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  1. Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. | PSNet

    psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years
    August 04, 2021 - Review Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. Citation Text: Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida mo…

  2. Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. | PSNet

    psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
    July 05, 2017 - Commentary Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. Citation Text: Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…

  3. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. | PSNet

    psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
    October 06, 2011 - Study Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. Citation Text: Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory se…

  4. Communicating with patients about medical errors: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
    December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…

  5. Using simulation to improve systems-based practices. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
    January 22, 2016 - Review Using simulation to improve systems-based practices. Citation Text: Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. Copy Citation Format: …

  6. Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. | PSNet

    psnet.ahrq.gov/issue/tolerance-uncertainty-and-fears-making-mistakes-among-fifth-year-medical-students
    December 09, 2020 - Study Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. Citation Text: Nevalainen M, Kuikka L, Sjoberg L, et al. Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. Fam Med. 2012;44(4):240-6. Copy Citation …

  7. Systematic evaluation of errors occurring during the preparation of intravenous medication. | PSNet

    psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
    October 07, 2015 - Study Systematic evaluation of errors occurring during the preparation of intravenous medication. Citation Text: Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.06174…

  8. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. | PSNet

    psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
    November 16, 2022 - Study Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Citation Text: Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…

  9. Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
    January 24, 2024 - Commentary Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. Citation Text: Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive…

  10. Use of medical emergency team (MET) responses to detect medical errors. | PSNet

    psnet.ahrq.gov/issue/use-medical-emergency-team-met-responses-detect-medical-errors
    April 06, 2011 - Study Use of medical emergency team (MET) responses to detect medical errors. Citation Text: Braithwaite RS, Devita MA, Mahidhara R, et al. Use of medical emergency team (MET) responses to detect medical errors. Qual Saf Health Care. 2004;13(4):255-259. Copy Citation Format: …

  11. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. | PSNet

    psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy
    January 05, 2017 - Study Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Citation Text: Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417. Copy Citation Format: Go…

  12. Practising open disclosure: clinical incident communication and systems improvement. | PSNet

    psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement
    November 23, 2016 - Commentary Practising open disclosure: clinical incident communication and systems improvement. Citation Text: Iedema R, Jorm C, Wakefield J, et al. Practising Open Disclosure: clinical incident communication and systems improvement. Sociol Health Illn. 2009;31(2):262-77. doi:10.1111…

  13. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. | PSNet

    psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005
    June 07, 2016 - Study Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Citation Text: Moore TJ, Cohen MR, Furberg CD. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Arch Intern Med. 2007;167(16):1752-9. Copy Citation Forma…

  14. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. | PSNet

    psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety
    May 08, 2013 - Study An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. Citation Text: Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…

  15. Why it is so hard to talk about overuse in pediatrics and why it matters. | PSNet

    psnet.ahrq.gov/issue/why-it-so-hard-talk-about-overuse-pediatrics-and-why-it-matters
    March 04, 2020 - Commentary Why it is so hard to talk about overuse in pediatrics and why it matters. Citation Text: Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters. JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239. Copy Citatio…

  16. Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. | PSNet

    psnet.ahrq.gov/issue/perceived-factors-associated-sustained-improvement-following-participation-multicenter
    November 20, 2019 - Study Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. Citation Text: Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Im…

  17. Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-and-medication-errors-psychiatry-methodological-issues-regarding
    September 27, 2017 - Review Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. Citation Text: Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry: methodological issues regarding identificati…

  18. Characteristics of medical professional liability claims against internists. | PSNet

    psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-against-internists
    April 21, 2010 - Study Characteristics of medical professional liability claims against internists. Citation Text: Mangalmurti SS, Harold JG, Parikh PD, et al. Characteristics of medical professional liability claims against internists. JAMA Intern Med. 2014;174(6):993-5. doi:10.1001/jamainternmed.2014.1…

  19. Medicines safety in anaesthetic practice. | PSNet

    psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
    February 02, 2022 - Review Medicines safety in anaesthetic practice. Citation Text: Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  20. Quality improvement through implementation of discharge order reconciliation. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
    September 23, 2020 - Commentary Quality improvement through implementation of discharge order reconciliation. Citation Text: Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …
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