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  1. Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. | PSNet

    psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
    March 11, 2020 - Study Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. Citation Text: Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on med…

  2. Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
    October 19, 2022 - Commentary Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. Citation Text: Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …

  3. Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. | PSNet

    psnet.ahrq.gov/issue/novel-use-electronic-whiteboard-operating-room-increases-surgical-team-compliance-pre
    March 20, 2013 - Study Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. Citation Text: Mainthia R, Lockney T, Zotov A, et al. Novel use of electronic whiteboard in the operating room increases surgical team compliance with p…

  4. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
    April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

  5. Identification of poor performance in a national medical workforce over 11 years: an observational study. | PSNet

    psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
    August 12, 2014 - Study Identification of poor performance in a national medical workforce over 11 years: an observational study. Citation Text: Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…

  6. Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care
    January 12, 2011 - Review Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. Citation Text: Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…

  7. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. | PSNet

    psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
    September 01, 2021 - Commentary Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. Citation Text: MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…

  8. Evaluation of a nurse-led safety program in a critical care unit. | PSNet

    psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
    June 03, 2013 - Study Evaluation of a nurse-led safety program in a critical care unit. Citation Text: Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3. Copy Citation F…

  9. Failure events in transition of care for surgical patients. | PSNet

    psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
    October 19, 2022 - Study Failure events in transition of care for surgical patients. Citation Text: Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. Copy Citation Format: …

  10. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. | PSNet

    psnet.ahrq.gov/issue/health-care-information-technology-vendors-hold-harmless-clause-implications-patients-and
    October 13, 2018 - Commentary Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. Citation Text: Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):12…

  11. High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. | PSNet

    psnet.ahrq.gov/issue/high-alert-medication-administration-and-intravenous-smart-pumps-descriptive-analysis
    December 12, 2018 - Study High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. Citation Text: Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res S…

  12. Improving medication safety in primary care using electronic health records. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
    April 23, 2008 - Study Improving medication safety in primary care using electronic health records. Citation Text: Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43. Copy Citation Format: Google Scholar PubM…

  13. How teams work—or don’t—in primary care: a field study on internal medicine practices. | PSNet

    psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices
    November 28, 2012 - Study How teams work—or don’t—in primary care: a field study on internal medicine practices. Citation Text: Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…

  14. Miscoding, misclassification and misdiagnosis of diabetes in primary care. | PSNet

    psnet.ahrq.gov/issue/miscoding-misclassification-and-misdiagnosis-diabetes-primary-care
    September 23, 2020 - Study Miscoding, misclassification and misdiagnosis of diabetes in primary care. Citation Text: de Lusignan S, Sadek N, Mulnier H, et al. Miscoding, misclassification and misdiagnosis of diabetes in primary care. Diabet Med. 2012;29(2):181-9. doi:10.1111/j.1464-5491.2011.03419.x. Cop…

  15. Structural racism and health inequities in the USA: evidence and interventions. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-health-inequities-usa-evidence-and-interventions
    December 17, 2020 - Commentary Structural racism and health inequities in the USA: evidence and interventions. Citation Text: Bailey ZD, Krieger N, Agénor M, et al. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453-1463. doi:10.1016/s0140-6736(17)30…

  16. Racial disparities in child abuse medicine. | PSNet

    psnet.ahrq.gov/issue/racial-disparities-child-abuse-medicine
    June 15, 2022 - Commentary Racial disparities in child abuse medicine. Citation Text: Rosenthal CM, Parker DM, Thompson LA. Racial disparities in child abuse medicine. JAMA Pediatr. 2022;176(2):119-120. doi:10.1001/jamapediatrics.2021.3601. Copy Citation Format: DOI Google Scholar BibTeX E…

  17. Persistent noncompliance with the work-hour regulation. | PSNet

    psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation
    February 08, 2023 - Study Persistent noncompliance with the work-hour regulation. Citation Text: Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation. Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337. Copy Citation Format: DOI Goo…

  18. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

    psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide
    September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

  19. Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? | PSNet

    psnet.ahrq.gov/issue/duty-hour-limits-and-patient-care-and-resident-outcomes-can-high-quality-studies-offer
    July 10, 2017 - Review Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? Citation Text: Philibert I, Nasca TJ, Brigham T, et al. Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into…

  20. Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

    psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report
    May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…
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