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  1. First-year analysis of the Operating Room Black Box study. | PSNet

    psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
    October 16, 2019 - Study Emerging Classic First-year analysis of the Operating Room Black Box study. Citation Text: Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. Copy…

  2. How useful are medication patient information leaflets to older adults? A content, readability and layout analysis. | PSNet

    psnet.ahrq.gov/issue/how-useful-are-medication-patient-information-leaflets-older-adults-content-readability-and
    November 11, 2020 - Study How useful are medication patient information leaflets to older adults? A content, readability and layout analysis. Citation Text: Liu F, Abdul-Hussain S, Mahboob S, et al. How useful are medication patient information leaflets to older adults? A content, readability and layout ana…

  3. Do physicians clean their hands? Insights from a covert observational study. | PSNet

    psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
    July 02, 2019 - Study Do physicians clean their hands? Insights from a covert observational study. Citation Text: Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632. Copy Citati…

  4. Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. | PSNet

    psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
    July 03, 2016 - Study Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. Citation Text: Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: e…

  5. Adverse events in healthcare: learning from mistakes. | PSNet

    psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
    February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

  6. Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims. | PSNet

    psnet.ahrq.gov/issue/understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
    May 11, 2019 - Study Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims. Citation Text: Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-by-case review of closed ED malpractice claims. J Healt…

  7. Determining current insulin pen use practices and errors in the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/determining-current-insulin-pen-use-practices-and-errors-inpatient-setting
    June 29, 2016 - Study Determining current insulin pen use practices and errors in the inpatient setting. Citation Text: Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…

  8. Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

    psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
    April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

  9. Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

    psnet.ahrq.gov/issue/long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
    May 01, 2019 - Study Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health …

  10. Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. | PSNet

    psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000
    May 18, 2022 - Study Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. Citation Text: Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;…

  11. Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. | PSNet

    psnet.ahrq.gov/issue/consumers-perspectives-their-involvement-recognizing-and-responding-patient-deterioration
    February 28, 2024 - Study Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. Citation Text: King L, Peacock G, Crotty M, et al. Consumers' perspectives on their involvement in recognizing and responding to patient de…

  12. Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. | PSNet

    psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
    May 21, 2014 - Special or Theme Issue Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Citation Text: Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395…

  13. The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

    psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
    January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. Citation Text: Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…

  14. Patient and hospital characteristics associated with delayed diagnosis of appendicitis. | PSNet

    psnet.ahrq.gov/issue/patient-and-hospital-characteristics-associated-delayed-diagnosis-appendicitis
    January 12, 2022 - Study Patient and hospital characteristics associated with delayed diagnosis of appendicitis. Citation Text: Reyes AM, Royan R, Feinglass J, et al. Patient and hospital characteristics associated with delayed diagnosis of appendicitis. JAMA Surg. 2023;158(3):e227055. doi:10.1001/jamasurg…

  15. Nurse sensemaking for responding to patient and family safety concerns. | PSNet

    psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns
    November 02, 2022 - Study Nurse sensemaking for responding to patient and family safety concerns. Citation Text: Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. Copy Citation …

  16. Information transfer and communication in surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
    September 26, 2012 - Review Information transfer and communication in surgery: a systematic review. Citation Text: Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2. Copy Citation For…

  17. Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. | PSNet

    psnet.ahrq.gov/issue/reducing-ambulatory-central-line-associated-bloodstream-infections-family-centered-approach
    February 15, 2023 - Study Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. Citation Text: Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line‐associated bloodstream infections: a family‐centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. …

  18. Where are my instruments? Hazards in delivery of surgical instruments. | PSNet

    psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
    September 25, 2008 - Study Where are my instruments? Hazards in delivery of surgical instruments. Citation Text: Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. Copy Citat…

  19. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. | PSNet

    psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
    December 27, 2014 - Study Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. Citation Text: Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…

  20. We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. | PSNet

    psnet.ahrq.gov/issue/we-need-talk-observational-study-impact-electronic-medical-record-implementation-hospital
    February 22, 2017 - Study We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. Citation Text: Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic medical record implementation on ho…
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