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  1. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. | PSNet

    psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or
    October 26, 2022 - Study Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Citation Text: Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …

  2. The role of error in organizing behaviour. | PSNet

    psnet.ahrq.gov/issue/role-error-organizing-behaviour
    April 21, 2011 - Study Classic The role of error in organizing behaviour. Citation Text: Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. Copy Citation Format: DOI Google Scholar BibTeX End…

  3. Incorporating medication indications into the prescribing process. | PSNet

    psnet.ahrq.gov/issue/incorporating-medication-indications-prescribing-process
    May 01, 2019 - Commentary Emerging Classic Incorporating medication indications into the prescribing process. Citation Text: Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.…

  4. A typology of electronic health record workarounds in small-to-medium size primary care practices. | PSNet

    psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices
    November 30, 2016 - Study A typology of electronic health record workarounds in small-to-medium size primary care practices. Citation Text: Friedman A, Crosson JC, Howard J, et al. A typology of electronic health record workarounds in small-to-medium size primary care practices. J Am Med Inform Assoc. 2014;…

  5. Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

    psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
    September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

  6. Critical Issues in Food Allergy: A National Academies Consensus Report. | PSNet

    psnet.ahrq.gov/issue/critical-issues-food-allergy-national-academies-consensus-report
    November 16, 2022 - Commentary Critical Issues in Food Allergy: A National Academies Consensus Report. Citation Text: Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194. Copy Citation Format: …

  7. Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. | PSNet

    psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
    August 03, 2017 - Study Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. Citation Text: Tyynismaa L, Honkala A, Airaksinen M, et al. Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Erro…

  8. Augmenting health care failure modes and effects analysis with simulation. | PSNet

    psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
    December 18, 2024 - Study Augmenting health care failure modes and effects analysis with simulation. Citation Text: Nielsen DS, Dieckmann P, Mohr M, et al. Augmenting health care failure modes and effects analysis with simulation. Simul Healthc. 2014;9(1):48-55. doi:10.1097/SIH.0b013e3182a3defd. Copy Cit…

  9. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reliability-teledermatology-systematic-review-and-meta-analysis
    September 23, 2020 - Review Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. Citation Text: Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-0…

  10. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. | PSNet

    psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video-analysis
    October 09, 2013 - Study Characterising 'near miss' events in complex laparoscopic surgery through video analysis. Citation Text: Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…

  11. Allowing failure for educational purposes in postgraduate clinical training: a narrative review. | PSNet

    psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
    February 08, 2023 - Review Allowing failure for educational purposes in postgraduate clinical training: a narrative review. Citation Text: Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…

  12. Dynamics of dignity and safety: a discussion. | PSNet

    psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
    September 07, 2022 - Commentary Dynamics of dignity and safety: a discussion. Citation Text: Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. Copy Citation Format: DOI Google Scholar PubMed BibT…

  13. Patient safety at ten: unmistakable progress, troubling gaps. | PSNet

    psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
    March 02, 2011 - Commentary Classic Patient safety at ten: unmistakable progress, troubling gaps. Citation Text: Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. Copy Citation …

  14. Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. | PSNet

    psnet.ahrq.gov/issue/organizational-and-social-psychological-conditions-healthcare-and-their-importance-patient
    August 16, 2017 - Study Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. Citation Text: Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and…

  15. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. | PSNet

    psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
    February 03, 2011 - Study Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. Citation Text: Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…

  16. Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. | PSNet

    psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
    August 15, 2018 - Study Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. Citation Text: Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…

  17. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/differentiating-between-detrimental-and-beneficial-interruptions-mixed-methods-study
    May 03, 2017 - Study Differentiating between detrimental and beneficial interruptions: a mixed-methods study. Citation Text: Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136…

  18. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
    August 14, 2019 - Study Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Citation Text: Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…

  19. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. | PSNet

    psnet.ahrq.gov/issue/achieving-diagnostic-excellence-roadmaps-develop-and-use-patient-reported-measures-equity
    November 02, 2022 - Commentary Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Citation Text: McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int…

  20. Supporting structures for team situation awareness and decision making: insights from four delivery suites. | PSNet

    psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery
    October 13, 2010 - Study Supporting structures for team situation awareness and decision making: insights from four delivery suites. Citation Text: Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Cl…
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