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  1. The outcomes card: development of a systems-based practice educational tool. | PSNet

    psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
    July 13, 2010 - Study The outcomes card: development of a systems-based practice educational tool. Citation Text: Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  2. When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. | PSNet

    psnet.ahrq.gov/issue/when-err-inhuman-examination-influence-artificial-intelligence-driven-nursing-care-patient
    October 19, 2022 - Commentary When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. Citation Text: Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence‐driven nursing car…

  3. A systematic review of patient tracking systems for use in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
    August 03, 2022 - Review A systematic review of patient tracking systems for use in the pediatric emergency department. Citation Text: Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jem…

  4. Evaluation of a redesign initiative in an internal-medicine residency. | PSNet

    psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
    February 17, 2011 - Study Evaluation of a redesign initiative in an internal-medicine residency. Citation Text: McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. Copy Citation …

  5. Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet

    psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
    August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…

  6. Shifting the learning curve. | PSNet

    psnet.ahrq.gov/issue/shifting-learning-curve
    March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. What is the value and impact of quality and safety teams? A scoping review. | PSNet

    psnet.ahrq.gov/issue/what-value-and-impact-quality-and-safety-teams-scoping-review
    December 06, 2017 - Review What is the value and impact of quality and safety teams? A scoping review. Citation Text: White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97. Copy Citation …

  8. Not thinking clearly? Play a game, seriously! | PSNet

    psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
    January 17, 2018 - Commentary Not thinking clearly? Play a game, seriously! Citation Text: Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  9. Are health professionals' perceptions of patient safety related to figures on safety incidents? | PSNet

    psnet.ahrq.gov/issue/are-health-professionals-perceptions-patient-safety-related-figures-safety-incidents
    November 23, 2011 - Study Are health professionals' perceptions of patient safety related to figures on safety incidents? Citation Text: Martijn L, Harmsen M, Gaal S, et al. Are health professionals' perceptions of patient safety related to figures on safety incidents? J Eval Clin Pract. 2013;19(5):944-7.…

  10. Hand hygiene deficiency citations in nursing homes. | PSNet

    psnet.ahrq.gov/issue/hand-hygiene-deficiency-citations-nursing-homes
    June 02, 2010 - Study Hand hygiene deficiency citations in nursing homes. Citation Text: Castle NG, Wagner LM, Ferguson J, et al. Hand Hygiene Deficiency Citations in Nursing Homes. Journal of Applied Gerontology. 2012;33(1). doi:10.1177/0733464812449903. Copy Citation Format: DOI Google…

  11. Nurses' perception of error reporting and patient safety culture in Korea. | PSNet

    psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
    July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…

  12. Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/patrick-mccabe.pdf
    June 02, 2025 - Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance 1 Consumer Decision Points Using Online Reports to Gauge Quality of Physician Performance Patrick McCabe, GYMR Public Relations pmccabe@gymr.com mailto:pmccabe@gymr.com Aligning Forces for Quality • Robert Wood Johnson Fou…

  13. The next phase of health care improvement: what can we learn from social movements? | PSNet

    psnet.ahrq.gov/issue/next-phase-health-care-improvement-what-can-we-learn-social-movements
    July 22, 2010 - Commentary The next phase of health care improvement: what can we learn from social movements? Citation Text: Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Qual Saf Health Care. 2004;13(1):62-6. Copy Citation Format:…

  14. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes
    November 12, 2014 - Study Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Citation Text: Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Clin Med (Lond). 2011;11(…

  15. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
    January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) Optimizing the Use of HIT to Improve Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse events • Facilitating a more rapid response after an …

  16. Ncinqtobaccousehelp-References (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelp-References.pdf
    August 01, 2012 - National Collaborative for Innovation in Quality Measurement Tobacco Use and Help List of References Campaign for Tobacco-Free Kids. 2012. Tobacco Overview. http://www.tobaccofreekids.org/facts_issues/tobacco_101/ (April 2012). Campaign for Tobacco-Free Kids. 2011. Health Harms from Smoking and Other Tobac…

  17. Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. | PSNet

    psnet.ahrq.gov/issue/standardized-patient-identification-and-specimen-labeling-retrospective-analysis-improving
    October 19, 2022 - Study Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. Citation Text: Kim JK, Dotson B, Thomas S, et al. Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. J Am…

  18. Bullying: a hidden threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
    August 22, 2012 - Commentary Bullying: a hidden threat to patient safety. Citation Text: Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  19. Use of complex adaptive systems metaphor to achieve professional and organizational change. | PSNet

    psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
    November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…

  20. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. | PSNet

    psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
    March 27, 2024 - Commentary Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Citation Text: McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Pat…
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