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The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet

psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution

March 01, 2023 - Review The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Citation Text: Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…

Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. | PSNet

psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities

October 28, 2009 - Study Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. Citation Text: Gandara E, Moniz TT, Ungar J, et al. Deficits in discharge documentation in patients transferred to rehabilitation facilit…

High reliability pediatric heart centers: always working toward getting better. | PSNet

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September 18, 2024 - Commentary High reliability pediatric heart centers: always working toward getting better. Citation Text: Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. Copy C…

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. | PSNet

psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years

August 04, 2021 - Review Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. Citation Text: Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida mo…

'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet

psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine

November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…

Making use of mortality data to improve quality and safety in general practice: a review of current approaches. | PSNet

psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current

November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice: a review of current approaches. Citation Text: Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…

Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. | PSNet

psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis

July 19, 2019 - Study Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. Citation Text: Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in postgraduate training: a…

Deploying Six Sigma in a health care system as a work in progress. | PSNet

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March 04, 2011 - Study Deploying Six Sigma in a health care system as a work in progress. Citation Text: Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. Copy Citation Format: Goo…

Crisis checklists for the operating room: development and pilot testing. | PSNet

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April 21, 2015 - Study Crisis checklists for the operating room: development and pilot testing. Citation Text: Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031…

Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. | PSNet

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September 23, 2020 - Study Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. Citation Text: Nguyen S, Corrington A, Hebl MR, et al. Endorsements of Surgeon Punishment and Patient Compensation in Rested and Sleep-Restricted Individuals. JAMA Surg. 2019;154…

Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. | PSNet

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April 03, 2019 - Study Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. Citation Text: Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181.…

Teamwork in the time of COVID-19. | PSNet

psnet.ahrq.gov/issue/teamwork-time-covid-19

November 16, 2022 - Commentary Teamwork in the time of COVID-19. Citation Text: Takizawa PA, Honan L, Brissette D, et al. Teamwork in the time of COVID‐19. FASEB Bioadv. 2020;3(3):175-181. doi:10.1096/fba.2020-00093. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. | PSNet

psnet.ahrq.gov/issue/evaluation-preoperative-team-briefing-new-communication-routine-results-improved-clinical

April 06, 2011 - Study Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. Citation Text: Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BM…

Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-1-day-interclerkship-program-medical-students-medical-errors-and

March 12, 2025 - Commentary Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. Citation Text: Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical error…

The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. | PSNet

psnet.ahrq.gov/issue/consequences-misdiagnosing-race-based-trauma-response-black-men-critical-examination

November 16, 2022 - Commentary The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Citation Text: Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Soc Work Public Heal…

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. | PSNet

psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record

August 15, 2018 - Study Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. Citation Text: Walley AY, Farrar D, Cheng DM, et al. Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patie…

Patient safety and quality improvement: reducing risk of harm. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm

November 15, 2011 - Review Patient safety and quality improvement: reducing risk of harm. Citation Text: Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. Copy Citation Format: DOI Google Scholar Pu…

Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. | PSNet

psnet.ahrq.gov/issue/bridging-gap-leveraging-business-intelligence-tools-support-patient-safety-and-financial

February 15, 2011 - Commentary Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. Citation Text: Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effe…

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. | PSNet

psnet.ahrq.gov/issue/medication-safety-and-administration-intravenous-vincristine-international-survey-oncology

March 26, 2015 - Study Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. Citation Text: Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J On…

Residency training in handoffs: a survey of program directors in psychiatry. | PSNet

psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry

January 01, 2019 - Study Residency training in handoffs: a survey of program directors in psychiatry. Citation Text: Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. Copy Citat…

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