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  1. An overview of the use and implementation of checklists in surgical specialities - a systematic review. | PSNet

    psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
    July 31, 2013 - Review An overview of the use and implementation of checklists in surgical specialities - a systematic review. Citation Text: Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…

  2. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. | PSNet

    psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
    March 17, 2010 - Commentary Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Citation Text: Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …

  3. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. | PSNet

    psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
    September 23, 2017 - Commentary Blending evidence and innovation: improving intershift handoffs in a multihospital setting. Citation Text: Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…

  4. The role of purple pens in learning to prescribe. | PSNet

    psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
    June 17, 2020 - Commentary The role of purple pens in learning to prescribe. Citation Text: Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  5. The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. | PSNet

    psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision
    July 19, 2017 - Study The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. Citation Text: De Oliveira GS, Rahmani R, Fitzgerald PC, et al. The association between frequency of self-reported m…

  6. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. | PSNet

    psnet.ahrq.gov/issue/lack-timely-follow-abnormal-imaging-results-and-radiologists-recommendations
    April 13, 2017 - Study Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. Citation Text: Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/…

  7. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. | PSNet

    psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
    April 13, 2022 - Study Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. Citation Text: Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…

  8. Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. | PSNet

    psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health-care-delivery
    June 25, 2018 - Commentary Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. Citation Text: Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health …

  9. Guided reflection interventions show no effect on diagnostic accuracy in medical students. | PSNet

    psnet.ahrq.gov/issue/guided-reflection-interventions-show-no-effect-diagnostic-accuracy-medical-students
    September 20, 2016 - Study Guided reflection interventions show no effect on diagnostic accuracy in medical students. Citation Text: Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297…

  10. Disclosing clinical adverse events to patients: can practice inform policy? | PSNet

    psnet.ahrq.gov/issue/disclosing-clinical-adverse-events-patients-can-practice-inform-policy
    September 29, 2017 - Study Disclosing clinical adverse events to patients: can practice inform policy? Citation Text: Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. Cop…

  11. Making the Patient Safety and Quality Improvement Act of 2005 work. | PSNet

    psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
    July 11, 2018 - Commentary Making the Patient Safety and Quality Improvement Act of 2005 work. Citation Text: Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10. Copy Citation Format: Google Scholar PubMed B…

  12. Prescribing in 2019: what are the safety concerns? | PSNet

    psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
    December 21, 2022 - Review Prescribing in 2019: what are the safety concerns? Citation Text: Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  13. The Daily Plan: including patients for safety's sake. | PSNet

    psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
    March 13, 2013 - Study The Daily Plan: including patients for safety's sake. Citation Text: King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e. Copy Citation Format: DOI Google Sch…

  14. Association between day of delivery and obstetric outcomes: observational study. | PSNet

    psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study
    January 07, 2015 - Study Association between day of delivery and obstetric outcomes: observational study. Citation Text: Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774. Copy Citation Format: …

  15. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. | PSNet

    psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content-analysis-national
    May 13, 2015 - Study Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Citation Text: Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a natio…

  16. In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

    psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
    June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

  17. FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. | PSNet

    psnet.ahrq.gov/issue/focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
    January 03, 2017 - Commentary FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. Citation Text: Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and…

  18. Blurring the boundaries: scenario-based simulation in a clinical setting.   | PSNet

    psnet.ahrq.gov/issue/blurring-boundaries-scenario-based-simulation-clinical-setting
    September 23, 2020 - Study Blurring the boundaries: scenario-based simulation in a clinical setting.   Citation Text: Kneebone RL, Kidd J, Nestel D, et al. Blurring the boundaries: scenario-based simulation in a clinical setting. Med Educ. 2005;39(6). doi:10.1111/j.1365-2929.2005.02110.x. Copy Citation …

  19. Learning from no-fault treatment injury claims to improve the safety of older patients. | PSNet

    psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
    September 27, 2023 - Study Learning from no-fault treatment injury claims to improve the safety of older patients. Citation Text: Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. Copy Citation Format:…

  20. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
    March 29, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. Citation Text: Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intra…
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