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  1. Teamwork behaviours and errors during neonatal resuscitation. | PSNet

    psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
    September 13, 2011 - Study Teamwork behaviours and errors during neonatal resuscitation. Citation Text: Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. Copy Citation Format…

  2. Creating a fair and just culture: one institution's path toward organizational change. | PSNet

    psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
    July 23, 2014 - Commentary Creating a fair and just culture: one institution's path toward organizational change. Citation Text: Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. …

  3. Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. | PSNet

    psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation
    January 05, 2017 - Study Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. Citation Text: Weingart SN, Price J, Duncombe D, et al. Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. J Nurs Care …

  4. Enhancing communication in surgery through team training interventions: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/enhancing-communication-surgery-through-team-training-interventions-systematic-literature
    August 11, 2021 - Review Enhancing communication in surgery through team training interventions: a systematic literature review. Citation Text: Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature review. AORN J. 2010;92(6):6…

  5. Speaking up and sharing information improves trainee neonatal resuscitations. | PSNet

    psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
    April 08, 2011 - Study Speaking up and sharing information improves trainee neonatal resuscitations. Citation Text: Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. Copy C…

  6. With Safety in Mind: Mental Health Services and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
    August 07, 2018 - Book/Report With Safety in Mind: Mental Health Services and Patient Safety. Citation Text: With Safety in Mind: Mental Health Services and Patient Safety. Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. Copy Citation Save …

  7. National Patient Safety Agency: combining stories with statistics to minimise harm. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
    November 18, 2020 - Study National Patient Safety Agency: combining stories with statistics to minimise harm. Citation Text: Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489. Copy Citation Format: …

  8. Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. | PSNet

    psnet.ahrq.gov/issue/rate-causes-and-reporting-medication-errors-jordan-nurses-perspectives
    April 15, 2020 - Study Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. Citation Text: MRAYYAN MAJDT, SHISHANI KAWKAB, AL-FAOURI IBRAHIM. Rate, causes and reporting of medication errors in Jordan: nurses? perspectives. J Nurs Manag. 2007;15(6). doi:10.1111/j.1365-2834.20…

  9. Nurse reports of adverse events during sedation procedures at a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
    November 02, 2016 - Study Nurse reports of adverse events during sedation procedures at a pediatric hospital. Citation Text: Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…

  10. How effective are incident-reporting systems for improving patient safety? A systematic literature review. | PSNet

    psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
    January 18, 2023 - Review How effective are incident-reporting systems for improving patient safety? A systematic literature review. Citation Text: How effective are incident-reporting systems for improving patient safety? A systematic literature review. Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;…

  11. Empowering patient safety outreach through interprofessional partnerships: educating our communities. | PSNet

    psnet.ahrq.gov/issue/empowering-patient-safety-outreach-through-interprofessional-partnerships-educating-our
    August 17, 2022 - Commentary Empowering patient safety outreach through interprofessional partnerships: educating our communities. Citation Text: Walton L, Childs C, Egeland M, et al. Empowering Patient Safety Outreach Through Interprofessional Partnerships: Educating Our Communities. J Hosp Librariansh. …

  12. Interdisciplinary team training identifies discrepancies in institutional policies and practices. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
    November 26, 2012 - Study Interdisciplinary team training identifies discrepancies in institutional policies and practices. Citation Text: Andreatta P, Frankel J, Smith SB, et al. Interdisciplinary team training identifies discrepancies in institutional policies and practices. Am J Obstet Gynecol. 2011;20…

  13. CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. | PSNet

    psnet.ahrq.gov/issue/cmqcc-obstetric-sepsis-toolkit-update-patient-centered-approach-quality-improvement
    August 21, 2024 - Commentary CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Citation Text: Main EK, Nath R, Bauer ME. CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Semin Perinatol. 2024:151976. doi:10.1016/j.semperi.2…

  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. Patient safety initiatives in obstetrics: a rapid review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
    September 23, 2020 - Review Patient safety initiatives in obstetrics: a rapid review. Citation Text: Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. Copy Citation Format: DOI Google Schola…

  16. Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. | PSNet

    psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
    February 23, 2022 - Newspaper/Magazine Article Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. Citation Text: Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…

  17. Deploying and measuring a risk and patient safety program. | PSNet

    psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-program
    January 19, 2022 - Commentary Deploying and measuring a risk and patient safety program. Citation Text: Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266. Copy Citation Format: DOI Goog…

  18. Imitating incidents: how simulation can improve safety investigation and learning from adverse events. | PSNet

    psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
    February 28, 2024 - Commentary Imitating incidents: how simulation can improve safety investigation and learning from adverse events. Citation Text: Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…

  19. "Canary measures" among the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
    November 27, 2012 - Study "Canary measures" among the AHRQ Patient Safety Indicators. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. "Canary measures" among the AHRQ patient safety indicators. Am J Med Qual. 2009;24(6):465-73. doi:10.1177/1062860609341585. Copy Citation Format: DOI G…

  20. Failure mode and effects analysis application to critical care medicine. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-application-critical-care-medicine
    June 10, 2013 - Review Failure mode and effects analysis application to critical care medicine. Citation Text: Duwe B, Fuchs BD, Hansen-Flaschen J. Failure mode and effects analysis application to critical care medicine. Crit Care Clin. 2005;21(1):21-30, vii. Copy Citation Format: Google…
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