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Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. | PSNet

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December 27, 2014 - Study Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. Citation Text: Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…

Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. | PSNet

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July 13, 2010 - Study Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Citation Text: Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…

Implicit bias in healthcare: clinical practice, research and decision making. | PSNet

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May 25, 2022 - Review Classic Implicit bias in healthcare: clinical practice, research and decision making. Citation Text: Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. d…

A war on two fronts: cancer care in the time of COVID-19. | PSNet

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March 12, 2025 - Commentary A war on two fronts: cancer care in the time of COVID-19. Citation Text: Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133. Copy Citation Format: DOI Goo…

How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. | PSNet

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September 23, 2020 - Study Classic How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Citation Text: Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…

Laboratory testing in general practice: a patient safety blind spot. | PSNet

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July 29, 2015 - Commentary Laboratory testing in general practice: a patient safety blind spot. Citation Text: Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. Copy Citation Format: DOI Google Sc…

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet

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June 17, 2020 - Study Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. Citation Text: Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…

Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. | PSNet

psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives

April 13, 2011 - Study Classic Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. Citation Text: Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…

Hospital Survey on Patient Safety Culture: 2018 User Database Report. | PSNet

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May 02, 2018 - Book/Report Hospital Survey on Patient Safety Culture: 2018 User Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publicat…

Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. | PSNet

psnet.ahrq.gov/issue/practice-and-quality-improvement-successful-implementation-teamstepps-tools-academic

April 17, 2019 - Study Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. Citation Text: Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic i…

Exploring relationships between hospital patient safety culture and adverse events. | PSNet

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August 27, 2012 - Study Exploring relationships between hospital patient safety culture and adverse events. Citation Text: Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1…

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety

January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. Citation Text: Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. | PSNet

psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-review-ihi-response

March 13, 2013 - Commentary Classic Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. Citation Text: Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. Copy Cit…

Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? | PSNet

psnet.ahrq.gov/issue/predicting-computerized-physician-order-entry-system-adoption-us-hospitals-can-federal

October 06, 2011 - Study Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? Citation Text: Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met?…

Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet

psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability

March 01, 2023 - Study Race differences in reported "near miss" patient safety events in health care system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. J …

Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

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January 23, 2017 - Study Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. Citation Text: Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and …

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet

psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure

May 08, 2017 - Study Classic Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Citation Text: Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flaw…

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. | PSNet

psnet.ahrq.gov/issue/understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews

September 11, 2018 - Book/Report Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. Citation Text: Understanding the knowledge gaps in whistleblowing and speaking up…

PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. | PSNet

psnet.ahrq.gov/issue/presafe-model-barriers-and-facilitators-patients-providing-feedback-experiences-safety

January 08, 2020 - Study PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Citation Text: De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(…

What is the scale of prescribing errors committed by junior doctors? A systematic review. | PSNet

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January 30, 2013 - Review What is the scale of prescribing errors committed by junior doctors? A systematic review. Citation Text: Ross S, Bond C, Rothnie H, et al. What is the scale of prescribing errors committed by junior doctors? A systematic review. Br J Clin Pharmacol. 2009;67(6):629-40. doi:10.111…

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