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  1. Optimizing Pediatric Patient Safety in the Emergency Care Setting. | PSNet

    psnet.ahrq.gov/issue/optimizing-pediatric-patient-safety-emergency-care-setting
    March 15, 2023 - Organizational Policy/Guidelines Optimizing Pediatric Patient Safety in the Emergency Care Setting. Citation Text: Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. …

  2. The need for closed-loop systems for management of abnormal test results. | PSNet

    psnet.ahrq.gov/issue/need-closed-loop-systems-management-abnormal-test-results
    May 20, 2019 - Study The need for closed-loop systems for management of abnormal test results. Citation Text: Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. Copy Citation …

  3. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. | PSNet

    psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
    June 15, 2022 - Study Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. Citation Text: Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4)…

  4. Improving medication management through the redesign of the hospital code cart medication drawer. | PSNet

    psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
    October 31, 2018 - Study Improving medication management through the redesign of the hospital code cart medication drawer. Citation Text: Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…

  5. A 3-year study of medication incidents in an acute general hospital. | PSNet

    psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital
    July 15, 2020 - Study A 3-year study of medication incidents in an acute general hospital. Citation Text: Song L, Chui WCM, Lau CP, et al. A 3-year study of medication incidents in an acute general hospital. J Clin Pharm Ther. 2008;33(2):109-14. doi:10.1111/j.1365-2710.2007.00880.x. Copy Citation …

  6. Good and bad reasons: the Swiss cheese model and its critics. | PSNet

    psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics
    September 14, 2022 - Commentary Classic Good and bad reasons: the Swiss cheese model and its critics. Citation Text: Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci. 2020;126:104660. doi:10.1016/j.ssci.2020.104660. Copy Citation …

  7. Poor resident–attending intraoperative communication may compromise patient safety. | PSNet

    psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
    September 23, 2020 - Study Poor resident–attending intraoperative communication may compromise patient safety. Citation Text: Belyansky I, Martin TR, Prabhu AS, et al. Poor resident-attending intraoperative communication may compromise patient safety. J Surg Res. 2011;171(2):386-94. doi:10.1016/j.jss.2011.…

  8. Improving the quality of health care: who will lead? | PSNet

    psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead
    June 14, 2011 - Commentary Classic Improving the quality of health care: who will lead? Citation Text: Becher EC, Chassin MR. Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. Copy Citation Format: Google Scholar PubM…

  9. Improving team members' attention during the OR briefing or time out. | PSNet

    psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
    November 10, 2021 - Study Improving team members' attention during the OR briefing or time out. Citation Text: Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. Copy Citation Format: DOI Google Scholar …

  10. Incidence and preventability of adverse drug events in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
    May 27, 2011 - Study Classic Incidence and preventability of adverse drug events in hospitalized patients. Citation Text: Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. Copy Ci…

  11. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. | PSNet

    psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safety-challenge-2005-2006
    November 13, 2024 - Commentary 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Citation Text: Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Int J Infect Dis. 2006;10(6):419-24. Copy Citation Format: …

  12. Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. | PSNet

    psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and
    July 31, 2019 - Review Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. Citation Text: Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018;30…

  13. Pediatric emergency department discharge prescriptions requiring pharmacy clarification. | PSNet

    psnet.ahrq.gov/issue/pediatric-emergency-department-discharge-prescriptions-requiring-pharmacy-clarification
    October 05, 2011 - Study Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Citation Text: Caruso MC, Gittelman MA, Widecan ML, et al. Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Pediatr Emerg Care. 2015;31(6):403-8. doi:10.…

  14. Near miss research in the healthcare system: a scoping review. | PSNet

    psnet.ahrq.gov/issue/near-miss-research-healthcare-system-scoping-review
    July 15, 2020 - Review Near miss research in the healthcare system: a scoping review. Citation Text: Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. Copy Citation Format: …

  15. The practical implementation of artificial intelligence technologies in medicine. | PSNet

    psnet.ahrq.gov/issue/practical-implementation-artificial-intelligence-technologies-medicine
    March 24, 2019 - Commentary The practical implementation of artificial intelligence technologies in medicine. Citation Text: He J, Baxter SL, Xu J, et al. The practical implementation of artificial intelligence technologies in medicine. Nat Med. 2019;25(1):30-36. doi:10.1038/s41591-018-0307-0. Copy Cit…

  16. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. | PSNet

    psnet.ahrq.gov/issue/pediatric-faculty-knowledge-and-comfort-discussing-diagnostic-errors-pilot-survey-understand
    April 22, 2020 - Study Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. Citation Text: Grubenhoff JA, Ziniel SI, Bajaj L, et al. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to un…

  17. Errors in cancer diagnosis: current understanding and future directions. | PSNet

    psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-directions
    November 18, 2009 - Review Errors in cancer diagnosis: current understanding and future directions. Citation Text: Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. Copy Citation Format: Google Schola…

  18. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. | PSNet

    psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
    February 28, 2024 - Study “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. Citation Text: Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. d…

  19. Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
    September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…

  20. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. | PSNet

    psnet.ahrq.gov/issue/organisational-readiness-exploring-preconditions-success-organisation-wide-patient-safety
    February 01, 2011 - Study Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. Citation Text: Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety im…
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