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  1. Texting while doctoring: a patient safety hazard. | PSNet

    psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard
    October 04, 2023 - Commentary Texting while doctoring: a patient safety hazard. Citation Text: Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012. Copy Citation Format: DOI Google Scholar P…

  2. Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. | PSNet

    psnet.ahrq.gov/issue/enhancing-electronic-health-record-usability-pediatric-patient-care-scenario-based-approach
    July 13, 2010 - Commentary Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Citation Text: Patterson ES, Zhang J, Abbott P, et al. Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Jt Comm J Qual Patient…

  3. Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/nurses-perspectives-regarding-disclosure-errors-patients-qualitative-study
    January 28, 2015 - Study Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study. Citation Text: McLennan SR, Diebold M, Rich LE, et al. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud. 2016;54:16-22. doi:10.1016/j.i…

  4. Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. | PSNet

    psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
    August 03, 2022 - Study Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. Citation Text: Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt…

  5. The future of safety and quality in radiation oncology. | PSNet

    psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology
    May 17, 2023 - Commentary The future of safety and quality in radiation oncology. Citation Text: Talcott W, Covington E, Bazan J, et al. The future of safety and quality in radiation oncology. Semin Radiat Oncol. 2024;34(4):433-440. doi:10.1016/j.semradonc.2024.07.008. Copy Citation Format: …

  6. The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/effectiveness-integrated-health-information-technologies-across-phases-medication-management
    October 19, 2022 - Review The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. Citation Text: McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies a…

  7. A structured judgement method to enhance mortality case note review: development and evaluation. | PSNet

    psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation
    May 27, 2011 - Study A structured judgement method to enhance mortality case note review: development and evaluation. Citation Text: Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). do…

  8. Handoffs and teamwork: a framework for care transition communication. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
    September 28, 2022 - Commentary Handoffs and teamwork: a framework for care transition communication. Citation Text: Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001…

  9. Promoting a culture of safety as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/promoting-culture-safety-patient-safety-strategy-systematic-review
    January 06, 2018 - Review Promoting a culture of safety as a patient safety strategy: a systematic review. Citation Text: Weaver SJ, Lubomksi LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-74. doi:10.7326/0003-48…

  10. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-obstetric-morbidity-and-mortality-methods-and-challenges-seeking-diagnostic
    May 18, 2022 - Commentary Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. Citation Text: Krenitsky NM, Perez-Urbano I, Goffman D. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic…

  11. Handoff practices in emergency medicine: are we making progress? | PSNet

    psnet.ahrq.gov/issue/handoff-practices-emergency-medicine-are-we-making-progress
    September 23, 2020 - Study Handoff practices in emergency medicine: are we making progress? Citation Text: Hern G, Gallahue FE, Burns BD, et al. Handoff Practices in Emergency Medicine: Are We Making Progress? Acad Emerg Med. 2016;23(2):197-201. doi:10.1111/acem.12867. Copy Citation Format: DOI…

  12. Analysis of a medication safety intervention in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
    August 02, 2012 - Study Analysis of a medication safety intervention in the pediatric emergency department. Citation Text: Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629. doi:10.1001/jama…

  13. How many hospital pharmacy medication dispensing errors go undetected? | PSNet

    psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected
    October 25, 2010 - Study How many hospital pharmacy medication dispensing errors go undetected? Citation Text: Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80. Copy Citation Format: G…

  14. Oxytocin as a high-alert medication: implications for perinatal patient safety. | PSNet

    psnet.ahrq.gov/issue/oxytocin-high-alert-medication-implications-perinatal-patient-safety
    September 29, 2010 - Study Oxytocin as a high-alert medication: implications for perinatal patient safety. Citation Text: Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859…

  15. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. | PSNet

    psnet.ahrq.gov/issue/prospective-cohort-study-medication-reconciliation-using-pharmacy-technicians-emergency
    July 01, 2019 - Study A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. Citation Text: Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharm…

  16. Safety culture and care: a program to prevent surgical errors. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
    March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

  17. Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals. | PSNet

    psnet.ahrq.gov/issue/design-retrospective-patient-record-study-occurrence-adverse-events-among-patients-dutch
    December 29, 2014 - Study Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals. Citation Text: Zegers M, de Bruijne M, Wagner C, et al. Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch…

  18. Latent risk assessment tool for health care leaders. | PSNet

    psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders
    September 05, 2018 - Commentary Latent risk assessment tool for health care leaders. Citation Text: Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. Copy Citation Format: DOI Google S…

  19. Patient Safety Leadership WalkRounds. | PSNet

    psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
    January 02, 2017 - Study Classic Patient Safety Leadership WalkRounds. Citation Text: Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. Copy Citation Format: DOI Google…

  20. Professionalism in the era of duty hours: time for a shift change? | PSNet

    psnet.ahrq.gov/issue/professionalism-era-duty-hours-time-shift-change
    September 22, 2010 - Commentary Professionalism in the era of duty hours: time for a shift change? Citation Text: Arora V, Farnan JM, Humphrey HJ. Professionalism in the era of duty hours: time for a shift change? JAMA. 2012;308(21):2195-6. doi:10.1001/jama.2012.14584. Copy Citation Format: D…
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