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  1. Educational interventions to improve handover in health care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educational-interventions-improve-handover-health-care-systematic-review
    August 04, 2021 - Review Educational interventions to improve handover in health care: a systematic review. Citation Text: Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x. Copy Ci…

  2. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/impact-proactive-rounding-rapid-response-team-patient-outcomes-academic-medical-center
    January 19, 2012 - Study Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. Citation Text: Butcher BW, Vittinghoff E, Maselli J, et al. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. J Hosp Med…

  3. Cognitive aids in the management of clinical emergencies: a systematic review. | PSNet

    psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
    January 12, 2022 - Review Cognitive aids in the management of clinical emergencies: a systematic review. Citation Text: Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. Copy Cita…

  4. Patient safety in dentistry: development of a candidate 'never event' list for primary care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
    April 12, 2017 - Study Patient safety in dentistry: development of a candidate 'never event' list for primary care. Citation Text: Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. …

  5. Physician understanding and ability to communicate harms and benefits of common medical treatments. | PSNet

    psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments
    September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…

  6. Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. | PSNet

    psnet.ahrq.gov/issue/evidence-based-medicine-cornerstone-clinical-care-not-quality-improvement
    September 01, 2021 - Commentary Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. Citation Text: Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.131…

  7. “Those found responsible have been sacked”: some observations on the usefulness of error. | PSNet

    psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
    September 28, 2010 - Commentary “Those found responsible have been sacked”: some observations on the usefulness of error. Citation Text: Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…

  8. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. | PSNet

    psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
    July 23, 2008 - Study An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Citation Text: Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10…

  9. Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
    April 20, 2016 - Commentary Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. Citation Text: Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool t…

  10. Health care worker perspectives of their motivation to reduce health care–associated infections. | PSNet

    psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
    June 02, 2019 - Study Health care worker perspectives of their motivation to reduce health care–associated infections. Citation Text: McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce health care-associated infections. Am J Infect Control. 2017;45(10):…

  11. Introducing the safety score audit for staff member and patient safety. | PSNet

    psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
    April 16, 2014 - Commentary Introducing the safety score audit for staff member and patient safety. Citation Text: Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. Copy Citation Format: …

  12. Practising safely in the foundation years. | PSNet

    psnet.ahrq.gov/issue/practising-safely-foundation-years
    February 04, 2015 - Commentary Practising safely in the foundation years. Citation Text: Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  13. Impact and implications of disruptive behavior in the perioperative arena. | PSNet

    psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
    February 03, 2010 - Study Impact and implications of disruptive behavior in the perioperative arena. Citation Text: Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. Copy Citation Format: Google Scholar P…

  14. Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
    August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

  15. Tools for primary care patient safety: a narrative review. | PSNet

    psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
    July 20, 2016 - Review Tools for primary care patient safety: a narrative review. Citation Text: Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract. 2014;15:166. doi:10.1186/1471-2296-15-166. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  16. Analysis and prioritization of near-miss adverse events in a radiology department. | PSNet

    psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
    June 15, 2016 - Study Analysis and prioritization of near-miss adverse events in a radiology department. Citation Text: Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…

  17. Understanding safety culture in long-term care: a case study. | PSNet

    psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
    April 19, 2011 - Study Understanding safety culture in long-term care: a case study. Citation Text: Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. Copy Citation Format: …

  18. Consensus bundle on prevention of surgical site infections after major gynecologic surgery. | PSNet

    psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery
    January 15, 2014 - Commentary Consensus bundle on prevention of surgical site infections after major gynecologic surgery. Citation Text: Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. d…

  19. Improving sepsis care through systems change: the impact of a medical emergency team. | PSNet

    psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency-team
    December 02, 2009 - Commentary Improving sepsis care through systems change: the impact of a medical emergency team. Citation Text: Sarani B, Brenner SR, Gabel B, et al. Improving sepsis care through systems change: the impact of a medical emergency team. Jt Comm J Qual Patient Saf. 2008;34(3):179-182, 12…

  20. When a surgical colleague makes an error. | PSNet

    psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
    December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
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