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  1. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events
    October 27, 2010 - Study Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. Citation Text: Shah RK, Lander L, Forbes P, et al. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. Laryngoscope. 2009;119(5):871-9. doi:…

  2. Safety cultural preconditions for organizational learning in high-risk organizations. | PSNet

    psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
    June 17, 2009 - Commentary Safety cultural preconditions for organizational learning in high-risk organizations. Citation Text: Naevestad T-O. Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. J Contingencies Crisis Manage. 2008;16(3):154-163. doi:10.1111/j.1468-5973.…

  3. A performance improvement plan to increase nurse adherence to use of medication safety software. | PSNet

    psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
    March 13, 2024 - Commentary A performance improvement plan to increase nurse adherence to use of medication safety software. Citation Text: Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…

  4. ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). | PSNet

    psnet.ahrq.gov/issue/relion-insulin-syringes-use-u-100-insulin-tyco-healthcare-covidien
    September 30, 2015 - Press Release/Announcement ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). Citation Text: ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 6, 2…

  5. Decreasing patient misidentification before chemotherapy administration. | PSNet

    psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
    July 19, 2023 - Commentary Decreasing patient misidentification before chemotherapy administration. Citation Text: Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717. Copy Cita…

  6. (Mis)understanding safety culture and its relationship to safety management. | PSNet

    psnet.ahrq.gov/issue/misunderstanding-safety-culture-and-its-relationship-safety-management
    May 10, 2014 - Commentary (Mis)understanding safety culture and its relationship to safety management. Citation Text: Guldenmund FW. (Mis)understanding Safety Culture and Its Relationship to Safety Management. Risk Anal. 2010;30(10):1466-80. doi:10.1111/j.1539-6924.2010.01452.x. Copy Citation F…

  7. Surgical safety checklists: do they improve outcomes? | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes
    July 13, 2010 - Review Surgical safety checklists: do they improve outcomes? Citation Text: Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175. Copy Citation Format: DOI Google Scholar PubMed …

  8. Are apologies a way to reduce malpractice risks?. | PSNet

    psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
    October 23, 2018 - Commentary Are apologies a way to reduce malpractice risks?. Citation Text: Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772. Copy Citation Format: DOI Google Sch…

  9. Decreasing 30-day readmission rates. | PSNet

    psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
    July 19, 2018 - Commentary Decreasing 30-day readmission rates. Citation Text: Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  10. When public health goes wrong: toward a new concept of public health error. | PSNet

    psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
    September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…

  11. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. | PSNet

    psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
    November 03, 2015 - Review Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. Citation Text: O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…

  12. Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? | PSNet

    psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
    October 16, 2024 - Study Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? Citation Text: Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 200…

  13. Diagnostic error: untapped potential for improving patient safety? | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-safety
    March 02, 2016 - Commentary Diagnostic error: untapped potential for improving patient safety? Citation Text: Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149. Copy Citation Format: DOI Google Sc…

  14. Disclosing adverse events: you said it, now write it. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-you-said-it-now-write-it
    July 14, 2010 - Commentary Disclosing adverse events: you said it, now write it. Citation Text: Monson MS. Disclosing adverse events: you said it, now write it. Nurs Manage. 2006;37(8):16-7, 55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  15. High reliability: excellent care every time. | PSNet

    psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
    July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  16. The need for systems integration in health care. | PSNet

    psnet.ahrq.gov/issue/need-systems-integration-health-care
    July 01, 2017 - Commentary The need for systems integration in health care. Citation Text: Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  17. Using a market model to track advances in patient safety. | PSNet

    psnet.ahrq.gov/issue/using-market-model-track-advances-patient-safety
    September 28, 2010 - Commentary Using a market model to track advances in patient safety. Citation Text: Shulkin DJ. Using a market model to track advances in patient safety. Jt Comm J Qual Saf. 2003;29(3):146-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  18. Embedding quality improvement and patient safety - the UCLA value analysis experience. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-ucla-value-analysis-experience
    October 02, 2019 - Commentary Embedding quality improvement and patient safety - the UCLA value analysis experience. Citation Text: Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. Copy C…

  19. A medical error leads to tragedy: how do we inform the patient? | PSNet

    psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
    April 08, 2018 - Commentary A medical error leads to tragedy: how do we inform the patient? Citation Text: Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  20. Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. | PSNet

    psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
    April 08, 2020 - Press Release/Announcement Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. Citation Text: Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA …
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