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  1. Operating room organization and surgical performance: a systematic review. | PSNet

    psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
    March 05, 2025 - Review Operating room organization and surgical performance: a systematic review. Citation Text: Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3. Copy Cit…

  2. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. | PSNet

    psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner
    December 04, 2015 - Study Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. Citation Text: Leigh J, Flynn J. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. J Healthc Risk Manag. 2013;33(2):2…

  3. The things we carry: the scope and impact of second victim syndrome. | PSNet

    psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
    November 12, 2014 - Commentary The things we carry: the scope and impact of second victim syndrome. Citation Text: Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. Copy Citation …

  4. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. | PSNet

    psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
    March 15, 2016 - Study A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Citation Text: Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…

  5. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. | PSNet

    psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient
    July 06, 2022 - Study Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Citation Text: Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…

  6. Hospital discharge documentation and risk of rehospitalisation. | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
    March 25, 2015 - Study Hospital discharge documentation and risk of rehospitalisation. Citation Text: Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. Copy Citation Format: …

  7. Patient falls while under supervision: trends from incident reporting. | PSNet

    psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
    January 11, 2023 - Study Patient falls while under supervision: trends from incident reporting. Citation Text: Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508. Copy Citation Format: DOI Google S…

  8. Using incident reporting to improve patient safety: a conceptual model. | PSNet

    psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
    June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

  9. Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet

    psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
    March 16, 2022 - Commentary Qualitative content analysis: a framework for the substantive review of hospital incident reports. Citation Text: Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…

  10. Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. | PSNet

    psnet.ahrq.gov/issue/governance-quality-care-qualitative-study-health-service-boards-victoria-australia
    February 14, 2017 - Study Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. Citation Text: Bismark M, Studdert DM. Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. BMJ Qual Saf. 2014;23(6):474-82. doi:10.113…

  11. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

    psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
    August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

  12. Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. | PSNet

    psnet.ahrq.gov/issue/investigating-patient-safety-culture-across-health-system-multilevel-modelling-differences
    November 12, 2014 - Study Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. Citation Text: Gallego B, Westbrook MT, Dunn AG, et al. Investigating patient safety culture across a health system: multilevel mod…

  13. The influence of the structure and culture of medical group practices on prescription drug errors. | PSNet

    psnet.ahrq.gov/issue/influence-structure-and-culture-medical-group-practices-prescription-drug-errors
    January 14, 2011 - Study The influence of the structure and culture of medical group practices on prescription drug errors. Citation Text: Kralewski JE, Dowd BE, Heaton A, et al. The influence of the structure and culture of medical group practices on prescription drug errors. Med care. 2005;43(8):817-82…

  14. Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-medication-review-nursing-home-residents-what-are-most-significant-drug
    August 04, 2021 - Study Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. Citation Text: Ruths S, Straand J, Nygaard HA. Multidisciplinary medication review in nursing home residents: what…

  15. Implementing a standardized safe surgery program reduces serious reportable events. | PSNet

    psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable-events
    October 30, 2024 - Study Implementing a standardized safe surgery program reduces serious reportable events. Citation Text: Loftus T, Dahl D, OHare B, et al. Implementing a standardized safe surgery program reduces serious reportable events. J Am Coll Surg. 2015;220(1):12-17.e3. doi:10.1016/j.jamcollsurg.2…

  16. Risk managers' descriptions of programs to support second victims after adverse events. | PSNet

    psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events
    May 11, 2016 - Study Risk managers' descriptions of programs to support second victims after adverse events. Citation Text: White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002…

  17. Managing and mitigating conflict in healthcare teams: an integrative review. | PSNet

    psnet.ahrq.gov/issue/managing-and-mitigating-conflict-healthcare-teams-integrative-review
    July 19, 2023 - Review Managing and mitigating conflict in healthcare teams: an integrative review. Citation Text: Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903. Copy Citati…

  18. A decade after Francis: is the NHS safer and more open? | PSNet

    psnet.ahrq.gov/issue/decade-after-francis-nhs-safer-and-more-open
    September 29, 2021 - Commentary A decade after Francis: is the NHS safer and more open? Citation Text: Martin G, Stanford S, Dixon-Woods M. A decade after Francis: is the NHS safer and more open? BMJ. 2023;380:513. doi:10.1136/bmj.p513. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  19. Patient safety and mental health-a growing quality gap in Canada. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quality-gap-canada
    February 19, 2010 - Commentary Patient safety and mental health-a growing quality gap in Canada. Citation Text: Waddell AE, Gratzer D. Patient safety and mental health-a growing quality gap in Canada. Can J Psychiatry. 2022;67(4):246-249. doi:10.1177/07067437211036596. Copy Citation Format: DO…

  20. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

    psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
    April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…
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