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  1. A pause in pediatrics: implementation of a pediatric diagnostic time-out. | PSNet

    psnet.ahrq.gov/issue/pause-pediatrics-implementation-pediatric-diagnostic-time-out
    April 20, 2022 - Study A pause in pediatrics: implementation of a pediatric diagnostic time-out. Citation Text: Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010. Copy Citation …

  2. ACOG Committee Opinion #621: patient safety and health information technology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-621-patient-safety-and-health-information-technology
    May 22, 2019 - Commentary ACOG Committee Opinion #621: patient safety and health information technology. Citation Text: Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…

  3. Patient safety in obstetrics and obstetric anesthesia. | PSNet

    psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia
    August 04, 2021 - Review Patient safety in obstetrics and obstetric anesthesia. Citation Text: Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-110. doi:10.1097/AIA.0000000000000017. Copy Citation Format: DOI Google Scholar PubMed B…

  4. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/role-talking-and-keeping-silent-physician-coping-medical-error-qualitative-study
    February 16, 2011 - Study The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Citation Text: May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. …

  5. Development and implementation of a pediatric patient safety program. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-pediatric-patient-safety-program
    September 27, 2010 - Commentary Development and implementation of a pediatric patient safety program. Citation Text: Alton M, Frush K, Brandon D, et al. DEVELOPMENT AND IMPLEMENTATION OF A PEDIATRIC PATIENT SAFETY PROGRAM. Adv Neonatal Care. 2006;6(3):104-111. doi:10.1016/j.adnc.2006.02.003. Copy Citatio…

  6. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-safety-practices-us-cancer-centres-questionnaire-survey
    July 23, 2014 - Study Oral chemotherapy safety practices at US cancer centres: questionnaire survey. Citation Text: Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55. Copy Cita…

  7. Medication errors involving wrong administration technique. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique
    January 05, 2017 - Study Medication errors involving wrong administration technique. Citation Text: Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. Copy Citation …

  8. A case for improving measurement of intraoperative iatrogenic injuries. | PSNet

    psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
    February 14, 2017 - Commentary A case for improving measurement of intraoperative iatrogenic injuries. Citation Text: Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries. JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237. Copy Citation Form…

  9. Emerging trends in perinatal quality and risk with recommendations for patient safety. | PSNet

    psnet.ahrq.gov/issue/emerging-trends-perinatal-quality-and-risk-recommendations-patient-safety
    October 19, 2022 - Commentary Emerging trends in perinatal quality and risk with recommendations for patient safety. Citation Text: Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294. Cop…

  10. Predicting and preventing adverse drug reactions in the very old. | PSNet

    psnet.ahrq.gov/issue/predicting-and-preventing-adverse-drug-reactions-very-old
    April 16, 2018 - Study Predicting and preventing adverse drug reactions in the very old. Citation Text: Merle L, Laroche M-L, Dantoine T, et al. Predicting and preventing adverse drug reactions in the very old. Drugs Aging. 2005;22(5):375-92. Copy Citation Format: Google Scholar PubMed Bi…

  11. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  12. Simulation to enhance patient safety: why aren't we there yet? | PSNet

    psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet
    June 17, 2015 - Commentary Simulation to enhance patient safety: why aren't we there yet? Citation Text: Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest. 2011;140(4):854-858. doi:10.1378/chest.11-0728. Copy Citation Format: DOI Google Scholar Pub…

  13. Patient monitoring alarms in the ICU and in the operating room. | PSNet

    psnet.ahrq.gov/issue/patient-monitoring-alarms-icu-and-operating-room
    May 26, 2021 - Review Patient monitoring alarms in the ICU and in the operating room. Citation Text: Schmid F, Goepfert MS, Reuter DA. Patient monitoring alarms in the ICU and in the operating room. Crit Care. 2013;17(2):216. doi:10.1186/cc12525. Copy Citation Format: DOI Google Scholar…

  14. The association of shift-level nurse staffing with adverse patient events. | PSNet

    psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
    October 06, 2016 - Study The association of shift-level nurse staffing with adverse patient events. Citation Text: Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf. Copy Ci…

  15. Use of board certification and recertification of pediatricians in health plan credentialing policies. | PSNet

    psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
    February 02, 2011 - Study Use of board certification and recertification of pediatricians in health plan credentialing policies. Citation Text: Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…

  16. Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. | PSNet

    psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-vigilance
    April 06, 2022 - Newspaper/Magazine Article Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Citation Text: Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Webb J. Drug Topics. March 10, 2015. Copy Citation Save …

  17. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? | PSNet

    psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making
    October 13, 2018 - Review Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Citation Text: Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:1…

  18. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. | PSNet

    psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
    March 10, 2021 - Review Twenty-four/seven: a mixed-method systematic review of the off-shift literature. Citation Text: de Cordova PB, Phibbs CS, Bartel AP, et al. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. J Adv Nurs. 2012;68(7):1454-68. Copy Citation Forma…

  19. More than a tick box: medical checklist development, design, and use. | PSNet

    psnet.ahrq.gov/issue/more-tick-box-medical-checklist-development-design-and-use
    December 02, 2020 - Commentary More than a tick box: medical checklist development, design, and use. Citation Text: Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. Copy Citat…

  20. An institution-wide handoff task force to standardise and improve physician handoffs. | PSNet

    psnet.ahrq.gov/issue/institution-wide-handoff-task-force-standardise-and-improve-physician-handoffs
    January 07, 2015 - Study An institution-wide handoff task force to standardise and improve physician handoffs. Citation Text: Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71. Copy Citation …
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