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  1. 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…

  2. 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: …

  3. 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 …

  4. 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…

  5. 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…

  6. 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. …

  7. 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…

  8. Factors contributing to preventing operating room "never events": a machine learning analysis. | PSNet

    psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
    July 26, 2023 - Study Factors contributing to preventing operating room "never events": a machine learning analysis. Citation Text: Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s…

  9. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. | PSNet

    psnet.ahrq.gov/issue/root-causes-and-preventability-unintentionally-retained-foreign-objects-after-surgery
    June 14, 2023 - Study Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Citation Text: Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national exper…

  10. Errare humanum est: frequency of laterality errors in radiology reports. | PSNet

    psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
    September 13, 2023 - Study Errare humanum est: frequency of laterality errors in radiology reports. Citation Text: Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. Copy Citatio…

  11. Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. | PSNet

    psnet.ahrq.gov/issue/specialist-physicians-attitudes-and-practice-patterns-regarding-disclosure-pre-referral
    November 02, 2018 - Study Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. Citation Text: Dossett LA, Kauffmann RM, Lee JS, et al. Specialist Physicians' Attitudes and Practice Patterns Regarding Disclosure of Pre-referral Medical Errors. Ann Surg. …

  12. Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. | PSNet

    psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
    October 19, 2022 - Study Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. Citation Text: Paradis AR, Stewart VT, Bayley KB, et al. Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. American Journal of M…

  13. 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: …

  14. 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…

  15. Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? | PSNet

    psnet.ahrq.gov/issue/graduate-medical-educations-new-focus-resident-engagement-quality-and-safety-will-it
    July 14, 2021 - Commentary Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? Citation Text: Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10…

  16. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. | PSNet

    psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
    October 06, 2021 - Commentary Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. Citation Text: Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…

  17. 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…

  18. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
    April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

  19. Radiologist age and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
    March 02, 2022 - Study Radiologist age and diagnostic errors. Citation Text: Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

  20. 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…
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