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  1. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. | PSNet

    psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
    September 24, 2018 - Review Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. Citation Text: Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and health…

  2. Checklists change communication about key elements of patient care. | PSNet

    psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
    November 16, 2022 - Study Checklists change communication about key elements of patient care. Citation Text: Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239. …

  3. Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet

    psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
    February 15, 2023 - Study Supporting recovery after adverse events: an essential component of surgeon well-being. Citation Text: Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…

  4. Building safer systems through critical occurrence reviews: nine years of learning. | PSNet

    psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning
    July 05, 2017 - Study Building safer systems through critical occurrence reviews: nine years of learning. Citation Text: Stevens P, Campbell J, Urmson L, et al. Building safer systems through critical occurrence reviews: nine years of learning. Healthc Q. 2010;13 Spec No:74-80. Copy Citation For…

  5. A classification system for incidents and accidents in the health-care system. | PSNet

    psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
    September 28, 2010 - Study Classic A classification system for incidents and accidents in the health-care system. Citation Text: Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. …

  6. An initiative to improve the management of clinically significant test results in a large health care network. | PSNet

    psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
    November 26, 2014 - Study An initiative to improve the management of clinically significant test results in a large health care network. Citation Text: Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …

  7. Debiasing health-related judgments and decision making: a systematic review. | PSNet

    psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
    January 04, 2010 - Review Debiasing health-related judgments and decision making: a systematic review. Citation Text: Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. Copy Citation Forma…

  8. Identification of adverse events in ground transport emergency medical services. | PSNet

    psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
    August 26, 2020 - Study Identification of adverse events in ground transport emergency medical services. Citation Text: Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…

  9. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. | PSNet

    psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets
    May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…

  10. 10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet

    psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
    April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…

  11. Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. | PSNet

    psnet.ahrq.gov/issue/missed-ischemic-stroke-diagnosis-emergency-department-emergency-medicine-and-neurology
    August 03, 2017 - Study Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. Citation Text: Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3…

  12. A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. | PSNet

    psnet.ahrq.gov/issue/new-argument-no-fault-compensation-health-care-introduction-artificial-intelligence-systems
    May 13, 2020 - Commentary A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. Citation Text: Holm S, Stanton C, Bartlett B. A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. Health Care…

  13. Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. | PSNet

    psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
    November 16, 2022 - Study Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. Citation Text: Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…

  14. Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. | PSNet

    psnet.ahrq.gov/issue/thematic-analysis-womens-perspectives-meaning-safety-during-hospital-based-birth
    May 08, 2019 - Study Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. Citation Text: Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;4…

  15. Nurses' satisfaction with medication administration point-of-care technology. | PSNet

    psnet.ahrq.gov/issue/nurses-satisfaction-medication-administration-point-care-technology
    January 09, 2008 - Study Nurses' satisfaction with medication administration point-of-care technology. Citation Text: Hurley A, Bane A, Fotakis S, et al. Nurses' satisfaction with medication administration point-of-care technology. J Nurs Adm. 2007;37(7-8):343-349. Copy Citation Format: Goo…

  16. Patient safety on the otolaryngology service: the role of an established rapid response system. | PSNet

    psnet.ahrq.gov/issue/patient-safety-otolaryngology-service-role-established-rapid-response-system
    October 19, 2022 - Study Patient safety on the otolaryngology service: the role of an established rapid response system. Citation Text: Oliver CL, Devita MA, Dunwoody CJ, et al. Patient safety on the otolaryngology service: the role of an established rapid response system. Quality and Safety in Health Ca…

  17. Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and-responses-toward
    June 22, 2022 - Review Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. Citation Text: Burnett E, Kearney N, Johnston B, et al. Understanding fact…

  18. Perspective: ten thousand hours to patient safety, sooner or later. | PSNet

    psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-later
    June 23, 2009 - Commentary Perspective: ten thousand hours to patient safety, sooner or later. Citation Text: Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202. Copy Citation Format: DOI Google…

  19. Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet

    psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety
    August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

  20. Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. | PSNet

    psnet.ahrq.gov/issue/changes-practice-and-organisation-surrounding-blood-transfusion-nhs-trusts-england-1995-2005
    August 04, 2021 - Study Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. Citation Text: Taylor CJC, Murphy MF, Lowe D, et al. Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. Qual Saf Health Care. 2…
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