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A Tale of Two Stories: Contrasting Views of Patient Safety. | PSNet

psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety

March 27, 2005 - Book/Report Classic A Tale of Two Stories: Contrasting Views of Patient Safety. Citation Text: A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997. Copy Citation …

Resident work hour limits and patient safety. | PSNet

psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety

July 03, 2014 - Study Classic Resident work hour limits and patient safety. Citation Text: Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. Copy Citation Format: Google Scholar…

Defining attributes of patient safety through a concept analysis. | PSNet

psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis

May 08, 2013 - Review Defining attributes of patient safety through a concept analysis. Citation Text: Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715. Copy Citation Format: …

Chasing zero harm in radiation oncology: using pre-treatment peer review. | PSNet

psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review

January 12, 2022 - Commentary Chasing zero harm in radiation oncology: using pre-treatment peer review. Citation Text: Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. Copy Cita…

Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. | PSNet

psnet.ahrq.gov/issue/realist-synthesis-intentional-rounding-hospital-wards-exploring-evidence-what-works-whom-what

March 01, 2023 - Review Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. Citation Text: Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what …

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic

May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

Bridging the communication gap in the operating room with medical team training. | PSNet

psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training

March 05, 2025 - Study Bridging the communication gap in the operating room with medical team training. Citation Text: Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4. Copy Citation Format: …

Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

psnet.ahrq.gov/issue/developing-programme-medication-reconciliation-time-admission-hospital

March 09, 2022 - Study Developing a programme for medication reconciliation at the time of admission into hospital. Citation Text: Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi…

Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege? | PSNet

psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered

November 06, 2019 - Commentary Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege? Citation Text: de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't these communications be covered by legal pri…

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet

psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance

January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. | PSNet

psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations

May 11, 2016 - Study Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. Citation Text: Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. | PSNet

psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty

July 19, 2023 - Study A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Citation Text: Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet

psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis

March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

Beyond the corrective action hierarchy: a systems approach to organizational change. | PSNet

psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change

March 10, 2021 - Commentary Beyond the corrective action hierarchy: a systems approach to organizational change. Citation Text: Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…

A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? | PSNet

psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-about-their

January 23, 2019 - Review A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? Citation Text: Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their a…

Pediatric surgical errors: a systematic scoping review. | PSNet

psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review

August 17, 2022 - Review Pediatric surgical errors: a systematic scoping review. Citation Text: Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. Copy Citation Format: DO…

Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet

psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic

January 12, 2022 - Review Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. Citation Text: Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…

Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. | PSNet

psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression

February 25, 2015 - Review Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. Citation Text: Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. J Eval Clin Pract…

Nurse decision making in the prearrest period. | PSNet

psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period

July 29, 2020 - Study Nurse decision making in the prearrest period. Citation Text: Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res. 2010;19(1):21-37. doi:10.1177/1054773809353161. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Monitoring adverse drug reactions in children using community pharmacies: a pilot study. | PSNet

psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study

July 01, 2017 - Study Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Citation Text: Stewart D, Helms P, McCaig D, et al. Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Br J Clin Pharmacol. 2005;59(6):677-83. Copy Cit…

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