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  1. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet

    psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

  2. Improving patient safety by taking systems seriously. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
    April 17, 2013 - Commentary Improving patient safety by taking systems seriously. Citation Text: Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  3. Error traps in acute pain management in children. | PSNet

    psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
    August 24, 2022 - Commentary Error traps in acute pain management in children. Citation Text: Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514. Copy Citation Format: DOI Google Scholar BibTeX En…

  4. Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. | PSNet

    psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector
    December 16, 2020 - Book/Report Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Citation Text: Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Washington DC; Office of Senator Mark Warner: November 25, 2022. Copy Citation Save S…

  5. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. | PSNet

    psnet.ahrq.gov/issue/communicating-coordinating-and-cooperating-when-lives-depend-it-tips-teamwork
    January 03, 2017 - Commentary Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Citation Text: Salas E, Wilson K, Murphy CE, et al. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf. 2008;34(6):333-41. …

  6. The iatrogenic-harm cost equation and new technology. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
    January 24, 2024 - Commentary The iatrogenic-harm cost equation and new technology. Citation Text: Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

  7. From Safety-I to Safety-II: A White Paper. | PSNet

    psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
    July 22, 2019 - Book/Report From Safety-I to Safety-II: A White Paper. Citation Text: From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. Copy Citation Save Save to your library Print Dow…

  8. Algorithmic Bias Playbook. | PSNet

    psnet.ahrq.gov/issue/algorithmic-bias-playbook
    May 13, 2020 - Book/Report Algorithmic Bias Playbook. Citation Text: Algorithmic Bias Playbook. Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021. Copy Citation Save Save to your library Print Download PD…

  9. Promising Areas for Patient Safety Research | PSNet

    psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
    November 02, 2016 - Promising Areas for Patient Safety Research P. Jeffrey Brady, MD, MPH; William B. Munier, MD, MBA; Irim Azam, MPH | December 1, 2003  View more articles from the same authors. Citation Text: Brady JP, Munier WB, Azam I. Promising Areas for Patient Safety Research. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - Advancing Patient Safety Through State Reporting Systems June 1, 2007 Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems Perspective Seven years ago, the Institute of Medicine (I…

  11. How experiencing preventable medical problems changed patients' interactions with primary health care. | PSNet

    psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
    December 13, 2023 - Study How experiencing preventable medical problems changed patients' interactions with primary health care. Citation Text: Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…

  12. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. | PSNet

    psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
    December 16, 2020 - Study Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Citation Text: Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. C…

  13. Words: the "drug" with the highest frequency of dispensing errors. | PSNet

    psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
    March 04, 2015 - Commentary Words: the "drug" with the highest frequency of dispensing errors. Citation Text: Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x. Copy Citation Format: DOI Google…

  14. Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. | PSNet

    psnet.ahrq.gov/issue/perspective-beyond-counting-hours-importance-supervision-professionalism-transitions-care-and
    September 20, 2011 - Commentary Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. Citation Text: Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257…

  15. Raising and responding to frontline concerns in healthcare. | PSNet

    psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare
    November 13, 2019 - Commentary Raising and responding to frontline concerns in healthcare. Citation Text: Mannion R, Davies H. Raising and responding to frontline concerns in healthcare. BMJ. 2019;366:l4944. doi:10.1136/bmj.l4944. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  16. How patients perceive a doctor's caring attitude. | PSNet

    psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
    March 11, 2013 - Study How patients perceive a doctor's caring attitude. Citation Text: Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns. 2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022. Copy Citation Format: DOI Google Scholar Pu…

  17. Critical Deficiencies at the Washington DC VA Medical Center. | PSNet

    psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
    December 16, 2020 - Government Resource Critical Deficiencies at the Washington DC VA Medical Center. Citation Text: Critical Deficiencies at the Washington DC VA Medical Center. Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130. Copy Citat…

  18. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. | PSNet

    psnet.ahrq.gov/issue/systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
    October 22, 2008 - Review Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. Citation Text: Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation …

  19. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow. | PSNet

    psnet.ahrq.gov/issue/twenty-four-hour-intensivist-staffing-teaching-hospitals-tensions-between-safety-today-and
    June 10, 2013 - Commentary Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow. Citation Text: Kerlin MP, Halpern S. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow. Chest. 2012;1…

  20. When systems fail. | PSNet

    psnet.ahrq.gov/issue/when-systems-fail
    February 10, 2011 - Commentary When systems fail. Citation Text: Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-2616(01)00025-0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …
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