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  1. A communication training program to encourage speaking-up behavior in surgical oncology. | PSNet

    psnet.ahrq.gov/issue/communication-training-program-encourage-speaking-behavior-surgical-oncology
    May 18, 2022 - Study A communication training program to encourage speaking-up behavior in surgical oncology. Citation Text: D'Agostino TA, Bialer PA, Walters CB, et al. A Communication Training Program to Encourage Speaking-Up Behavior in Surgical Oncology. AORN J. 2017;106(4):295-305. doi:10.1016/j.a…

  2. A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. | PSNet

    psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational
    December 20, 2017 - Study A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. Citation Text: Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient …

  3. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

    psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error
    March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

  4. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. | PSNet

    psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients
    August 30, 2017 - Study Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Citation Text: Sewell M, Adebibe M, Jayakumar P, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897-901. doi:10.1007/s00264-010-1112-7. Copy …

  5. Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. | PSNet

    psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care
    January 18, 2013 - Study Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. Citation Text: Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary ca…

  6. Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. | PSNet

    psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
    June 15, 2011 - Commentary Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. Citation Text: Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15…

  7. Causes of use errors in ventilation devices--systematic review. | PSNet

    psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-systematic-review
    October 12, 2022 - Review Causes of use errors in ventilation devices--systematic review. Citation Text: Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. Copy Citation Format: D…

  8. Quality and strength of patient safety climate on medical–surgical units. | PSNet

    psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units
    February 15, 2011 - Study Quality and strength of patient safety climate on medical–surgical units. Citation Text: Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. Copy…

  9. Lessons learned: use of event reporting by nurses to improve patient safety and quality. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
    May 19, 2013 - Study Lessons learned: use of event reporting by nurses to improve patient safety and quality. Citation Text: Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010…

  10. 'Trust but verify'—five approaches to ensure safe medical apps. | PSNet

    psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
    September 27, 2023 - Commentary 'Trust but verify'—five approaches to ensure safe medical apps. Citation Text: Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z. Copy Citation Format: DOI Google Scholar PubM…

  11. Surgical fire in the United States: 2000-2020. | PSNet

    psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
    March 03, 2021 - Study Surgical fire in the United States: 2000-2020. Citation Text: Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  12. How do physicians conduct medication reviews? | PSNet

    psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
    September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…

  13. Aligning patient safety and stewardship: a harm reduction strategy for children. | PSNet

    psnet.ahrq.gov/issue/aligning-patient-safety-and-stewardship-harm-reduction-strategy-children
    February 27, 2019 - Review Aligning patient safety and stewardship: a harm reduction strategy for children. Citation Text: Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-0022…

  14. Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. | PSNet

    psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
    May 16, 2012 - Study Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. Citation Text: Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …

  15. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. | PSNet

    psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical-training-annotated
    August 09, 2023 - Review Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Citation Text: Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qu…

  16. Building a community engagement approach for patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
    April 01, 2010 - Commentary Building a community engagement approach for patient safety improvement. Citation Text: Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. Copy Citation Format:…

  17. Adopting system models for multiple incident analysis: utility and usability. | PSNet

    psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability
    May 19, 2021 - Study Adopting system models for multiple incident analysis: utility and usability. Citation Text: Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135. Copy Citation …

  18. High-alert medications in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
    December 16, 2015 - Study High-alert medications in the pediatric intensive care unit. Citation Text: Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. Copy Citation Format: DOI…

  19. The future of graduate medical education: a systems-based approach to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety
    October 18, 2017 - Commentary The future of graduate medical education: a systems-based approach to ensure patient safety. Citation Text: Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. …

  20. Intraoperative communications between pathologists and surgeons: do we understand each other? | PSNet

    psnet.ahrq.gov/issue/intraoperative-communications-between-pathologists-and-surgeons-do-we-understand-each-other
    June 28, 2023 - Study Intraoperative communications between pathologists and surgeons: do we understand each other? Citation Text: Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…
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