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  1. When systems fail. | PSNet

    psnet.ahrq.gov/issue/when-systems-fail
    February 10, 2011 - Commentary When systems fail. Citation Text: Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-2616(01)00025-0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  2. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet

    psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
    February 20, 2016 - Study Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. Citation Text: Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170. Copy Citation Form…

  3. Team training: implications for emergency and critical care pediatrics. | PSNet

    psnet.ahrq.gov/issue/team-training-implications-emergency-and-critical-care-pediatrics
    May 18, 2016 - Review Team training: implications for emergency and critical care pediatrics. Citation Text: Eppich W, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics. Curr Opin Pediatr. 2008;20(3):255-60. doi:10.1097/MOP.0b013e3282ffb3f3. Copy Citation …

  4. Ethical and legal issues in the use of health information technology to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
    July 30, 2014 - Review Ethical and legal issues in the use of health information technology to improve patient safety. Citation Text: Berner ES. Ethical and legal issues in the use of health information technology to improve patient safety. HEC Forum. 2008;20(3):243-58. doi:10.1007/s10730-008-9074-5. …

  5. The simulated ward: ideal for training clinical clerks in an era of patient safety. | PSNet

    psnet.ahrq.gov/issue/simulated-ward-ideal-training-clinical-clerks-era-patient-safety
    July 27, 2022 - Study The simulated ward: ideal for training clinical clerks in an era of patient safety. Citation Text: Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050…

  6. Patient safety in genomic medicine: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
    November 04, 2015 - Study Patient safety in genomic medicine: an exploratory study. Citation Text: Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16. Copy Citation Format: DOI Google Scholar…

  7. The cost of nurse-sensitive adverse events. | PSNet

    psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events
    June 16, 2021 - Study The cost of nurse-sensitive adverse events. Citation Text: Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236. doi:10.1097/01.NNA.0000312770.19481.ce. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  8. IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. | PSNet

    psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
    January 31, 2024 - Commentary IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. Citation Text: Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239. Copy Citation Format: …

  9. Reducing interruptions to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
    January 04, 2015 - Study Reducing interruptions to improve medication safety. Citation Text: Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e. Copy Citation Format: DOI Google Sc…

  10. Management of adverse surgical events: a structured education module for residents. | PSNet

    psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
    August 26, 2011 - Study Management of adverse surgical events: a structured education module for residents. Citation Text: Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90. Copy Citation Form…

  11. Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals. | PSNet

    psnet.ahrq.gov/issue/application-electronic-health-records-joint-commissions-2011-national-patient-safety-goals
    May 20, 2019 - Commentary Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals. Citation Text: Radecki RP, Sittig DF. Application of electronic health records to the Joint Commission's 2011 National Patient Safety Goals. JAMA. 2011;306(1):92-3. doi:10.…

  12. Critical incident reporting system in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
    August 07, 2019 - Review Critical incident reporting system in emergency medicine. Citation Text: Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82. Copy Citation Format: DOI Google Scholar PubMed …

  13. Excessive work hours of physicians in training in El Salvador: putting patients at risk. | PSNet

    psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
    August 04, 2021 - Commentary Excessive work hours of physicians in training in El Salvador: putting patients at risk. Citation Text: Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205. Copy Citation Format: Google S…

  14. Quality and safety education for nurses: a nursing leadership skills exercise. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-education-nurses-nursing-leadership-skills-exercise
    July 29, 2020 - Commentary Quality and safety education for nurses: a nursing leadership skills exercise. Citation Text: Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. Copy Citation Form…

  15. Training in quality and safety: the current landscape. | PSNet

    psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
    July 03, 2016 - Commentary Training in quality and safety: the current landscape. Citation Text: Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual. 2015;30(6):526-38. doi:10.1177/1062860614544194. Copy Citation Format: DOI Google Scholar PubMed BibT…

  16. The checklist--a tool for error management and performance improvement. | PSNet

    psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
    June 29, 2011 - Review The checklist--a tool for error management and performance improvement. Citation Text: Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

  17. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. | PSNet

    psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
    November 18, 2020 - Newspaper/Magazine Article The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Citation Text: May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3. Copy Citation …

  18. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? | PSNet

    psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough
    November 16, 2022 - Study Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Citation Text: Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…

  19. A root cause analysis project in a medication safety course. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
    October 07, 2020 - Commentary A root cause analysis project in a medication safety course. Citation Text: Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  20. Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

    psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-never-events
    July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …
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