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  1. Deaths following prehospital safety incidents: an analysis of a national database. | PSNet

    psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
    October 03, 2018 - Study Deaths following prehospital safety incidents: an analysis of a national database. Citation Text: Yardley I, Donaldson LJ. Deaths following prehospital safety incidents: an analysis of a national database. Emerg Med J. 2016;33(10):716-721. doi:10.1136/emermed-2015-204724. Copy Ci…

  2. Nursing student errors and near misses: three years of data. | PSNet

    psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data
    October 20, 2021 - Study Nursing student errors and near misses: three years of data. Citation Text: Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05. Copy Citation Format: DOI Google Scholar…

  3. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-approach-inpatient-medication-reconciliation-academic-setting
    January 05, 2017 - Study Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Citation Text: Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4. …

  4. Improving team performance during the preprocedure time-out in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology
    August 04, 2021 - Study Improving team performance during the preprocedure time-out in pediatric interventional radiology. Citation Text: Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…

  5. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. | PSNet

    psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
    March 25, 2015 - Study Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Citation Text: Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;1…

  6. Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? | PSNet

    psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…

  7. National efforts to improve health information system safety in Canada, the United States of America and England. | PSNet

    psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
    July 14, 2009 - Review National efforts to improve health information system safety in Canada, the United States of America and England. Citation Text: Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …

  8. Clinical decision support: a 25 year retrospective and a 25 year vision. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
    May 20, 2019 - Review Clinical decision support: a 25 year retrospective and a 25 year vision. Citation Text: Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. Copy Citation …

  9. Patient safety in dentistry: development of a candidate 'never event' list for primary care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
    April 12, 2017 - Study Patient safety in dentistry: development of a candidate 'never event' list for primary care. Citation Text: Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. …

  10. Attitudes and barriers to incident reporting: a collaborative hospital study. | PSNet

    psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
    June 15, 2011 - Study Attitudes and barriers to incident reporting: a collaborative hospital study. Citation Text: Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006;15(1):39-43. Copy Citation Format: …

  11. Communication during trauma resuscitation: do we know what is happening? | PSNet

    psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
    February 03, 2021 - Study Communication during trauma resuscitation: do we know what is happening? Citation Text: Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. Copy Citation Format: Google Scholar …

  12. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-us-rural-healthcare-call-action
    December 22, 2018 - Book/Report Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. Citation Text: Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No…

  13. Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. | PSNet

    psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
    July 19, 2019 - Study Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. Citation Text: Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in postgraduate training: a…

  14. Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. | PSNet

    psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes
    March 05, 2025 - Study Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Citation Text: Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…

  15. Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? | PSNet

    psnet.ahrq.gov/issue/disrupting-diagnostic-reasoning-do-interruptions-instructions-and-experience-affect
    February 06, 2014 - Study Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? Citation Text: Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instr…

  16. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. | PSNet

    psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps
    October 19, 2022 - Study Classic The high cost of low-frequency events: the anatomy and economics of surgical mishaps. Citation Text: Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;3…

  17. General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. | PSNet

    psnet.ahrq.gov/issue/general-internists-pursuit-diagnostic-excellence-primary-care-proudtobegim-thread-unites-us
    April 03, 2024 - Commentary General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. Citation Text: Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern M…

  18. "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. | PSNet

    psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
    August 10, 2010 - Study "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. Citation Text: Wu MS, Rawal S. "It's the difference between life and death": The views of profession…

  19. Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. | PSNet

    psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital
    November 09, 2022 - Study Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. Citation Text: Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…

  20. The frequency of diagnostic errors in radiologic reports depends on the patient's age. | PSNet

    psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age
    March 09, 2022 - Study The frequency of diagnostic errors in radiologic reports depends on the patient's age. Citation Text: Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. Copy C…
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