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  1. What is preventable harm in healthcare? A systematic review of definitions. | PSNet

    psnet.ahrq.gov/issue/what-preventable-harm-healthcare-systematic-review-definitions
    September 23, 2020 - Review What is preventable harm in healthcare? A systematic review of definitions. Citation Text: Nabhan M, Elraiyah T, Brown DR, et al. What is preventable harm in healthcare? A systematic review of definitions. BMC Health Serv Res. 2012;12:128. doi:10.1186/1472-6963-12-128. Copy Ci…

  2. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
    September 23, 2020 - Review Impact of hospital accreditation on quality improvement in healthcare: a systematic review. Citation Text: Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…

  3. The promise of big data: improving patient safety and nursing practice. | PSNet

    psnet.ahrq.gov/issue/promise-big-data-improving-patient-safety-and-nursing-practice
    March 09, 2022 - Commentary The promise of big data: improving patient safety and nursing practice. Citation Text: Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux). 2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09. Copy Citation F…

  4. Learning from incidents in healthcare: the journey, not the arrival, matters. | PSNet

    psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
    June 12, 2024 - Commentary Learning from incidents in healthcare: the journey, not the arrival, matters. Citation Text: Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. …

  5. Patient falls in the operating room: why is this still a problem in 2024? | PSNet

    psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
    May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024? Citation Text: Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. Copy Citation Fo…

  6. Saving without compromising: teaching trainees to safely provide high value care. | PSNet

    psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care
    August 02, 2015 - Commentary Saving without compromising: teaching trainees to safely provide high value care. Citation Text: Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003. …

  7. Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. | PSNet

    psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
    July 29, 2015 - Government Resource Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Citation Text: Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Sturrock J. Edinburgh, Scotland: …

  8. Miro's dots and lines. | PSNet

    psnet.ahrq.gov/issue/miros-dots-and-lines
    September 21, 2016 - Commentary Miro's dots and lines. Citation Text: Taran S, Detsky AS. Miro’s Dots and Lines. JAMA Intern Med. 2019;179(8):1019–1020. doi:10.1001/jamainternmed.2019.1922. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  9. Understanding and attitudes towards patient safety concepts in obstetrics. | PSNet

    psnet.ahrq.gov/issue/understanding-and-attitudes-towards-patient-safety-concepts-obstetrics
    March 29, 2012 - Study Understanding and attitudes towards patient safety concepts in obstetrics. Citation Text: Nabhan A, Ahmed-Tawfik MS. Understanding and attitudes towards patient safety concepts in obstetrics. Int J Gynaecol Obstet. 2007;98(3):212-6. Copy Citation Format: Google Scho…

  10. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
    July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …

  11. Guideline for Prevention of Unintentionally Retained Surgical Items. | PSNet

    psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items
    August 01, 2018 - Commentary Guideline for Prevention of Unintentionally Retained Surgical Items. Citation Text: Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  12. Concept analysis: wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
    June 11, 2014 - Review Concept analysis: wrong-site surgery. Citation Text: Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  13. Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction. | PSNet

    psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately
    June 08, 2011 - Commentary Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction. Citation Text: Noble DJ, Pronovost P. Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm …

  14. Maryland Hospital Patient Safety Program Annual Report. | PSNet

    psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
    December 24, 2008 - Book/Report Maryland Hospital Patient Safety Program Annual Report. Citation Text: Maryland Hospital Patient Safety Program Annual Report. Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. Copy Citation Save Save to yo…

  15. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. | PSNet

    psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events
    January 23, 2017 - Study The reliability of AHRQ Common Format Harm Scales in rating patient safety events. Citation Text: Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3…

  16. Texting while doctoring: a patient safety hazard. | PSNet

    psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard
    October 04, 2023 - Commentary Texting while doctoring: a patient safety hazard. Citation Text: Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012. Copy Citation Format: DOI Google Scholar P…

  17. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-outpatient-medication-prescribing-older-adults-across-electronic
    September 29, 2021 - Study Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. Citation Text: Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record syste…

  18. Surgical fire in the United States: 2000-2020. | PSNet

    psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
    March 03, 2021 - Study Surgical fire in the United States: 2000-2020. Citation Text: Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  19. Impact of fatigue on anaesthesia providers: a scoping review. | PSNet

    psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scoping-review
    November 21, 2021 - Review Impact of fatigue on anaesthesia providers: a scoping review. Citation Text: Scholliers A, Cornelis S, Tosi M, et al. Impact of fatigue on anaesthesia providers: a scoping review. Br J Anaesth. 2023;130(5):622-635. doi:10.1016/j.bja.2022.12.011. Copy Citation Format: …

  20. Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. | PSNet

    psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
    June 02, 2021 - Study Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Citation Text: Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…
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