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  1. Clinical reasoning assessment methods: a scoping review and practical guidance. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-assessment-methods-scoping-review-and-practical-guidance
    August 15, 2018 - Review Clinical reasoning assessment methods: a scoping review and practical guidance. Citation Text: Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618. C…

  2. Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-health-disparities-and-artificial-intelligence-combination-health-or-harm
    December 09, 2020 - Commentary Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. Citation Text: Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm. JAMA Health Forum. 2021;2(9):e21…

  3. How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet

    psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
    August 03, 2017 - Review How to perform a root cause analysis for workup and future prevention of medical errors: a review. Citation Text: Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…

  4. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/image-gently-step-lightly-promoting-radiation-safety-pediatric-interventional-radiology
    August 20, 2018 - Commentary Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. Citation Text: Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W29…

  5. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. | PSNet

    psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
    September 23, 2020 - Study Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Citation Text: Kämmer JE, Schauber SK, Hautz SC, et al. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Med Educ. 2021;55(10):1172-1…

  6. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. | PSNet

    psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
    December 02, 2020 - Study Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Citation Text: Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…

  7. Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-medication-errors-pediatric-cancer-treatment-center-prospective-characterization
    January 22, 2017 - Study Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. Citation Text: Watts RG, Parsons K. Chemotherapy medication errors in a pe…

  8. Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
    September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

  9. Facing ambiguous threats. | PSNet

    psnet.ahrq.gov/issue/facing-ambiguous-threats
    December 24, 2008 - Commentary Facing ambiguous threats. Citation Text: Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  10. An appeal for evidence-based resident duty hours reform. | PSNet

    psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform
    August 09, 2023 - Commentary An appeal for evidence-based resident duty hours reform. Citation Text: Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. Copy Citation Format: DOI Google S…

  11. The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. | PSNet

    psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
    July 02, 2014 - Study The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. Citation Text: Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…

  12. Nemeth LS et al. 2007 "Strategies to accelerate translation of research into primary care within practices using electronic medical records." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nemeth-ls-et-al-2007
    January 01, 2007 - Nemeth LS et al. 2007 "Strategies to accelerate translation of research into primary care within practices using electronic medical records." Reference Nemeth LS, Wessell AM, Jenkins RG, et al. Strategies to accelerate translation of research into primary care within practices using electronic medical…

  13. Morris L et al. 2003 "How will practices cope with information for the new GMS contract? Coronary heart disease data recording in five Scottish practices." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-l-et-al-2003-how
    January 01, 2003 - Morris L et al. 2003 "How will practices cope with information for the new GMS contract? Coronary heart disease data recording in five Scottish practices." Reference Morris L, Taylor M, Campbell LM, et al. How will practices cope with information for the new GMS contract? Coronary heart disease data r…

  14. Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety
    March 25, 2009 - Study Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. Citation Text: Freeth D, Ayida G, Berridge EJ, et al. Multidisciplinary obstetric simulated emergency scenarios (MOSES): p…

  15. A meta-review of methods of measuring and monitoring safety in primary care. | PSNet

    psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care
    November 03, 2021 - Review A meta-review of methods of measuring and monitoring safety in primary care. Citation Text: O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. …

  16. Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

    psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
    July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

  17. Dashboards for visual display of patient safety data: a systematic review. | PSNet

    psnet.ahrq.gov/issue/dashboards-visual-display-patient-safety-data-systematic-review
    November 11, 2020 - Review Dashboards for visual display of patient safety data: a systematic review. Citation Text: Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. …

  18. IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet

    psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
    April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system. Citation Text: Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…

  19. Negative behaviours in health care: prevalence and strategies. | PSNet

    psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
    May 01, 2024 - Study Negative behaviours in health care: prevalence and strategies. Citation Text: Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. Copy Citation Format: DOI Goog…

  20. Maximizing the ability of health IT and AI to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/maximizing-ability-health-it-and-ai-improve-patient-safety
    May 22, 2015 - Commentary Maximizing the ability of health IT and AI to improve patient safety. Citation Text: Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343. Copy Citation …
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