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  1. Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. | PSNet

    psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
    June 08, 2022 - Special or Theme Issue Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Citation Text: Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. Co…

  2. Systemic failures in health care oversight. | PSNet

    psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
    July 05, 2006 - Commentary Systemic failures in health care oversight. Citation Text: Systemic failures in health care oversight. Campbell JL. Ga L Rev. 2024;58(2):737-802. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

  3. The effect of nurse staffing patterns on medical errors and nurse burnout.  | PSNet

    psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
    October 11, 2023 - Review The effect of nurse staffing patterns on medical errors and nurse burnout.  Citation Text: Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022. Copy Citation Format: DOI G…

  4. Electronic Health Record Implementation for Continuum of Care in Rural Iowa - 2008 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-implementation-continuum-care-rural-iowa/annual-summary/2008
    January 01, 2008 - Electronic Health Record Implementation for Continuum of Care in Rural Iowa - 2008 Project Name Electronic Health Record Implementation for Continuum of Care in Rural Iowa Principal Investigator O'Brien, John Organization Hancock County Health Services Funding Mechani…

  5. Educational agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
    February 27, 2019 - Review Educational agenda for diagnostic error reduction. Citation Text: Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622. Copy Citation Format: DOI Google Scholar…

  6. Epstein (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/epstein1.pdf
    January 01, 2009 - Epstein Slide 1: Response to Naik and Singh Ronald M Epstein MD Professor of Family Medicine, Psychiatry and Oncology Director, Rochester Center to Improve Communication in Health Care University  of Rochester  Medical Center Slide 2: Starting  points • Synchronous asynchrono…

  7. Partnering with families and patient advocates: another line of defense in adverse event surveillance. | PSNet

    psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
    September 11, 2019 - Newspaper/Magazine Article Partnering with families and patient advocates: another line of defense in adverse event surveillance. Citation Text: Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…

  8. Back to basics: the Universal Protocol. | PSNet

    psnet.ahrq.gov/issue/back-basics-universal-protocol
    March 17, 2021 - Commentary Back to basics: the Universal Protocol. Citation Text: Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  9. Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201605.html
    May 01, 2016 - Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions Search All Impact Case Studies May 2016 AHRQ's Hospital Guide to Reducing Medicaid Readmissions was used by Blue Shield of California Foundation to apply evidence-based strategies that significantly cut hospital readmissi…

  10. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet

    psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
    February 21, 2024 - Book/Report Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Citation Text: Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…

  11. Learning from error: identifying contributory causes of medication errors in an Australian hospital. | PSNet

    psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
    October 19, 2022 - Study Learning from error: identifying contributory causes of medication errors in an Australian hospital. Citation Text: Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…

  12. Office-based surgery and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
    October 06, 2021 - Review Office-based surgery and patient outcomes. Citation Text: Young S, Shapiro FE, Urman RD. Office-based surgery and patient outcomes. Curr Opin Anaesthesiol. 2018;31(6):707-712. doi:10.1097/ACO.0000000000000655. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  13. Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. | PSNet

    psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
    May 13, 2015 - Commentary Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Citation Text: Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. Copy Citation Save …

  14. Impact of a successful speaking up program on health-care worker hand hygiene behavior. | PSNet

    psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
    February 11, 2015 - Commentary Impact of a successful speaking up program on health-care worker hand hygiene behavior. Citation Text: Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. Copy Citation …

  15. Examining the Increase in Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/examining-increase-drug-shortages
    March 01, 2017 - Government Resource Examining the Increase in Drug Shortages. Citation Text: Examining the Increase in Drug Shortages. Hearings before the Subcommittee on Health of the Committee on Energy and Commerce Committee, 112th Cong, 1st Sess (September 23, 2011). Copy Citation …

  16. Reducing surgical errors: implementing a three-hinge approach to success. | PSNet

    psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
    December 08, 2021 - Commentary Reducing surgical errors: implementing a three-hinge approach to success. Citation Text: Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013. Copy Citation Format: DOI Goo…

  17. The iatrogenic potential of the physician's words. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words
    July 10, 2008 - Commentary The iatrogenic potential of the physician's words. Citation Text: Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  18. Toward the modelling of safety violations in healthcare systems. | PSNet

    psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
    May 01, 2024 - Commentary Toward the modelling of safety violations in healthcare systems. Citation Text: Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604. Copy Citation Format: DOI Google Scholar…

  19. Value of the pharmacist in the medication reconciliation process. | PSNet

    psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
    March 27, 2024 - Commentary Value of the pharmacist in the medication reconciliation process. Citation Text: Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  20. Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. | PSNet

    psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
    December 16, 2020 - Special or Theme Issue Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Citation Text: Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…
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