-
psnet.ahrq.gov/node/39221/psn-pdf
January 13, 2010 - The effects of stress and coping on surgical performance
during simulations.
January 13, 2010
Wetzel CM, Black SA, Hanna GB, et al. The effects of stress and coping on surgical performance during
simulations. Ann Surg. 2010;251(1):171-6. doi:10.1097/SLA.0b013e3181b3b2be.
https://psnet.ahrq.gov/issue/effects-stress…
-
psnet.ahrq.gov/node/37672/psn-pdf
April 09, 2008 - An observational study of laterality errors in a sample of
clinical records.
April 9, 2008
Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye
(Lond). 2008;22(3):340-3.
https://psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
C…
-
psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive
Partners in the Transformation of Health Care
January 1, 2015
Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health
Care. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…
-
psnet.ahrq.gov/node/41936/psn-pdf
December 19, 2012 - A multiple-drawer medication layout problem in
automated dispensing cabinets.
December 19, 2012
Pazour JA, Meller RD. A multiple-drawer medication layout problem in automated dispensing cabinets.
Health Care Manag Sci. 2012;15(4). doi:10.1007/s10729-012-9197-8.
https://psnet.ahrq.gov/issue/multiple-drawer-medicati…
-
psnet.ahrq.gov/node/46644/psn-pdf
June 20, 2018 - The Science of Teamwork.
June 20, 2018
McDaniel SH, Salas E, eds. Am Psychol. 2018;73:305-600.
https://psnet.ahrq.gov/issue/science-teamwork
Effective teams are core to safe practice in a wide range of work environments. This special issue explores
team psychology with an emphasis on high-risk industries such as s…
-
psnet.ahrq.gov/node/43534/psn-pdf
January 22, 2016 - Creating a fellowship curriculum in patient safety and
quality.
January 22, 2016
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality.
Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
https://psnet.ahrq.gov/issue/creating-fellowship-curriculum-pati…
-
psnet.ahrq.gov/node/35949/psn-pdf
May 24, 2006 - Implementation of patient safety initiatives in US
hospitals.
May 24, 2006
McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J
Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052.
https://psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-…
-
psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - They were operating not under the promise of shared gain and reward but under the threat of punishment
-
psnet.ahrq.gov/node/38927/psn-pdf
June 28, 2011 - Application of lean thinking to health care: issues and
observations.
June 28, 2011
Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations.
International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036.
https://psnet.ahrq.gov/issue/applicatio…
-
psnet.ahrq.gov/node/39335/psn-pdf
September 24, 2016 - Interruptions and multitasking in nursing care.
September 24, 2016
Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf.
2010;36(3):126-132.
https://psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
This study observed nurses for 4-hour periods and foun…
-
psnet.ahrq.gov/node/37343/psn-pdf
December 02, 2008 - Surgical confusions in ophthalmology.
December 2, 2008
Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol.
2007;125(11):1515-22.
https://psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
This retrospective study reviewed more than 100 cases to characterize common sources of …
-
psnet.ahrq.gov/node/844558/psn-pdf
January 13, 2024 - On Patient Safety.
January 13, 2024
Tingle J. Br J Nurs. 2001-2024.
https://psnet.ahrq.gov/issue/patient-safety-19
This series of commentaries discusses a wide range of policy, legal, and operational topics related to
patient safety in the British health system, such as artificial intelligence, patient communicati…
-
psnet.ahrq.gov/innovations
February 26, 2025 - Departments
(8)
Intensive Care Units
(8)
Labor and Delivery
(1)
Operating
-
psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Cybersecurity and How to Maintain Patient Safety
March 27, 2024
Pelletreau B, Riggi J, Gale B, et al. Cybersecurity and How to Maintain Patient Safety. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
Introduction
The integration of information technology (I…
-
psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Telehealth and Patient Safety.
December 14, 2022
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
Background
In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications
techno…
-
psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - If you're operating with a model that says, "I should have the answers" or
one that says "When things
-
psnet.ahrq.gov/node/61002/psn-pdf
September 17, 2020 - Patient Safety
September 17, 2020
Organisation for Economic Co-operation and Development.
https://psnet.ahrq.gov/issue/patient-safety-21
Organizations worldwide are focusing efforts on reducing the conditions that contribute to medical error.
This website provides a collection of reports and other resources that c…
-
psnet.ahrq.gov/node/48038/psn-pdf
June 05, 2019 - Addressing Problematic Opioid Use in OECD Countries.
June 5, 2019
Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN:
978926474260.
https://psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries
The overprescribing of prescription opioids heightens the…
-
psnet.ahrq.gov/node/39891/psn-pdf
October 06, 2010 - Organisational safety indicators: some conceptual
considerations and a supplementary qualitative approach.
October 6, 2010
Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a
supplementary qualitative approach. Saf Sci. 2010;48(10). doi:10.1016/j.ssci.2010.05.016…
-
psnet.ahrq.gov/node/41255/psn-pdf
May 04, 2012 - EACTS guidelines for the use of patient safety checklists.
May 4, 2012
Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J
Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009.
https://psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklist…