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  1. Checklists to reduce diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
    September 18, 2024 - Commentary Checklists to reduce diagnostic errors. Citation Text: Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  2. CPOE: it don't come easy. | PSNet

    psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
    May 27, 2009 - Newspaper/Magazine Article CPOE: it don't come easy. Citation Text: Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  3. Improving patient safety through the systematic evaluation of patient outcomes. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-through-systematic-evaluation-patient-outcomes
    August 25, 2011 - Review Improving patient safety through the systematic evaluation of patient outcomes. Citation Text: Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811. Copy Cita…

  4. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. | PSNet

    psnet.ahrq.gov/issue/power-saying-i-dont-know-psychological-safety-and-participatory-strategies-healthcare-leaders
    August 31, 2011 - Commentary Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. Citation Text: Hunt DF. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. BMJ Lead. 2024;Epub Jan 17. doi:10.1136/l…

  5. A safety maturity model for technology-induced errors. | PSNet

    psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
    June 15, 2022 - Review A safety maturity model for technology-induced errors. Citation Text: Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954. Copy Citation Format: DOI Google Scholar BibTe…

  6. Ethical issues in patient safety: implications for nursing management. | PSNet

    psnet.ahrq.gov/issue/ethical-issues-patient-safety-implications-nursing-management
    June 10, 2020 - Commentary Ethical issues in patient safety: implications for nursing management. Citation Text: Kangasniemi M, Vaismoradi M, Jasper M, et al. Ethical issues in patient safety: Implications for nursing management. Nurs Ethics. 2013;20(8):904-16. doi:10.1177/0969733013484488. Copy Cit…

  7. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet

    psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
    June 21, 2016 - Study Classic Cognitive errors in diagnosis: instantiation, classification, and consequences. Citation Text: Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. Copy Citation …

  8. Notes on healing after a missed diagnosis. | PSNet

    psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
    May 18, 2022 - Commentary Notes on healing after a missed diagnosis. Citation Text: Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  9. Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. | PSNet

    psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
    August 29, 2018 - Review Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. Citation Text: Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…

  10. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. | PSNet

    psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
    December 16, 2011 - Study The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. Citation Text: Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing…

  11. Why even good physicians do not wash their hands. | PSNet

    psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands
    September 21, 2022 - Commentary Why even good physicians do not wash their hands. Citation Text: Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  12. Medication administration technologies and patient safety: a mixed-method systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
    May 18, 2022 - Review Medication administration technologies and patient safety: a mixed-method systematic review. Citation Text: Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed-method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.…

  13. An inpatient fall prevention initiative in a tertiary care hospital. | PSNet

    psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
    October 19, 2022 - Study An inpatient fall prevention initiative in a tertiary care hospital. Citation Text: Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf. 2011;37(7):317-325. Copy Citation Format: Go…

  14. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

  15. Compensation of chief executive officers at nonprofit US hospitals. | PSNet

    psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
    December 18, 2018 - Study Compensation of chief executive officers at nonprofit US hospitals. Citation Text: Joynt KE, Le ST, Orav J, et al. Compensation of chief executive officers at nonprofit US hospitals. JAMA Intern Med. 2014;174(1):61-7. doi:10.1001/jamainternmed.2013.11537. Copy Citation Format…

  16. The effects of stress and coping on surgical performance during simulations. | PSNet

    psnet.ahrq.gov/issue/effects-stress-and-coping-surgical-performance-during-simulations
    February 16, 2011 - Study The effects of stress and coping on surgical performance during simulations. Citation Text: Wetzel CM, Black SA, Hanna GB, et al. The effects of stress and coping on surgical performance during simulations. Ann Surg. 2010;251(1):171-6. doi:10.1097/SLA.0b013e3181b3b2be. Copy Cita…

  17. Preventable mortality after common urological surgery: failing to rescue? | PSNet

    psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
    July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

  18. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
    March 19, 2019 - Commentary Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Citation Text: Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…

  19. Medication safety pharmacy technician in a large, tertiary care, community hospital. | PSNet

    psnet.ahrq.gov/issue/medication-safety-pharmacy-technician-large-tertiary-care-community-hospital
    July 08, 2020 - Commentary Medication safety pharmacy technician in a large, tertiary care, community hospital. Citation Text: Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care, community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146…

  20. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0068_01-30-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number(s): 0120 Document Completion Date: 6-8-09 1 Results of Topic Selection Process & Next Steps  Antinuclear autoantibody and rheumatoid factor testing in children will move forward to be refined as an effectiveness review via the AHRQ Evidence-based Practice Ce…
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