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psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
August 13, 2014 - Review
Noise in the operating room—what do we know? A review of the literature.
Citation Text:
Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001.
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psnet.ahrq.gov/issue/time-out-analysis
October 19, 2022 - Commentary
Time out: an analysis.
Citation Text:
Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003.
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/motion-study-surgery
September 02, 2020 - Study
Classic
Motion study in surgery.
Citation Text:
Motion study in surgery. Gilbreth FB. Can J Med Surg. 1916:22-31.
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psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
July 02, 2019 - Commentary
Information chaos in primary care: implications for physician performance and patient safety.
Citation Text:
Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…
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psnet.ahrq.gov/issue/what-do-we-know-about-financial-returns-investments-patient-safety-literature-review
April 06, 2011 - Review
What do we know about financial returns on investments in patient safety? A literature review.
Citation Text:
Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A literature review. Jt Comm J Qual Patient Saf. 2005;31(12):690-699.
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psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
June 13, 2011 - Commentary
Human factors engineering in healthcare systems: the problem of human error and accident management.
Citation Text:
Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…
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psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
March 19, 2014 - Study
Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization.
Citation Text:
Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…
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psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
July 31, 2013 - Study
Differential impact of a crew resource management program according to professional specialty.
Citation Text:
Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:1…
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psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypatient-safety-nexus
July 05, 2017 - Commentary
Frontline hospital workers and the worker safety/patient safety nexus.
Citation Text:
Sokas R, Braun B, Chenven L, et al. Frontline hospital workers and the worker safety/patient safety nexus. Jt Comm J Qual Patient Saf. 2013;39(4):185-192.
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psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
March 14, 2022 - Commentary
Preventing health care–associated harm in children.
Citation Text:
Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038.
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psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
March 24, 2012 - Study
Catching and correcting near misses: the collective vigilance and individual accountability trade-off.
Citation Text:
Jeffs LP, Lingard LA, Berta W, et al. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. J Interprof Care. 201…
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psnet.ahrq.gov/issue/risk-adverse-drug-events-and-hospital-related-morbidity-and-mortality-among-older-adults
October 10, 2012 - Study
The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.
Citation Text:
Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with po…
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psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
February 11, 2015 - Study
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.
Citation Text:
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Poirier RH; Brown CS; Baggenstos YT; …
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psnet.ahrq.gov/issue/comprehensive-collaborative-patient-safety-residency-curriculum-address-acgme-core
October 06, 2011 - Commentary
A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.
Citation Text:
Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Med Educ.…
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psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation
January 05, 2017 - Study
Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.
Citation Text:
Weingart SN, Price J, Duncombe D, et al. Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. J Nurs Care …
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psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
September 23, 2020 - Commentary
Improved obstetric safety through programmatic collaboration.
Citation Text:
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
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psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
February 15, 2011 - Study
Evaluation of an inpatient computerized medication reconciliation system.
Citation Text:
Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561.
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psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
April 18, 2012 - Review
Routinely recorded patient safety events in primary care: a literature review.
Citation Text:
Tsang C, Majeed A, Aylin PP. Routinely recorded patient safety events in primary care: a literature review. Fam Pract. 2012;29(1):8-15. doi:10.1093/fampra/cmr050.
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psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
September 25, 2019 - Commentary
Medical overuse as a physician cognitive error: looking under the hood.
Citation Text:
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
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