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  1. Enhanced detection of blood bank sample collection errors with a centralized patient database. | PSNet

    psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
    March 20, 2019 - Study Enhanced detection of blood bank sample collection errors with a centralized patient database. Citation Text: MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:…

  2. 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…

  3. On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. | PSNet

    psnet.ahrq.gov/issue/cusp-stop-bsi-evaluating-relationship-between-central-line-associated-bloodstream-infection
    January 30, 2013 - Study On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. Citation Text: Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…

  4. JAMA professionalism: disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
    December 19, 2018 - Commentary JAMA professionalism: disclosure of medical error. Citation Text: Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  5. Disclosing errors and adverse events in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/disclosing-errors-and-adverse-events-intensive-care-unit
    February 17, 2017 - Study Disclosing errors and adverse events in the intensive care unit. Citation Text: Boyle DJ, O'Connell D, Platt FW, et al. Disclosing errors and adverse events in the intensive care unit. Crit Care Med. 2006;34(5):1532-7. Copy Citation Format: Google Scholar PubMed Bib…

  6. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. | PSNet

    psnet.ahrq.gov/issue/examining-effects-obstetrics-interprofessional-programme-reductions-reportable-events-and
    August 04, 2021 - Study Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. Citation Text: Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and t…

  7. Does the concept of safety culture help or hinder systems thinking in safety? | PSNet

    psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
    October 12, 2011 - Commentary Does the concept of safety culture help or hinder systems thinking in safety? Citation Text: Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033. Copy Citati…

  8. Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. | PSNet

    psnet.ahrq.gov/issue/validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison
    October 25, 2023 - Study Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. Citation Text: Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identif…

  9. A public health approach to patient safety reporting systems is urgently needed. | PSNet

    psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed
    January 14, 2014 - Review A public health approach to patient safety reporting systems is urgently needed. Citation Text: Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. …

  10. Safe work-hour standards for parents of children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/safe-work-hour-standards-parents-children-medical-complexity
    April 24, 2018 - Commentary Safe work-hour standards for parents of children with medical complexity. Citation Text: Schall TE, Foster CC, Feudtner C. Safe Work-Hour Standards for Parents of Children With Medical Complexity. JAMA Pediatr. 2019;174(1):7-8. doi:10.1001/jamapediatrics.2019.4003. Copy Cit…

  11. Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the American College of Physicians. | PSNet

    psnet.ahrq.gov/issue/physician-impairment-and-rehabilitation-reintegration-medical-practice-while-ensuring-patient
    April 16, 2018 - Commentary Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the American College of Physicians. Citation Text: Candilis PJ, Kim DT, Sulmasy LS, et al. Physician Impairment and Rehabilitation: Reintegration I…

  12. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy. | PSNet

    psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event
    January 24, 2018 - Commentary Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy. Citation Text: Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-posi…

  13. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. | PSNet

    psnet.ahrq.gov/issue/leader-safety-storytelling-qualitative-analysis-attributes-effective-safety-storytelling-and
    November 16, 2022 - Study Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. Citation Text: Benetti PJ, Kanse L, Fruhen LS, et al. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and it…

  14. Preventing Medication Errors: Quality Chasm Series. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
    January 04, 2009 - Book/Report Classic Preventing Medication Errors: Quality Chasm Series. Citation Text: Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …

  15. The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. | PSNet

    psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration
    October 19, 2022 - Meeting/Conference Proceedings The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. Citation Text: Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Found…

  16. Reconciling medications at admission: safe practice recommendations and implementation strategies. | PSNet

    psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
    January 02, 2017 - Study Reconciling medications at admission: safe practice recommendations and implementation strategies. Citation Text: Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2…

  17. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
    November 13, 2024 - Review Healthcare staff wellbeing, burnout, and patient safety: a systematic review. Citation Text: Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015. Copy Cit…

  18. Improving maternal safety at scale with the mentor model of collaborative improvement. | PSNet

    psnet.ahrq.gov/issue/improving-maternal-safety-scale-mentor-model-collaborative-improvement
    March 31, 2021 - Study Improving maternal safety at scale with the mentor model of collaborative improvement. Citation Text: Main EK, Dhurjati R, Cape V, et al. Improving Maternal Safety at Scale with the Mentor Model of Collaborative Improvement. Jt Comm J Qual Patient Saf. 2018;44(5):250-259. doi:10.10…

  19. Preventing harm in the ICU—building a culture of safety and engaging patients and families. | PSNet

    psnet.ahrq.gov/issue/preventing-harm-icu-building-culture-safety-and-engaging-patients-and-families
    March 14, 2022 - Review Preventing harm in the ICU—building a culture of safety and engaging patients and families. Citation Text: Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:…

  20. Nemeth LS et al. 2007 "Strategies to accelerate translation of research into primary care within practices using electronic medical records." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nemeth-ls-et-al-2007
    January 01, 2007 - Nemeth LS et al. 2007 "Strategies to accelerate translation of research into primary care within practices using electronic medical records." Reference Nemeth LS, Wessell AM, Jenkins RG, et al. Strategies to accelerate translation of research into primary care within practices using electronic medical…
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