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  1. Do physicians clean their hands? Insights from a covert observational study. | PSNet

    psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
    July 02, 2019 - Study Do physicians clean their hands? Insights from a covert observational study. Citation Text: Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632. Copy Citati…

  2. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. | PSNet

    psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within-multisite-nhs-trust
    September 07, 2022 - Study A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. Citation Text: Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e109…

  3. Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. | PSNet

    psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
    July 03, 2016 - Study Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. Citation Text: Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: e…

  4. Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. | PSNet

    psnet.ahrq.gov/issue/monitoring-patient-safety-primary-care-exploratory-study-using-depth-semistructured
    December 14, 2016 - Study Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. Citation Text: Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. BMJ Open. 2015;5(9):e00812…

  5. Inpatient EHR user experience and hospital EHR safety performance. | PSNet

    psnet.ahrq.gov/issue/inpatient-ehr-user-experience-and-hospital-ehr-safety-performance
    April 24, 2018 - Study Inpatient EHR user experience and hospital EHR safety performance. Citation Text: Classen DC, Longhurst CA, Davis T, et al. Inpatient EHR user experience and hospital EHR safety performance. JAMA Netw Open. 2023;6(9):e2333152. doi:10.1001/jamanetworkopen.2023.33152. Copy Citation…

  6. Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. | PSNet

    psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
    April 14, 2021 - Commentary Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. Citation Text: Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public…

  7. Drug administration errors in hospital inpatients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-hospital-inpatients-systematic-review
    September 01, 2016 - Review Drug administration errors in hospital inpatients: a systematic review. Citation Text: Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. Copy Citation …

  8. Fifteen years after To Err Is Human: a success story to learn from. | PSNet

    psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
    August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

  9. Five system barriers to achieving ultrasafe health care. | PSNet

    psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
    September 29, 2017 - Commentary Classic Five system barriers to achieving ultrasafe health care. Citation Text: Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. Copy Citation Format: …

  10. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. | PSNet

    psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
    February 24, 2021 - Study Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. Citation Text: Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nur…

  11. Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

    psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive
    August 12, 2014 - Study Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Citation Text: Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…

  12. A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. | PSNet

    psnet.ahrq.gov/issue/reduced-duty-hours-model-senior-internal-medicine-residents-qualitative-analysis-residents
    June 25, 2014 - Study A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. Citation Text: Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residen…

  13. The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

    psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
    January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. Citation Text: Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…

  14. An electronic trigger to detect telemedicine-related diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/electronic-trigger-detect-telemedicine-related-diagnostic-errors
    June 21, 2023 - Study An electronic trigger to detect telemedicine-related diagnostic errors. Citation Text: Murphy DR, Kadiyala H, Wei L, et al. An electronic trigger to detect telemedicine-related diagnostic errors. J Telemed Telecare. 2024;Epub Apr 1. doi:10.1177/1357633x241236570. Copy Citation …

  15. Machine learning to enhance electronic detection of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
    December 18, 2024 - Commentary Machine learning to enhance electronic detection of diagnostic errors. Citation Text: Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. Copy Cit…

  16. Operational failures and interruptions in hospital nursing. | PSNet

    psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
    November 03, 2021 - Study Operational failures and interruptions in hospital nursing. Citation Text: Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  17. Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). | PSNet

    psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
    August 28, 2024 - Commentary Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). Citation Text: Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…

  18. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. | PSNet

    psnet.ahrq.gov/issue/surgeon-specific-mortality-data-disguise-wider-failings-delivery-safe-surgical-services
    March 09, 2022 - Study Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Citation Text: Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):3…

  19. Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet

    psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
    August 09, 2023 - Study Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. Citation Text: Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care …

  20. Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. | PSNet

    psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
    March 18, 2013 - Study Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe pati…
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