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psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study
March 05, 2014 - Study
Medical students' experiences, perceptions, and management of second victim: an interview study.
Citation Text:
Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1…
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psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
September 27, 2017 - Study
What's in a name? Provider perception of injured John Doe patients.
Citation Text:
Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027.
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psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay
January 23, 2017 - Study
Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room.
Citation Text:
Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in …
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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…
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psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center
May 03, 2017 - Study
Rates of safety incident reporting in MRI in a large academic medical center.
Citation Text:
Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055.
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psnet.ahrq.gov/issue/diagnostic-disparities-and-strategies-enhancing-diagnostic-equity-hospital-medicine
April 12, 2023 - Commentary
Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine.
Citation Text:
Raffel KE, Gershanik EF, Ranji SR. Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. J Hosp Med. 2025;20(1):71-74. doi:10.1002/j…
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psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
January 27, 2016 - Study
Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely.
Citation Text:
Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing
June 23, 2009 - Study
Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets.
Citation Text:
Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…
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psnet.ahrq.gov/issue/readiness-organisational-change-among-general-practice-staff
April 24, 2018 - Study
Readiness for organisational change among general practice staff.
Citation Text:
Christl B, Harris MF, Jayasinghe UW, et al. Readiness for organisational change among general practice staff. Qual Saf Health Care. 2010;19(5):e12. doi:10.1136/qshc.2009.033373.
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psnet.ahrq.gov/issue/facility-level-variation-potentially-inappropriate-prescribing-older-veterans
February 17, 2017 - Study
Facility-level variation in potentially inappropriate prescribing for older veterans.
Citation Text:
Gellad WF, Good CB, Amuan ME, et al. Facility-level variation in potentially inappropriate prescribing for older veterans. J Am Geriatr Soc. 2012;60(7):1222-9. doi:10.1111/j.1532-5…
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psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes
May 19, 2021 - Study
Using simulation to improve root cause analysis of adverse surgical outcomes.
Citation Text:
Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011.
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psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety
July 20, 2022 - Study
Closing the gap and raising the bar: assessing board competency in quality and safety.
Citation Text:
McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…
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psnet.ahrq.gov/issue/ambulatory-patient-safety-what-we-know-and-need-know
May 27, 2015 - Study
Ambulatory patient safety. What we know and need to know.
Citation Text:
Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007.
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psnet.ahrq.gov/issue/relationship-between-nursing-experience-and-education-and-occurrence-reported-pediatric
October 02, 2013 - Study
The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors.
Citation Text:
Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between Nursing Experience and Education and the Occurrence of Reported …
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psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors
November 23, 2011 - Study
Emergency department crowding and risk of preventable medical errors.
Citation Text:
Epstein SK, Huckins DS, Liu SW, et al. Emergency department crowding and risk of preventable medical errors. Intern Emerg Med. 2012;7(2):173-180. doi:10.1007/s11739-011-0702-8.
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psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
October 25, 2023 - Commentary
Secure text messaging in healthcare: latent threats and opportunities to improve patient safety.
Citation Text:
Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…
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psnet.ahrq.gov/issue/exploring-relationship-between-contact-frequency-leader-member-relationships-and-patient
February 10, 2021 - Study
Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture
Citation Text:
Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…
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psnet.ahrq.gov/issue/hospitalized-patients-participation-and-its-impact-quality-care-and-patient-safety
March 23, 2012 - Study
Hospitalized patients' participation and its impact on quality of care and patient safety.
Citation Text:
Weingart SN, Zhu J, Chiappetta L, et al. Hospitalized patients' participation and its impact on quality of care and patient safety. Int J Qual Health Care. 2011;23(3):269-77. d…
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psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery
May 21, 2019 - Study
A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system.
Citation Text:
Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…
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psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological
October 19, 2022 - Study
Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service.
Citation Text:
Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…