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  1. Patient safety at ten: unmistakable progress, troubling gaps. | PSNet

    psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
    March 02, 2011 - Commentary Classic Patient safety at ten: unmistakable progress, troubling gaps. Citation Text: Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. Copy Citation …

  2. Interventions to increase clinical incident reporting in health care. | PSNet

    psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
    September 02, 2009 - Review Interventions to increase clinical incident reporting in health care. Citation Text: Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…

  3. Engaging the patient and family in the surgical safety process utilizing SafeStart. | PSNet

    psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
    October 19, 2022 - Study Engaging the patient and family in the surgical safety process utilizing SafeStart. Citation Text: Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012. …

  4. Chief resident for quality improvement and patient safety: a description. | PSNet

    psnet.ahrq.gov/issue/chief-resident-quality-improvement-and-patient-safety-description
    July 02, 2014 - Commentary Chief resident for quality improvement and patient safety: a description. Citation Text: Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034. Copy Citat…

  5. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet

    psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
    September 10, 2014 - Study Improved incident reporting following the implementation of a standardized emergency department peer review process. Citation Text: Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …

  6. Error reporting and disclosure systems: views from hospital leaders. | PSNet

    psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders
    June 16, 2010 - Study Classic Error reporting and disclosure systems: views from hospital leaders. Citation Text: Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. Copy Citation For…

  7. The tension between needing to improve care and knowing how to do it. | PSNet

    psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
    June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

  8. Wear face masks with no metal during MRI exams. | PSNet

    psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
    April 08, 2020 - Press Release/Announcement Wear face masks with no metal during MRI exams. Citation Text: Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. Copy Citation …

  9. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. | PSNet

    psnet.ahrq.gov/issue/introduction-surgical-safety-checklist-tertiary-referral-obstetric-centre
    October 04, 2023 - Study The introduction of a surgical safety checklist in a tertiary referral obstetric centre. Citation Text: Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs…

  10. Physician staffing models and patient safety in the ICU. | PSNet

    psnet.ahrq.gov/issue/physician-staffing-models-and-patient-safety-icu
    May 27, 2011 - Commentary Physician staffing models and patient safety in the ICU. Citation Text: Gajic O, Afessa B. Physician staffing models and patient safety in the ICU. Chest. 2009;135(4):1038-1044. doi:10.1378/chest.08-1544. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  11. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. | PSNet

    psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes
    April 04, 2018 - Study Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. Citation Text: Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…

  12. Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. | PSNet

    psnet.ahrq.gov/issue/simulation-based-education-train-learners-speak-clinical-environment-results-randomized-trial
    September 27, 2023 - Study Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. Citation Text: Oner C, Fisher N, Atallah F, et al. Simulation-Based Education to Train Learners to "Speak Up" in the Clinical Environment: Results of a Randomized …

  13. Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. | PSNet

    psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
    December 29, 2014 - Study Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. Citation Text: Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts …

  14. Patterns of unexpected in-hospital deaths: a root cause analysis. | PSNet

    psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
    March 13, 2019 - Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOI Google Scholar P…

  15. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. | PSNet

    psnet.ahrq.gov/issue/results-medication-reconciliation-survey-2006-society-hospital-medicine-national-meeting
    October 27, 2010 - Study Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. Citation Text: Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hos…

  16. Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. | PSNet

    psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign
    November 26, 2014 - Review Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. Citation Text: Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp…

  17. Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. | PSNet

    psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
    May 11, 2016 - Study Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. Citation Text: Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…

  18. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. | PSNet

    psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery
    October 09, 2013 - Study Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Citation Text: Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1…

  19. Addressing the elephant in the room: a shame resilience seminar for medical students. | PSNet

    psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
    June 07, 2023 - Commentary Addressing the elephant in the room: a shame resilience seminar for medical students. Citation Text: Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…

  20. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. | PSNet

    psnet.ahrq.gov/issue/risk-sensitive-events-during-laparoscopic-cholecystectomy-influence-integrated-operating-room
    March 18, 2013 - Study Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. Citation Text: Buzink SN, van Lier L, de Hingh IHJT, et al. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the…
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