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  1. 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. …

  2. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
    September 28, 2010 - Study Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. Citation Text: Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …

  3. Engaging the patient and family in the surgical safety process utilizing SafeStart. | PSNet

    psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
    October 19, 2022 - Study Engaging the patient and family in the surgical safety process utilizing SafeStart. Citation Text: Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012. …

  4. Thirty-day outcomes support implementation of a surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/thirty-day-outcomes-support-implementation-surgical-safety-checklist
    April 10, 2024 - Study Thirty-day outcomes support implementation of a surgical safety checklist. Citation Text: Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012…

  5. Rating the raters: the inconsistent quality of health care performance measurement. | PSNet

    psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
    March 27, 2018 - Commentary Rating the raters: the inconsistent quality of health care performance measurement. Citation Text: Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…

  6. Adverse events during hospitalization: results of a patient survey. | PSNet

    psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
    December 29, 2014 - Study Adverse events during hospitalization: results of a patient survey. Citation Text: Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90. Copy Citation Format: Goog…

  7. On the ball: leadership for patient safety and learning in critical care. | PSNet

    psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
    October 16, 2013 - Study On the ball: leadership for patient safety and learning in critical care. Citation Text: Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653. Copy Citatio…

  8. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. | PSNet

    psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
    April 11, 2012 - Study Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. Citation Text: Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…

  9. Educating medical trainees on medication reconciliation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
    October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…

  10. The tension between needing to improve care and knowing how to do it. | PSNet

    psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
    June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

  11. How is safety climate measured? A review and evaluation. | PSNet

    psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation
    January 26, 2022 - Review How is safety climate measured? A review and evaluation. Citation Text: Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413. Copy Citation Format: DOI Google Scholar Bib…

  12. Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

    psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
    June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

  13. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. | PSNet

    psnet.ahrq.gov/issue/medication-error-reporting-rural-critical-access-hospitals-north-dakota-telepharmacy-project
    October 17, 2012 - Study Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst …

  14. What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. | PSNet

    psnet.ahrq.gov/issue/what-makes-maternity-teams-effective-and-safe-lessons-series-research-teamwork-leadership-and
    May 25, 2011 - Commentary What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. Citation Text: Siassakos D, Fox R, Bristowe K, et al. What makes maternity teams effective and safe? Lessons from a series of research on teamwork, lead…

  15. Pediatric surgical errors: a systematic scoping review. | PSNet

    psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
    August 17, 2022 - Review Pediatric surgical errors: a systematic scoping review. Citation Text: Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. Copy Citation Format: DO…

  16. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. | PSNet

    psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes
    April 04, 2018 - Study Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. Citation Text: Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…

  17. Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
    April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …

  18. Diagnostic errors--The next frontier for patient safety. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
    October 14, 2020 - Commentary Diagnostic errors--The next frontier for patient safety. Citation Text: Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. Copy Citation Format: DOI Google Scholar PubMed …

  19. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. | PSNet

    psnet.ahrq.gov/issue/progress-interoperability-measuring-us-hospitals-engagement-sharing-patient-data
    March 27, 2024 - Study Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Citation Text: Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. do…

  20. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. | PSNet

    psnet.ahrq.gov/issue/achieving-diagnostic-excellence-roadmaps-develop-and-use-patient-reported-measures-equity
    November 02, 2022 - Commentary Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Citation Text: McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int…
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