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  1. Defensive medicine: it is time to finally slow down an epidemic. | PSNet

    psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
    November 18, 2016 - Commentary Emerging Classic Defensive medicine: it is time to finally slow down an epidemic. Citation Text: Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…

  2. Assessing the patient safety competencies of healthcare professionals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-competencies-healthcare-professionals-systematic-review
    March 05, 2014 - Review Assessing the patient safety competencies of healthcare professionals: a systematic review. Citation Text: Okuyama A, Martowirono K, Bijnen B. Assessing the patient safety competencies of healthcare professionals: a systematic review. BMJ Qual Saf. 2011;20(11):991-1000. doi:10.1…

  3. Investigating the causes of adverse events. | PSNet

    psnet.ahrq.gov/issue/investigating-causes-adverse-events
    October 03, 2017 - Commentary Investigating the causes of adverse events. Citation Text: Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Investigating the Causes of Adverse Events. Ann Thorac Surg. 2017;103(6):1693-1699. doi:10.1016/j.athoracsur.2017.04.001. Copy Citation Format: DOI Google …

  4. System weaknesses as contributing causes of accidents in health care. | PSNet

    psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

  5. A national survey of obstetric anaesthetic handovers. | PSNet

    psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers
    July 18, 2018 - Study A national survey of obstetric anaesthetic handovers. Citation Text: Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x. Copy Citation Format: DOI Google Scholar BibTe…

  6. Classification and detection of errors in minimally invasive surgery. | PSNet

    psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
    June 17, 2014 - Review Classification and detection of errors in minimally invasive surgery. Citation Text: Rassweiler MC, Mamoulakis C, Kenngott HG, et al. Classification and detection of errors in minimally invasive surgery. J Endourol. 2011;25(11):1713-21. doi:10.1089/end.2011.0068. Copy Citation…

  7. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. | PSNet

    psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events
    January 23, 2017 - Study The reliability of AHRQ Common Format Harm Scales in rating patient safety events. Citation Text: Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3…

  8. Improving oversight of the graduate medical education enterprise: one institution's strategies and tools. | PSNet

    psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
    September 21, 2009 - Study Improving oversight of the graduate medical education enterprise: one institution's strategies and tools. Citation Text: Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…

  9. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet

    psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
    February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

  10. Using "near misses" analysis to prevent wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
    April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. Citation Text: Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037. Copy Citation Format: DOI Google Scho…

  11. Assessment of adverse drug events among patients in a tertiary care medical center. | PSNet

    psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
    September 28, 2005 - Study Assessment of adverse drug events among patients in a tertiary care medical center. Citation Text: Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. Copy Cita…

  12. Managing an acute adverse event in a radiology department. | PSNet

    psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
    June 14, 2011 - Commentary Managing an acute adverse event in a radiology department. Citation Text: Kruskal JB, Siewert B, Anderson SW, et al. Managing an acute adverse event in a radiology department. Radiographics. 2008;28(5):1237-50. doi:10.1148/rg.285085064. Copy Citation Format: DO…

  13. Preventing medication errors in the information age. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-information-age
    February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

  14. Implementing the Safety Thermometer tool in one NHS trust. | PSNet

    psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
    March 19, 2019 - Commentary Implementing the Safety Thermometer tool in one NHS trust. Citation Text: Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  15. Safety huddles in the PACU: when a patient self-medicates. | PSNet

    psnet.ahrq.gov/issue/safety-huddles-pacu-when-patient-self-medicates
    December 14, 2016 - Commentary Safety huddles in the PACU: when a patient self-medicates. Citation Text: Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs. 2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010. Copy Citation Format: DOI Google Sc…

  16. HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. | PSNet

    psnet.ahrq.gov/issue/hcup-statistical-brief-313-trends-severe-maternal-morbidity-complications-patient
    December 16, 2009 - Book/Report HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. Citation Text: Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: A…

  17. Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet

    psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
    June 03, 2020 - Newspaper/Magazine Article Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. Citation Text: Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…

  18. Reducing preventable medication safety events by recognizing renal risk. | PSNet

    psnet.ahrq.gov/issue/reducing-preventable-medication-safety-events-recognizing-renal-risk
    June 27, 2011 - Study Reducing preventable medication safety events by recognizing renal risk. Citation Text: Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476…

  19. The fate of medicine in the time of AI. | PSNet

    psnet.ahrq.gov/issue/fate-medicine-time-ai
    September 04, 2024 - Commentary Emerging Classic The fate of medicine in the time of AI. Citation Text: Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140-6736(18)31925-1. Copy Citation Format: DOI Google Scholar PubM…

  20. Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. | PSNet

    psnet.ahrq.gov/issue/standardized-patient-identification-and-specimen-labeling-retrospective-analysis-improving
    October 19, 2022 - Study Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. Citation Text: Kim JK, Dotson B, Thomas S, et al. Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. J Am…
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