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  1. Report focuses on risk to patients from ED errors. | PSNet

    psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
    June 26, 2019 - Newspaper/Magazine Article Report focuses on risk to patients from ED errors. Citation Text: Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019. Copy Citation Save Save to your library Print Download…

  2. Saying "I'm sorry": error disclosure for ophthalmologists. | PSNet

    psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
    November 20, 2019 - Commentary Saying "I'm sorry": error disclosure for ophthalmologists. Citation Text: Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010. Copy Citation Format: DOI Google S…

  3. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  | PSNet

    psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
    January 16, 2019 - Government Resource The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Citation Text: The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Kutner M, Greenberg E, Jin Y, et al. Washin…

  4. Rapid response teams: ten essentials leaders need to know. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know
    December 21, 2014 - Newspaper/Magazine Article Rapid response teams: ten essentials leaders need to know. Citation Text: Dahlen GM, Benz BA. Rapid response teams. Ten essentials leaders need to know. Healthcare executive. 2006;21(4):28-32, 34. Copy Citation Format: Google Scholar PubMed BibT…

  5. Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. | PSNet

    psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
    December 23, 2012 - Congressional Testimony Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. Citation Text: Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…

  6. Common Formats for Patient Safety Data Collection. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
    October 08, 2024 - Press Release/Announcement Common Formats for Patient Safety Data Collection. Citation Text: Common Formats for Patient Safety Data Collection. Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992. Copy Citation Save Save to your li…

  7. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. | PSNet

    psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
    October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…

  8. Briefings, checklists, geese, and surgical safety. | PSNet

    psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
    August 02, 2015 - Commentary Briefings, checklists, geese, and surgical safety. Citation Text: Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  9. Instrument count sheets and set reviews as patient safety tools. | PSNet

    psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
    February 28, 2011 - Commentary Instrument count sheets and set reviews as patient safety tools. Citation Text: Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007. Copy Citation Format: DOI Google Scholar PubMed …

  10. Doctors' unconscious bias affects quality of health care services, research shows. | PSNet

    psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
    October 21, 2020 - Audiovisual Doctors' unconscious bias affects quality of health care services, research shows. Citation Text: Doctors' unconscious bias affects quality of health care services, research shows. Dembosky A. All Things Considered. National Public Radio. October 15, 2020. Copy Cita…

  11. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
    July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …

  12. Medication errors in anaesthesia and critical care. | PSNet

    psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
    January 18, 2011 - Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  13. Staying safe: simple tools for safe surgery. | PSNet

    psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery
    August 02, 2015 - Commentary Staying safe: simple tools for safe surgery. Citation Text: Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  14. The challenges to transparency in reporting medical errors. | PSNet

    psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
    July 19, 2023 - Commentary The challenges to transparency in reporting medical errors. Citation Text: Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88. Copy Citation Format: …

  15. 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…

  16. Roundtable on public policy affecting patient safety. | PSNet

    psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
    June 15, 2016 - Commentary Roundtable on public policy affecting patient safety. Citation Text: Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  17. (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…

  18. 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:…

  19. Poor medication history plus slow symptom onset delays a diagnosis. | PSNet

    psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
    October 12, 2022 - Commentary Poor medication history plus slow symptom onset delays a diagnosis. Citation Text: Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41. Copy Citation Save Save to your l…

  20. A Randomized Field Study of a Leadership WalkRounds-Based Intervention. | PSNet

    psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
    May 24, 2016 - Book/Report A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Citation Text: A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113. Cop…
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