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  1. Human factors in surgery: from Three Mile Island to the operating room. | PSNet

    psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
    July 12, 2019 - Review Human factors in surgery: from Three Mile Island to the operating room. Citation Text: D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662. Copy Citation Form…

  2. Patient-reported service quality on a medicine unit. | PSNet

    psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
    February 24, 2011 - Study Patient-reported service quality on a medicine unit. Citation Text: Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  3. Diagnostic errors that lead to inappropriate antimicrobial use. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use
    October 19, 2022 - Study Diagnostic errors that lead to inappropriate antimicrobial use. Citation Text: Filice GA, Drekonja DM, Thurn JR, et al. Diagnostic Errors that Lead to Inappropriate Antimicrobial Use. Infect Control Hosp Epidemiol. 2015;36(8):949-56. doi:10.1017/ice.2015.113. Copy Citation Fo…

  4. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety
    September 01, 2016 - Study Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Citation Text: Mansfield J, Jarrett S. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Hosp Pharm. 2013;48(11):942-950. doi:10.1310…

  5. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet

    psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
    December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

  6. Should patients get direct access to their laboratory test results?: An answer with many questions. | PSNet

    psnet.ahrq.gov/issue/should-patients-get-direct-access-their-laboratory-test-results-answer-many-questions
    November 13, 2024 - Commentary Should patients get direct access to their laboratory test results?: An answer with many questions. Citation Text: Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.10…

  7. Portable advanced medical simulation for new emergency department testing and orientation. | PSNet

    psnet.ahrq.gov/issue/portable-advanced-medical-simulation-new-emergency-department-testing-and-orientation
    September 23, 2020 - Commentary Portable advanced medical simulation for new emergency department testing and orientation. Citation Text: Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5. C…

  8. Failure to notify reportable test results: significance in medical malpractice. | PSNet

    psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
    April 29, 2020 - Study Failure to notify reportable test results: significance in medical malpractice. Citation Text: Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.20…

  9. Processes for effective communication in primary care. | PSNet

    psnet.ahrq.gov/issue/processes-effective-communication-primary-care
    December 21, 2018 - Commentary Processes for effective communication in primary care. Citation Text: Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  10. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-educators-academy-fulfilling-unmet-need-faculty-development
    January 15, 2020 - Commentary The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Citation Text: Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10…

  11. Interventions to reduce medication errors in adult intensive care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-medication-errors-adult-intensive-care-systematic-review
    January 22, 2016 - Review Interventions to reduce medication errors in adult intensive care: a systematic review. Citation Text: Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2…

  12. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet

    psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
    January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…

  13. Developing and testing a tool to measure nurse/physician communication in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/developing-and-testing-tool-measure-nursephysician-communication-intensive-care-unit
    June 01, 2011 - Study Developing and testing a tool to measure nurse/physician communication in the intensive care unit. Citation Text: Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b0…

  14. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-safety-practices-us-cancer-centres-questionnaire-survey
    July 23, 2014 - Study Oral chemotherapy safety practices at US cancer centres: questionnaire survey. Citation Text: Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55. Copy Cita…

  15. Missed nursing care in pediatrics. | PSNet

    psnet.ahrq.gov/issue/missed-nursing-care-pediatrics
    January 16, 2019 - Study Missed nursing care in pediatrics. Citation Text: Lake ET, de Cordova PB, Barton S, et al. Missed Nursing Care in Pediatrics. Hosp Pediatr. 2017;7(7):378-384. doi:10.1542/hpeds.2016-0141. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  16. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
    December 02, 2009 - Study Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, Panchagnula U. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety…

  17. Preventing sentinel events caused by family members. | PSNet

    psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
    June 14, 2023 - Commentary Preventing sentinel events caused by family members. Citation Text: Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0. Copy Citation Format: DOI Google Scholar PubMed Bi…

  18. Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet

    psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
    November 01, 2017 - Review Emerging Classic Overdiagnosis in primary care: framing the problem and finding solutions. Citation Text: Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. Copy C…

  19. How the physician's financial wellness could impact patient safety. | PSNet

    psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-impact-patient-safety
    May 08, 2024 - Commentary How the physician's financial wellness could impact patient safety. Citation Text: Richards JL, Brook K. How the physician’s financial wellness could impact patient safety. Postgrad Med J. 2024;100(1182):276-278. doi:10.1093/postmj/qgad076. Copy Citation Format: …

  20. Retained foreign bodies after surgery. | PSNet

    psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
    November 23, 2011 - Study Retained foreign bodies after surgery. Citation Text: Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote…
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