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301. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
     February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…

302. Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet
     psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
     November 29, 2023 - Book/Report Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. Citation Text: Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, …

303. Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. | PSNet
     psnet.ahrq.gov/issue/development-research-agenda-identify-evidence-based-strategies-improve-physician-wellness-and
     June 01, 2022 - Commentary Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. Citation Text: Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness an…

304. Identification of common themes from never events data published by NHS England. | PSNet
     psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
     April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

305. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. | PSNet
     psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
     March 20, 2019 - Study A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Citation Text: Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient…

306. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. | PSNet
     psnet.ahrq.gov/issue/weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review
     November 16, 2022 - Review Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Citation Text: Wells M, Henry B, Goldstein L. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Prehosp Disaster Med. 2023;38(4):471-484. doi…

307. Crisis recovery in surgery: error management and problem solving in safety-critical situations. | PSNet
     psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
     November 30, 2022 - Study Crisis recovery in surgery: error management and problem solving in safety-critical situations. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. …

308. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. | PSNet
     psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
     May 13, 2020 - Government Resource Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Citation Text: Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35…

309. Principles of automation for patient safety in intensive care: learning from aviation. | PSNet
     psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
     April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning from aviation. Citation Text: Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…

310. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. | PSNet
     psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
     October 19, 2022 - Study Classic Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Citation Text: Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …

311. Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality? | PSNet
     psnet.ahrq.gov/issue/do-crowdsourced-hospital-ratings-coincide-hospital-compare-measures-clinical-and-nonclinical
     June 23, 2021 - Study Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality? Citation Text: Perez V, Freedman S. Do Crowdsourced Hospital Ratings Coincide with Hospital Compare Measures of Clinical and Nonclinical Quality? Health Serv Res. 2018;53(6…

312. A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. | PSNet
     psnet.ahrq.gov/issue/guide-evaluation-quality-improvement-and-patient-safety-educational-programs-lessons-va-chief
     February 26, 2020 - Commentary A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. Citation Text: Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educa…

313. Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce. | PSNet
     psnet.ahrq.gov/issue/documenting-quality-improvement-and-patient-safety-efforts-quality-portfolio-statement
     January 13, 2021 - Commentary Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce. Citation Text: Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the quality portfolio. A…

314. Longitudinal analysis of culture of patient safety survey results in surgical departments. | PSNet
     psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
     October 12, 2022 - Study Longitudinal analysis of culture of patient safety survey results in surgical departments. Citation Text: Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…

315. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/teamwork-climate-safety-climate-and-physician-burnout-national-cross-sectional-study
     October 26, 2022 - Study Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Citation Text: Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-46…

316. Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. | PSNet
     psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
     April 24, 2019 - Review Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. Citation Text: Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …

317. Common general surgical never events: analysis of NHS England never event data. | PSNet
     psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
     April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33853/psn-pdf
     March 01, 2018 - than 22,000 nurses in 577 hospitals, we found that 38% of nurses gave their hospitals an unfavorable grade … currently under review), about one third of nurses still gave their hospital an unfavorable patient safety grade

319. Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period. | PSNet
     psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
     September 04, 2024 - Study Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period. Citation Text: Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit:…

320. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet
     psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
     February 14, 2024 - Study Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. Citation Text: Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…