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Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. | PSNet

psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking

October 19, 2022 - Study Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. Citation Text: Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…

Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. | PSNet

psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens

July 14, 2010 - Study Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Citation Text: Sedman A, Harris M, Schulz K, et al. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pedi…

An experimental study in nurse-physician relationships. | PSNet

psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships

July 14, 2010 - Study Classic An experimental study in nurse-physician relationships. Citation Text: Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv Ment Dis. 1966;143(2):171-80. Copy Citation Format: Go…

Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. | PSNet

psnet.ahrq.gov/issue/could-it-be-done-safely-pharmacists-views-safety-and-clinical-outcomes-introduction-advanced

October 22, 2014 - Study Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. Citation Text: Napier P, Norris P, Braund R. Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an …

Rapid response systems: identification and management of the "prearrest state." | PSNet

psnet.ahrq.gov/issue/rapid-response-systems-identification-and-management-prearrest-state

May 18, 2022 - Review Rapid response systems: identification and management of the "prearrest state." Citation Text: McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state". Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012. Copy Ci…

Speaking up for patient safety by hospital-based health care professionals: a literature review. | PSNet

psnet.ahrq.gov/issue/speaking-patient-safety-hospital-based-health-care-professionals-literature-review

October 31, 2011 - Review Speaking up for patient safety by hospital-based health care professionals: a literature review. Citation Text: Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.…

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. | PSNet

psnet.ahrq.gov/issue/staff-perceptions-quality-care-observational-study-nhs-staff-survey-hospitals-england

May 04, 2017 - Study Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. Citation Text: Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. BMJ Q…

Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. | PSNet

psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance

March 01, 2023 - Study Classic Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. Citation Text: Miller RR. Hospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug Surveill…

Association between organisational and workplace cultures, and patient outcomes: systematic review. | PSNet

psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic

February 03, 2011 - Review Association between organisational and workplace cultures, and patient outcomes: systematic review. Citation Text: Braithwaite J, Herkes J, Ludlow K, et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open. 2017;7(11). do…

Artificial intelligence in health care: accountability and safety. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety

December 20, 2023 - Commentary Classic Artificial intelligence in health care: accountability and safety. Citation Text: Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.2…

Complexity science: the challenge of complexity in health care. | PSNet

psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care

March 13, 2013 - Commentary Classic Complexity science: the challenge of complexity in health care. Citation Text: Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628. Copy Citation Format: Google Scho…

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. | PSNet

psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical

June 11, 2014 - Study Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Citation Text: Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm…

Addressing racial and ethnic bias in pulse oximeters—a wicked problem. | PSNet

psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem

April 18, 2019 - Commentary Addressing racial and ethnic bias in pulse oximeters—a wicked problem. Citation Text: Shachar C, Drabo EF, Iwashyna TJ, et al. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. JAMA. 2025;333(7):563-564. doi:10.1001/jama.2024.25443. Copy Citation For…

Does the Leapfrog program help identify high-quality hospitals? | PSNet

psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals

February 10, 2015 - Study Does the Leapfrog program help identify high-quality hospitals? Citation Text: Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008;34(6):318-325. Copy Citation Format: Google Scholar Pub…

Patient Safety Leadership WalkRounds. | PSNet

psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds

January 02, 2017 - Study Classic Patient Safety Leadership WalkRounds. Citation Text: Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. Copy Citation Format: DOI Google…

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet

psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable

February 24, 2011 - Study Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? Citation Text: Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. Copy Citation Fo…

Harnessing the power of medical malpractice data to improve patient care. | PSNet

psnet.ahrq.gov/issue/harnessing-power-medical-malpractice-data-improve-patient-care

September 25, 2019 - Commentary Harnessing the power of medical malpractice data to improve patient care. Citation Text: Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. Copy Citatio…

Making Just Culture a Reality: One Organization's Approach | PSNet

psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach

October 01, 2007 - Yet, there's a role of larger units, whether it's the state or the federal government or the Joint Commission

In Conversation with…William B. Munier, MD, MBA | PSNet

psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba

July 01, 2011 - Washington, DC: US GPO Access, Government Printing Office; 2011. [Available at] 7.

Double checking the administration of medicines: what is the evidence? A systematic review. | PSNet

psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review

June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…

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