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  1. Supporting a psychiatric hospital culture of safety. | PSNet

    psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
    March 11, 2020 - Study Supporting a psychiatric hospital culture of safety. Citation Text: Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577. Copy Citation Format: DOI …

  2. Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. | PSNet

    psnet.ahrq.gov/issue/identifying-facilitators-and-barriers-patient-safety-medicine-label-design-system-using
    July 23, 2018 - Study Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. Citation Text: Dieckmann P, Clemmensen MH, Sørensen TK, et al. Identifying Facilitators and Barriers for Patient Safety in a Medicine Label Design Sys…

  3. Bedside shift reports: what does the evidence say? | PSNet

    psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
    October 19, 2022 - Review Bedside shift reports: what does the evidence say? Citation Text: Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. Copy Citation Format: DOI Google Scholar PubMed B…

  4. Risk management: extreme honesty may be the best policy. | PSNet

    psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
    January 04, 2017 - Study Classic Risk management: extreme honesty may be the best policy. Citation Text: Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967. Copy Citation Format: Google Scholar PubMed Bi…

  5. The influence of resident involvement on surgical outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes
    October 11, 2017 - Study The influence of resident involvement on surgical outcomes. Citation Text: Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029. Copy Citation Format: …

  6. Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

    psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
    January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

  7. Improving medication reconciliation in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
    August 31, 2011 - Study Improving medication reconciliation in the outpatient setting. Citation Text: Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. Copy Citation Format: Google Scholar PubMed B…

  8. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. | PSNet

    psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus-reporting-behavior
    September 29, 2017 - Study Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. Citation Text: Halbesleben JRB, Wakefield BJ, Wakefield DS, et al. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30(…

  9. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet

    psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
    February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Citation Text: Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.…

  10. Establishing a safe container for learning in simulation: the role of the presimulation briefing. | PSNet

    psnet.ahrq.gov/issue/establishing-safe-container-learning-simulation-role-presimulation-briefing
    September 16, 2015 - Commentary Establishing a safe container for learning in simulation: the role of the presimulation briefing. Citation Text: Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-49. do…

  11. Survival from in-hospital cardiac arrest during nights and weekends. | PSNet

    psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends
    February 18, 2011 - Study Survival from in-hospital cardiac arrest during nights and weekends. Citation Text: Peberdy MA, Ornato JP, Larkin L, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-92. doi:10.1001/jama.299.7.785. Copy Citation Format: …

  12. Using a computerized sign-out system to improve physician–nurse communication. | PSNet

    psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication
    September 28, 2016 - Study Using a computerized sign-out system to improve physician–nurse communication. Citation Text: Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. Copy Citation Format: …

  13. Influence of unit-level staffing on medication errors and falls in military hospitals. | PSNet

    psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals
    February 02, 2011 - Study Influence of unit-level staffing on medication errors and falls in military hospitals. Citation Text: Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:1…

  14. From battles to burnout: investigating the role of interphysician conflict in physician burnout. | PSNet

    psnet.ahrq.gov/issue/battles-burnout-investigating-role-interphysician-conflict-physician-burnout
    August 23, 2023 - Study From battles to burnout: investigating the role of interphysician conflict in physician burnout. Citation Text: Amick AE, Schrepel C, Bann M, et al. From battles to burnout: investigating the role of interphysician conflict in physician burnout. Acad Med. 2023;98(9):1076-1082. doi:…

  15. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. | PSNet

    psnet.ahrq.gov/issue/obstetric-iatrogenesis-united-states-spectrum-unintentional-harm-disrespect-violence-and
    November 11, 2020 - Commentary Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Citation Text: Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, an…

  16. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. | PSNet

    psnet.ahrq.gov/issue/reflections-implementing-hospital-wide-provider-based-electronic-inpatient-mortality-review
    August 12, 2020 - Study Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. Citation Text: Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…

  17. Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. | PSNet

    psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center
    February 10, 2021 - Book/Report Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. Citation Text: Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Vir…

  18. Patient safety: let's measure what matters. | PSNet

    psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
    July 03, 2016 - Commentary Patient safety: let's measure what matters. Citation Text: Thomas EJ, Classen D. Patient safety: let's measure what matters. Ann Intern Med. 2014;160(9):642-3. doi:10.7326/M13-2528. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  19. Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected
    January 14, 2009 - Book/Report Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Citation Text: Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…

  20. Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). | PSNet

    psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness
    May 01, 2017 - Grant Announcement Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). Citation Text: Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). Rockville, MD: Agency for …
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