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  1. Chasing zero harm in radiation oncology: using pre-treatment peer review. | PSNet

    psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review
    January 12, 2022 - Commentary Chasing zero harm in radiation oncology: using pre-treatment peer review. Citation Text: Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. Copy Cita…

  2. What is safety leadership? A systematic review of definitions. | PSNet

    psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-definitions
    October 26, 2022 - Review What is safety leadership? A systematic review of definitions. Citation Text: Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. Copy Citation Format: DOI Google…

  3. Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. | PSNet

    psnet.ahrq.gov/issue/simulation-based-education-train-learners-speak-clinical-environment-results-randomized-trial
    September 27, 2023 - Study Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. Citation Text: Oner C, Fisher N, Atallah F, et al. Simulation-Based Education to Train Learners to "Speak Up" in the Clinical Environment: Results of a Randomized …

  4. Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

    psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
    March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

  5. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. | PSNet

    psnet.ahrq.gov/issue/transforming-communication-and-safety-culture-intrapartum-care-multi-organization-blueprint
    May 21, 2019 - Commentary Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Citation Text: Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(…

  6. Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. | PSNet

    psnet.ahrq.gov/issue/information-and-power-women-colors-experiences-interacting-health-care-providers-pregnancy
    June 18, 2020 - Study Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Citation Text: Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and b…

  7. 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…

  8. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. | PSNet

    psnet.ahrq.gov/issue/development-and-usability-behavioural-marking-system-performance-assessment-obstetrical-teams
    June 28, 2017 - Study Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Citation Text: Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Hea…

  9. 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 …

  10. Disclosing adverse events to patients: international norms and trends. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends
    July 29, 2020 - Study Disclosing adverse events to patients: international norms and trends. Citation Text: Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. Copy Citation For…

  11. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. | PSNet

    psnet.ahrq.gov/issue/moral-distress-compassion-fatigue-and-perceptions-about-medication-errors-certified-critical
    November 09, 2015 - Study Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Citation Text: Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimens C…

  12. Association between elements of electronic health record systems and the weekend effect in urgent general surgery. | PSNet

    psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent
    November 04, 2015 - Study Association between elements of electronic health record systems and the weekend effect in urgent general surgery. Citation Text: Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…

  13. 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…

  14. A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet

    psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
    April 03, 2005 - Commentary A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. Citation Text: Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…

  15. What this computer needs is a physician: humanism and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/what-computer-needs-physician-humanism-and-artificial-intelligence
    June 21, 2016 - Commentary What this computer needs is a physician: humanism and artificial intelligence. Citation Text: Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. Copy Citatio…

  16. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. | PSNet

    psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
    August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…

  17. An examination of medical malpractice claims involving physician trainees. | PSNet

    psnet.ahrq.gov/issue/examination-medical-malpractice-claims-involving-physician-trainees
    July 15, 2020 - Study An examination of medical malpractice claims involving physician trainees. Citation Text: Myers LC, Gartland RM, Skillings J, et al. An examination of medical malpractice claims involving physician trainees. Acad Med. 2020;95(8):1215-1222. doi:10.1097/acm.0000000000003117. Copy C…

  18. Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. | PSNet

    psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
    September 18, 2024 - Commentary Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. Citation Text: Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…

  19. Semi-supervised classification of patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
    October 31, 2011 - Study Semi-supervised classification of patient safety event reports. Citation Text: McKnight SD. Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4. doi:10.1097/PTS.0b013e31824ab987. Copy Citation Format: DOI Google Scholar PubM…

  20. Promoting patient safety through prospective risk identification: example from peri-operative care. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-through-prospective-risk-identification-example-peri-operative-care
    September 23, 2020 - Study Promoting patient safety through prospective risk identification: example from peri-operative care. Citation Text: Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example from peri-operative care. Qual Saf Health Care. 2010;19(…
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