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  1. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. | PSNet

    psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements
    September 29, 2017 - Study Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Citation Text: Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …

  2. Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. | PSNet

    psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic
    September 04, 2013 - Study Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Citation Text: Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units us…

  3. Consumer-directed technologies to improve medication management and safety. | PSNet

    psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
    December 29, 2014 - Commentary Consumer-directed technologies to improve medication management and safety. Citation Text: Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. Copy Citation Fo…

  4. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
    June 28, 2023 - Study Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Citation Text: Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…

  5. Partnering to prevent falls: using a multimodal multidisciplinary team. | PSNet

    psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
    June 22, 2010 - Commentary Partnering to prevent falls: using a multimodal multidisciplinary team. Citation Text: Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. Copy Citation Format: …

  6. Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. | PSNet

    psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2021
    September 25, 2013 - Clinical Guideline Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. Citation Text: Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med.…

  7. Improving Diagnosis in Health Care. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-health-care
    September 12, 2018 - Book/Report Classic Improving Diagnosis in Health Care. Citation Text: Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISB…

  8. Nurse staffing in hospitals: is there a business case for quality? | PSNet

    psnet.ahrq.gov/issue/nurse-staffing-hospitals-there-business-case-quality
    February 18, 2011 - Study Classic Nurse staffing in hospitals: is there a business case for quality? Citation Text: Needleman J, Buerhaus P, Stewart M, et al. Nurse staffing in hospitals: is there a business case for quality? Health Aff (Millwood). 2006;25(1):204-11. Copy Citat…

  9. Value assessment of deprescribing interventions: suggestions for improvement. | PSNet

    psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
    August 04, 2021 - Commentary Value assessment of deprescribing interventions: suggestions for improvement. Citation Text: Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. Copy C…

  10. A family and hospital's journey and commitment to improving diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/family-and-hospitals-journey-and-commitment-improving-diagnostic-safety
    July 06, 2022 - Commentary A family and hospital's journey and commitment to improving diagnostic safety. Citation Text: Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.…

  11. Regional variations in diagnostic practices. | PSNet

    psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
    July 15, 2020 - Study Regional variations in diagnostic practices. Citation Text: Song Y, Skinner J, Bynum JPW, et al. Regional variations in diagnostic practices. N Engl J Med. 2010;363(1):45-53. doi:10.1056/nejmsa0910881. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  12. Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-reviews-agency-healthcare-research-and-qualitys-making-healthcare
    March 18, 2020 - Special or Theme Issue Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. Citation Text: Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report. J …

  13. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet

    psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
    January 23, 2017 - Study The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. Citation Text: Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) …

  14. Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

    psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
    July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

  15. Reducing diagnostic errors—why now? | PSNet

    psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
    July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…

  16. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. | PSNet

    psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient
    October 07, 2020 - Commentary Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. Citation Text: Kirk K. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. …

  17. Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. | PSNet

    psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
    March 02, 2012 - Study Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. Citation Text: Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…

  18. Selecting indicators for patient safety at the health system level in OECD countries. | PSNet

    psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
    June 28, 2011 - Study Selecting indicators for patient safety at the health system level in OECD countries. Citation Text: McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. Cop…

  19. Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
    September 27, 2016 - Commentary Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. Citation Text: Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…

  20. Neonatal near-miss audits: a systematic review and a call to action. | PSNet

    psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
    August 04, 2021 - Review Neonatal near-miss audits: a systematic review and a call to action. Citation Text: Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. Copy Citation Format…
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