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261. 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…

262. 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. …

263. 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: …

264. 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. …

265. 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…

266. 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…

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33591/psn-pdf
     March 15, 2025 - identified, the entire chart is reviewed to determine whether an adverse event took place, and if so, to grade

268. 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…

269. 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…

270. 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…

271. 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…

272. Patient Safety Indicators | PSNet
     psnet.ahrq.gov/primer/patient-safety-indicators
     June 15, 2024 - Program (PSI 90 only) Hospital Inpatient Quality Reporting (IQR) Program The Leapfrog Hospital Safety Grade … Hospital Survey , and information from other supplemental data sources to produce a single letter grade

273. Detecting clinical medication errors with AI enabled wearable cameras. | PSNet
     psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras
     August 03, 2022 - Study Detecting clinical medication errors with AI enabled wearable cameras. Citation Text: Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. Copy Citation Format: …

274. The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. | PSNet
     psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
     October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…

275. 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: …

276. 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…

277. 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. …

278. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. | PSNet
     psnet.ahrq.gov/issue/burnout-neonatal-intensive-care-unit-and-its-relation-healthcare-associated-infections
     November 20, 2019 - Study Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. Citation Text: Tawfik DS, Sexton JB, Kan P, et al. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. J Perinatol. 2017;37(3). doi:10.103…

279. 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…

280. 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…