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  1. Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. | PSNet

    psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
    December 02, 2020 - Organizational Policy/Guidelines Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Citation Text: Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…

  2. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
    January 02, 2017 - Commentary Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. Citation Text: Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…

  3. Resilience and resilience engineering in health care. | PSNet

    psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
    September 19, 2013 - Commentary Resilience and resilience engineering in health care. Citation Text: Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. Copy Citation Format: Google Scholar PubMed BibTeX …

  4. An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet

    psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
    September 27, 2017 - Commentary An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. Citation Text: Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…

  5. Improving discharge safety in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/improving-discharge-safety-pediatric-emergency-department
    June 22, 2022 - Study Improving discharge safety in a pediatric emergency department. Citation Text: Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307. Copy Citation Format: …

  6. Improving patient safety through simulation training in anesthesiology: where are we? | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
    October 13, 2018 - Review Improving patient safety through simulation training in anesthesiology: where are we? Citation Text: Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.…

  7. Noise in the operating room—what do we know? A review of the literature. | PSNet

    psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
    August 13, 2014 - Review Noise in the operating room—what do we know? A review of the literature. Citation Text: Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001. Copy Cit…

  8. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  9. Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. | PSNet

    psnet.ahrq.gov/issue/independent-mortality-review-cardiac-surgery-st-georges-university-hospitals-nhs-foundation
    May 24, 2023 - Book/Report Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. Citation Text: Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. NHS Improvement. Independent Mortality Review of …

  10. Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
    November 17, 2010 - Commentary Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Citation Text: Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…

  11. Conducting root cause analysis with nursing students: best practice in nursing education. | PSNet

    psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
    September 09, 2015 - Commentary Conducting root cause analysis with nursing students: best practice in nursing education. Citation Text: Lambton J, Mahlmeister L. Conducting root cause analysis with nursing students: best practice in nursing education. J Nurs Educ. 2010;49(8):444-8. doi:10.3928/01484834-…

  12. Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. | PSNet

    psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci
    April 15, 2015 - Commentary Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. Citation Text: Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…

  13. IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. | PSNet

    psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
    August 14, 2019 - Newspaper/Magazine Article IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. Citation Text: IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. ISMP Medication Safety Alert! Acute Care Edition. Augu…

  14. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. | PSNet

    psnet.ahrq.gov/issue/building-team-and-technical-competency-obstetric-emergencies-mobile-obstetric-emergencies
    March 21, 2017 - Commentary Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. Citation Text: Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies …

  15. The association between organizational culture and the ability to benefit from "just culture" training. | PSNet

    psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…

  16. FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-recommendations-reprocessing
    March 11, 2015 - Press Release/Announcement FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Citation Text: FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Silver Springs, MD: US Food and Drug Administration: Jun…

  17. Improving diagnostic decision support through deliberate reflection: a proposal. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-decision-support-through-deliberate-reflection-proposal
    September 23, 2020 - Commentary Improving diagnostic decision support through deliberate reflection: a proposal. Citation Text: Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. Copy Citation …

  18. Taking up the challenge to improve name and role recognition in the operating room. | PSNet

    psnet.ahrq.gov/issue/taking-challenge-improve-name-and-role-recognition-operating-room
    July 12, 2023 - Review Taking up the challenge to improve name and role recognition in the operating room. Citation Text: Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.00000000000011…

  19. How patients perceive a doctor's caring attitude. | PSNet

    psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
    March 11, 2013 - Study How patients perceive a doctor's caring attitude. Citation Text: Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns. 2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022. Copy Citation Format: DOI Google Scholar Pu…

  20. Reversing the rise in maternal mortality. | PSNet

    psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
    January 18, 2017 - Commentary Reversing the rise in maternal mortality. Citation Text: Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
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