AHRQ Search | Home Page

Interventions and measurements of highly reliable/resilient organization implementations: a literature review. | PSNet

psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations

July 21, 2021 - Review Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Citation Text: Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…

An examination of opportunities for the active patient in improving patient safety. | PSNet

psnet.ahrq.gov/issue/examination-opportunities-active-patient-improving-patient-safety

October 04, 2011 - Review An examination of opportunities for the active patient in improving patient safety. Citation Text: Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e318…

The morbidity and mortality conference: opportunities for enhancing patient safety. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety

March 17, 2021 - Commentary The morbidity and mortality conference: opportunities for enhancing patient safety. Citation Text: Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…

Surgical safety does not happen by accident: learning from perioperative near miss case studies. | PSNet

psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies

August 04, 2021 - Commentary Surgical safety does not happen by accident: learning from perioperative near miss case studies. Citation Text: Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. …

PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. | PSNet

psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations

October 29, 2017 - Commentary PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. Citation Text: Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…

Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. | PSNet

psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison-malpractice

March 12, 2014 - Study Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. Citation Text: Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare…

The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. | PSNet

psnet.ahrq.gov/issue/impact-prolonged-continuous-wakefulness-resident-clinical-performance-intensive-care-unit

November 21, 2016 - Study The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. Citation Text: Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical performance in the intensi…

Physician spending and subsequent risk of malpractice claims: observational study. | PSNet

psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study

May 01, 2015 - Study Classic Physician spending and subsequent risk of malpractice claims: observational study. Citation Text: Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. …

Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. | PSNet

psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation

August 09, 2017 - Study Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. Citation Text: Wanderer JP, Gratch DM, St Jacques P, et al. Trends in the Prevalence of Intraoperative Adverse Events at Two Academic Hospitals …

How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet

psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals

October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. | PSNet

psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric

February 15, 2023 - Study Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. Citation Text: Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatr…

Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. | PSNet

psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient

February 17, 2021 - Review Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. Citation Text: Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety…

Making communication and resolution programmes mission critical in healthcare organisations. | PSNet

psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations

September 09, 2020 - Commentary Making communication and resolution programmes mission critical in healthcare organisations. Citation Text: Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…

Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. | PSNet

psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-telemedicine-obstetrics-quality-and-safety

August 10, 2022 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. Citation Text: Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-qu…

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. | PSNet

psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot

December 07, 2022 - Study The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. Citation Text: Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…

COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet

psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions

September 15, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed COVID-19 Pandemic Impact on Healthcare Associated Conditions Download Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Sam W…

Quality and safety implications of emergency department information systems. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-implications-emergency-department-information-systems

November 30, 2012 - Commentary Quality and safety implications of emergency department information systems. Citation Text: Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.201…

The influence of organizational culture, climate and commitment on speaking up about medical errors. | PSNet

psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors

December 31, 2018 - Study Emerging Classic The influence of organizational culture, climate and commitment on speaking up about medical errors. Citation Text: Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…

Preventable deaths: who, how often, and why? | PSNet

psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why

February 22, 2011 - Study Classic Preventable deaths: who, how often, and why? Citation Text: Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet

psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017

June 28, 2017 - Study Drug and opioid-involved overdose deaths- United States, 2013-2017. Citation Text: Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. Copy Citat…

Search AHRQ

Results