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  1. 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…

  2. 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…

  3. 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…

  4. The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. | PSNet

    psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
    May 11, 2019 - Commentary The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. Citation Text: Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…

  5. 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…

  6. A systemwide strategy to embed equity into patient safety event analysis. | PSNet

    psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
    November 16, 2022 - Study A systemwide strategy to embed equity into patient safety event analysis. Citation Text: Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004. …

  7. Reducing retained foreign objects in the operating room: a quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
    April 19, 2023 - Study Reducing retained foreign objects in the operating room: a quality improvement initiative. Citation Text: Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…

  8. 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…

  9. 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…

  10. 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: …

  11. Single-patient rooms for safe patient-centered hospitals. | PSNet

    psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
    April 01, 2016 - Commentary Single-patient rooms for safe patient-centered hospitals. Citation Text: Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

  12. 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…

  13. 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…

  14. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
    April 25, 2018 - Review Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. Citation Text: Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…

  15. Economic measurement of medical errors using a hospital claims database. | PSNet

    psnet.ahrq.gov/issue/economic-measurement-medical-errors-using-hospital-claims-database
    March 03, 2011 - Study Economic measurement of medical errors using a hospital claims database. Citation Text: David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010. Copy Citati…

  16. Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. | PSNet

    psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
    November 15, 2016 - Book/Report Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Citation Text: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation …

  17. Association of resident fatigue and distress with perceived medical errors. | PSNet

    psnet.ahrq.gov/issue/association-resident-fatigue-and-distress-perceived-medical-errors
    February 02, 2011 - Study Association of resident fatigue and distress with perceived medical errors. Citation Text: West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389. Copy Citation …

  18. Errors in otolaryngology revisited. | PSNet

    psnet.ahrq.gov/issue/errors-otolaryngology-revisited
    August 11, 2010 - Study Errors in otolaryngology revisited. Citation Text: Shah RK, Boss EF, Brereton J, et al. Errors in otolaryngology revisited. Otolaryngol Head Neck Surg. 2014;150(5):779-784. doi:10.1177/0194599814521985. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  19. The normalization of deviance: a threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
    December 21, 2016 - Commentary The normalization of deviance: a threat to patient safety. Citation Text: Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002. Copy Citation Format: DOI Google Scholar Pu…

  20. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. | PSNet

    psnet.ahrq.gov/issue/stress-and-burnout-among-surgeons-understanding-and-managing-syndrome-and-avoiding-adverse
    June 28, 2010 - Review Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Citation Text: Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.…
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