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  1. 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: …

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. 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…

  10. 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…

  11. The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. | PSNet

    psnet.ahrq.gov/issue/legibility-prescription-medication-labelling-canada-moving-pharmacy-centred-patient-centred
    September 23, 2020 - Study The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. Citation Text: Leat SJ, Ahrens K, Krishnamoorthy A, et al. The legibility of prescription medication labelling in Canada: Moving from pharmacy-centred to patient-c…

  12. Delayed medical emergency team calls and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes
    October 13, 2018 - Study Delayed medical emergency team calls and associated outcomes. Citation Text: Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9. Copy Citation Format: …

  13. Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
    May 19, 2021 - Study Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. Citation Text: Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…

  14. Medication reconciliation in a community pharmacy setting. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-community-pharmacy-setting
    November 16, 2022 - Study Medication reconciliation in a community pharmacy setting. Citation Text: Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121. Copy Citation Format: …

  15. How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. | PSNet

    psnet.ahrq.gov/issue/how-improving-practice-relationships-among-clinicians-and-nonclinicians-can-improve-quality
    December 18, 2013 - Study How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Citation Text: Lanham H, McDaniel RR, Crabtree B, et al. How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Jt Comm…

  16. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet

    psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
    January 27, 2016 - Study Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. Citation Text: Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end tran…

  17. The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors. | PSNet

    psnet.ahrq.gov/issue/relationship-between-nursing-experience-and-education-and-occurrence-reported-pediatric
    October 02, 2013 - Study The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors. Citation Text: Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between Nursing Experience and Education and the Occurrence of Reported …

  18. Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet

    psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
    October 19, 2022 - Study Clinical clerkship students' perceptions of (un)safe transitions for every patient. Citation Text: Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.…

  19. Mandating limits on workload, duty, and speed in radiology. | PSNet

    psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology
    August 11, 2021 - Review Mandating limits on workload, duty, and speed in radiology. Citation Text: Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. Copy Citation Format: DOI Google Scholar B…

  20. The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. | PSNet

    psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported-paediatric-medication
    July 01, 2016 - Study The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. Citation Text: Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between the Nursing Work Environment and the Occurr…
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