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A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

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July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

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April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

A comparative review of patient safety initiatives for national health information technology. | PSNet

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November 03, 2015 - Review A comparative review of patient safety initiatives for national health information technology. Citation Text: Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. d…

Artificial intelligence-powered chatbots in search engines: a cross-sectional study on the quality and risks of drug information for patients. | PSNet

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April 21, 2021 - Study Artificial intelligence-powered chatbots in search engines: a cross-sectional study on the quality and risks of drug information for patients. Citation Text: Andrikyan W, Sametinger SM, Kosfeld F, et al. Artificial intelligence-powered chatbots in search engines: a cross-sectional …

A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. | PSNet

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December 04, 2016 - Review A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. Citation Text: Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. Copy Cita…

Racial/ethnic inequities in pregnancy-related morbidity and mortality. | PSNet

psnet.ahrq.gov/issue/racialethnic-inequities-pregnancy-related-morbidity-and-mortality

August 10, 2022 - Commentary Emerging Classic Racial/ethnic inequities in pregnancy-related morbidity and mortality. Citation Text: Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;…

Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements. | PSNet

psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program-directors-2017-work

October 12, 2022 - Study Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements. Citation Text: Finn KM, Halvorsen AJ, Chaudhry S, et al. Does increased schedule flexibility lead to change? A national survey of program directors on 2017 wo…

Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. | PSNet

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September 25, 2024 - Study Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Citation Text: Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…

40 years behind the mask: safety revisited. | PSNet

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January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. | PSNet

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July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…

Patient safety and the problem of many hands. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands

June 16, 2021 - Commentary Patient safety and the problem of many hands. Citation Text: Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

Why studying human behavior is a critical component of patient safety. | PSNet

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January 15, 2020 - Commentary Why studying human behavior is a critical component of patient safety. Citation Text: Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. Copy Citation F…

Five reasons for optimism on World Patient Safety Day. | PSNet

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March 30, 2022 - Commentary Five reasons for optimism on World Patient Safety Day. Citation Text: Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8. Copy Citation Format: DOI …

Toward improving patient safety through voluntary peer-to-peer assessment. | PSNet

psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment

August 25, 2015 - Commentary Toward improving patient safety through voluntary peer-to-peer assessment. Citation Text: Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …

Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. | PSNet

psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident

July 27, 2016 - Study Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. Citation Text: Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause analysis of a critical incident…

First-year analysis of the Operating Room Black Box study. | PSNet

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October 16, 2019 - Study Emerging Classic First-year analysis of the Operating Room Black Box study. Citation Text: Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. Copy…

Information transfer in multidisciplinary operating room teams: a simulation-based observational study. | PSNet

psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational

November 17, 2014 - Study Information transfer in multidisciplinary operating room teams: a simulation-based observational study. Citation Text: Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Qual Saf. 2017;26(3):209-…

Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. | PSNet

psnet.ahrq.gov/issue/widespread-misinterpretation-advance-directives-and-portable-orders-life-sustaining

December 18, 2019 - Commentary Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. Citation Text: Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orde…

Communication failure in the operating room. | PSNet

psnet.ahrq.gov/issue/communication-failure-operating-room

February 25, 2009 - Study Communication failure in the operating room. Citation Text: Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery | PSNet

psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery

January 23, 2017 - Commentary Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery Citation Text: Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…

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