870-6. doi:10.1097/MLR.0000000000000169. …

  12. Intern to attending: assessing stress among physicians. | PSNet

    psnet.ahrq.gov/issue/intern-attending-assessing-stress-among-physicians
    February 22, 2011 - Study Intern to attending: assessing stress among physicians. Citation Text: Stucky E, Dresselhaus TR, Dollarhide A, et al. Intern to attending: assessing stress among physicians. Acad Med. 2009;84(2):251-7. doi:10.1097/ACM.0b013e3181938aad. Copy Citation Format: DOI Goog…

  13. A patient safety checklist for the cardiac catheterisation laboratory. | PSNet

    psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
    October 19, 2022 - Commentary A patient safety checklist for the cardiac catheterisation laboratory. Citation Text: Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. Copy Citation …

  14. Medical emergency teams: a strategy for improving patient care and nursing work environments. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-teams-strategy-improving-patient-care-and-nursing-work-environments
    March 24, 2011 - Study Medical emergency teams: a strategy for improving patient care and nursing work environments. Citation Text: Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-7. Copy C…

  15. Legal and policy interventions to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/legal-and-policy-interventions-improve-patient-safety
    February 17, 2011 - Review Legal and policy interventions to improve patient safety. Citation Text: Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety. Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880. Copy Citation Format: …

  16. Malpractice liability and health care quality: a review | PSNet

    psnet.ahrq.gov/issue/malpractice-liability-and-health-care-quality-review
    April 13, 2011 - Review Emerging Classic Malpractice liability and health care quality: a review Citation Text: Mello MM, Frakes MD, Blumenkranz E, et al. Malpractice liability and health care quality: A review . JAMA. 2020;323(4):352-366. doi:10.1001/jama.2019.21411. Copy Cit…

  17. Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. | PSNet

    psnet.ahrq.gov/issue/occupational-health-and-organizational-culture-within-healthcare-setting-challenges
    December 08, 2021 - Book/Report Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. Citation Text: Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. Tran Y, Ellis LA, Clay-Willia…

  18. Headline-grabbing study brings attention back to medical errors. | PSNet

    psnet.ahrq.gov/issue/headline-grabbing-study-brings-attention-back-medical-errors
    August 16, 2017 - Journal Article Headline-grabbing study brings attention back to medical errors. Citation Text: Abbasi J. Headline-Grabbing Study Brings Attention Back to Medical Errors. JAMA. 2016;316(7):698-700. doi:10.1001/jama.2016.8073. Copy Citation Format: DOI Google Scholar PubMed …

  19. Quality and Safety Between Ward and Board: a Biography of Artefacts Study. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
    April 19, 2017 - Government Resource Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Citation Text: Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…

  20. Rethinking medical ward quality. | PSNet

    psnet.ahrq.gov/issue/rethinking-medical-ward-quality
    November 03, 2015 - Commentary Rethinking medical ward quality. Citation Text: Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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