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  1. Strategies to improve patient safety: the evidence base matures. | PSNet

    psnet.ahrq.gov/issue/strategies-improve-patient-safety-evidence-base-matures
    March 16, 2013 - Commentary Strategies to improve patient safety: the evidence base matures. Citation Text: Wachter RM, Pronovost P, Shekelle PG. Strategies to Improve Patient Safety: The Evidence Base Matures. Ann Intern Med. 2013;158(5_Part_1):350. doi:10.7326/0003-4819-158-5-201303050-00010. Copy Ci…

  2. Better understanding the downsides of low value healthcare could reduce harm. | PSNet

    psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
    August 11, 2021 - Commentary Better understanding the downsides of low value healthcare could reduce harm. Citation Text: Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117. Copy Citation Format: D…

  3. Coaching to improve the quality of communication during briefings and debriefings. | PSNet

    psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
    March 02, 2022 - Study Coaching to improve the quality of communication during briefings and debriefings. Citation Text: Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. Co…

  4. Working conditions that support patient safety. | PSNet

    psnet.ahrq.gov/issue/working-conditions-support-patient-safety
    June 23, 2009 - Commentary Working conditions that support patient safety. Citation Text: Hughes RG, Clancy CM. Working conditions that support patient safety. J Nurs Care Qual. 2005;20(4):289-292. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  5. Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. | PSNet

    psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
    February 23, 2022 - Newspaper/Magazine Article Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. Citation Text: Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…

  6. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet

    psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
    September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…

  7. Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
    September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

  8. Patient safety initiatives in obstetrics: a rapid review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
    September 23, 2020 - Review Patient safety initiatives in obstetrics: a rapid review. Citation Text: Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. Copy Citation Format: DOI Google Schola…

  9. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet

    psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
    February 20, 2016 - Study Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. Citation Text: Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170. Copy Citation Form…

  10. Have you M.E.T. the future of better patient safety? | PSNet

    psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety
    November 13, 2024 - Newspaper/Magazine Article Have you M.E.T. the future of better patient safety? Citation Text: Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1. Copy Citation Format: Google Scholar PubMed…

  11. Development of a rating system for surgeons' non-technical skills. | PSNet

    psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
    June 12, 2008 - Study Development of a rating system for surgeons' non-technical skills. Citation Text: Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ. 2006;40(11):1098-104. Copy Citation Format: Google Scholar PubMed …

  12. Accountability sought by patients following adverse events from medical care: the New Zealand experience. | PSNet

    psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
    June 25, 2010 - Study Accountability sought by patients following adverse events from medical care: the New Zealand experience. Citation Text: Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…

  13. Surgeon's vigilance in the operating room. | PSNet

    psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
    November 12, 2014 - Study Surgeon's vigilance in the operating room. Citation Text: Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673-7. doi:10.1016/j.amjsurg.2011.01.016. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  14. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. | PSNet

    psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
    October 14, 2015 - Study Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Citation Text: Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry…

  15. Evaluation of critical incidents in general surgery. | PSNet

    psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
    April 29, 2009 - Study Evaluation of critical incidents in general surgery. Citation Text: Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296. Copy Citation Format: DOI Google Scholar PubMed …

  16. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. | PSNet

    psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
    May 18, 2022 - Study Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Citation Text: Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…

  17. Using a quantitative risk register to promote learning from a patient safety reporting system. | PSNet

    psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
    September 24, 2010 - Study Using a quantitative risk register to promote learning from a patient safety reporting system. Citation Text: Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…

  18. How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. | PSNet

    psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
    February 03, 2021 - Newspaper/Magazine Article How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Citation Text: How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020. Copy Citati…

  19. The association between organizational culture and the ability to benefit from "just culture" training. | PSNet

    psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…

  20. Measurement of quality and assurance of safety in the critically ill. | PSNet

    psnet.ahrq.gov/issue/measurement-quality-and-assurance-safety-critically-ill
    March 21, 2012 - Commentary Measurement of quality and assurance of safety in the critically ill. Citation Text: Pronovost P, Sexton B, Pham JC, et al. Measurement of quality and assurance of safety in the critically ill. Clin Chest Med. 2009;30(1):169-79, x. doi:10.1016/j.ccm.2008.09.004. Copy Citat…
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