-
psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
December 04, 2016 - Study
Hospital progress in reducing error: the impact of external interventions.
Citation Text:
Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20.
Copy Citation
Format:
DOI Google S…
-
psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
November 29, 2023 - Organizational Policy/Guidelines
Guidelines on Human Factors in Critical Situations 2023.
Citation Text:
Bijok B, Jaulin F, Picard J, et al. Guidelines on human factors in critical situations 2023. Anaesth Crit Care Pain Med. 2023;42(4):101262. doi:10.1016/j.accpm.2023.101262.
Copy Cit…
-
psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries
October 16, 2012 - Book/Report
Classic
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Serv…
-
psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations, Accidents and Nuclear Weapons.
Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
Copy Cit…
-
psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017.
Citation Text:
Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm.…
-
psnet.ahrq.gov/issue/reactive-proactive-safety-approach-analysis-medication-errors-chemotherapy-using-general
November 02, 2022 - Study
From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types.
Citation Text:
Fyhr A, Ternov S, Ek Å. From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure type…
-
psnet.ahrq.gov/issue/doing-right-things-and-doing-them-right-way-association-between-hospital-guideline-adherence
February 03, 2011 - Study
Doing the right things and doing them the right way: association between hospital guideline adherence, dosing safety, and outcomes among patients with acute coronary syndrome.
Citation Text:
Mehta RH, Chen AY, Alexander KP, et al. Doing the right things and doing them the right way…
-
psnet.ahrq.gov/issue/patient-safety-what-about-patient
January 22, 2025 - Commentary
Classic
Patient safety: what about the patient?
Citation Text:
Vincent C, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11(1):76-80.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndN…
-
psnet.ahrq.gov/issue/systemic-failures-nursing-home-care-scoping-study
July 17, 2013 - Review
Systemic failures in nursing home care--a scoping study.
Citation Text:
Sturmberg JP, Gainsford L, Goodwin N, et al. Systemic failures in nursing home care—A scoping study. J Eval Clin Pract. 2024. doi:10.1111/jep.13961.
Copy Citation
Format:
DOI Google Scholar BibTe…
-
psnet.ahrq.gov/issue/addressing-nursing-shortages-and-patient-safety-using-maslows-hierarchy-needs
April 26, 2023 - Commentary
Addressing nursing shortages and patient safety using Maslow's hierarchy of needs.
Citation Text:
Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5.
Co…
-
psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
May 08, 2024 - Commentary
Patient falls in the operating room: why is this still a problem in 2024?
Citation Text:
Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248.
Copy Citation
Fo…
-
psnet.ahrq.gov/issue/quantitative-assessment-workload-and-stressors-clinical-radiation-oncology
October 21, 2015 - Study
Quantitative assessment of workload and stressors in clinical radiation oncology.
Citation Text:
Mazur LM, Mosaly PR, Jackson M, et al. Quantitative assessment of workload and stressors in clinical radiation oncology. Int J Radiat Oncol Biol Phys. 2012;83(5):e571-6. doi:10.1016/j.i…
-
psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
October 19, 2022 - Study
Effect of genetic diagnosis on patients with previously undiagnosed disease.
Citation Text:
Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458.
Copy…
-
psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient
March 15, 2017 - Study
Danger in discharge summaries: abbreviations create confusion for both author and recipient.
Citation Text:
Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…
-
psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
September 25, 2019 - Citation
Related Resources From the Same Author(s)
Debunking the myth that the majority
-
psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - phenomenon occurs because of the sheer number of alerts, and it is compounded by the fact that the vast majority … Clinicians generally override the vast majority of CPOE warnings, even "critical" alerts that warn
-
psnet.ahrq.gov/curated-library/diagnostic-error
August 10, 2025 - The majority of the diagnostic errors resulted in some form of clinical impact, including short-term … Missed or delayed diagnoses accounted for 21% of 55,377 claims analyzed, and the majority of these cases … Investigators found that three groups of diagnoses accounted for the majority of closed claims and high-severity
-
psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - ineffective strategy for preventing further patient safety mishaps, particularly
considering that the majority … The majority of respondents, in all groups,
endorsed punitive measures such as fines, suspensions, or
-
psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - High-Risk Pregnancy Program links clinicians and
patients across the state with UAMS, where the vast majority … Pregnancy Program links patients and clinicians across the state with the medical center,
where the vast majority … The majority of
referrals continue to be managed locally, but patients with abnormal findings may be … access to consultations: Since the implementation of the High-Risk Pregnancy
Program in 2003, the vast majority … Renewing annually, the program contract dedicates
the majority of funding toward the telemedicine infrastructure
-
psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - But it is
disappointing that in the majority of hospitals there has been no change, and some hospitals … A majority of nurses say that they and other staff feel like their mistakes are held against them
and … RW: The majority of nurses in hospitals are working with and through technology.