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  1. Trends and patterns in reporting of patient safety situations in transplantation. | PSNet

    psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation
    October 19, 2022 - Study Trends and patterns in reporting of patient safety situations in transplantation. Citation Text: Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. …

  2. What do nursing students learn about patient safety? An integrative literature review. | PSNet

    psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature-review
    October 15, 2016 - Review What do nursing students learn about patient safety? An integrative literature review. Citation Text: Tella S, Liukka M, Jamookeeah D, et al. What do nursing students learn about patient safety? an integrative literature review. J Nurs Educ. 2014;53(1):7-13. doi:10.3928/01484834-…

  3. Medication errors in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
    October 12, 2022 - Study Medication errors in an intensive care unit. Citation Text: Bohomol E, Ramos LH, D'Innocenzo M. Medication errors in an intensive care unit. J Adv Nurs. 2009;65(6):1259-67. doi:10.1111/j.1365-2648.2009.04979.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  4. Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level
    December 18, 2014 - Study Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. Citation Text: Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk man…

  5. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. | PSNet

    psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
    June 24, 2010 - Review A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Citation Text: Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …

  6. Outcomes after out-of-hospital endotracheal intubation errors. | PSNet

    psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors
    July 20, 2010 - Study Outcomes after out-of-hospital endotracheal intubation errors. Citation Text: Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. Copy Citation Format…

  7. Two cultures in modern science and technology: for safety and validity does medicine have to update? | PSNet

    psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update
    January 12, 2022 - Commentary Two cultures in modern science and technology: for safety and validity does medicine have to update? Citation Text: Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pt…

  8. Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. | PSNet

    psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
    August 02, 2011 - Study Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. Citation Text: Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care uni…

  9. Handoffs and teamwork: a framework for care transition communication. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
    September 28, 2022 - Commentary Handoffs and teamwork: a framework for care transition communication. Citation Text: Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001…

  10. Interruptions and distractions in healthcare: review and reappraisal. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-distractions-healthcare-review-and-reappraisal
    January 19, 2011 - Review Classic Interruptions and distractions in healthcare: review and reappraisal. Citation Text: Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2…

  11. Identifying psychiatric diagnostic errors with the Safer Dx Instrument. | PSNet

    psnet.ahrq.gov/issue/identifying-psychiatric-diagnostic-errors-safer-dx-instrument
    October 12, 2022 - Study Identifying psychiatric diagnostic errors with the Safer Dx Instrument. Citation Text: Fletcher TL, Helm A, Vaghani V, et al. Identifying psychiatric diagnostic errors with the Safer Dx Instrument. Int J Qual Health Care. 2020;32(6):405-411. doi:10.1093/intqhc/mzaa066. Copy Citat…

  12. Mandating limits on workload, duty, and speed in radiology. | PSNet

    psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology
    August 11, 2021 - Review Mandating limits on workload, duty, and speed in radiology. Citation Text: Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. Copy Citation Format: DOI Google Scholar B…

  13. Leadership: an effective human factor during COVID-19. | PSNet

    psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
    March 31, 2021 - Commentary Leadership: an effective human factor during COVID-19. Citation Text: Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-205. doi:10.1136/leader-2020-000384. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  14. Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. | PSNet

    psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
    March 11, 2020 - Study Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. Citation Text: Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on med…

  15. The Human Factors Analysis Classification System (HFACS) applied to health care. | PSNet

    psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
    November 16, 2022 - Study The Human Factors Analysis Classification System (HFACS) applied to health care. Citation Text: Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …

  16. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 2 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%202.pdf
    September 22, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 2 Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop Tuesday, September 22, 2009 Quality Engineering Day 2, Break Out Session E: Quality Engineering Re…

  17. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. | PSNet

    psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
    July 01, 2011 - Review Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. Citation Text: Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability orga…

  18. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
    March 12, 2025 - Study Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK Na…

  19. Failure events in transition of care for surgical patients. | PSNet

    psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
    October 19, 2022 - Study Failure events in transition of care for surgical patients. Citation Text: Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. Copy Citation Format: …

  20. Nursing home residents with dementia: association between place of death and patient safety culture. | PSNet

    psnet.ahrq.gov/issue/nursing-home-residents-dementia-association-between-place-death-and-patient-safety-culture
    November 04, 2020 - Study Nursing home residents with dementia: association between place of death and patient safety culture. Citation Text: Orth J, Li Y, Simning A, et al. Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture. Gerontologist. 2021;61(8):1296-1…
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