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  1. Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. | PSNet

    psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
    March 16, 2016 - Study Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…

  2. Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

    psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
    November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

  3. Performance measures in neurosurgical patient care: differing applications of patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/performance-measures-neurosurgical-patient-care-differing-applications-patient-safety
    June 03, 2020 - Study Performance measures in neurosurgical patient care: differing applications of patient safety indicators. Citation Text: Moghavem N, McDonald KM, Ratliff JK, et al. Performance Measures in Neurosurgical Patient Care: Differing Applications of Patient Safety Indicators. Med Care. 201…

  4. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/role-housestaff-implementing-medication-reconciliation-admission-academic-medical-center
    March 30, 2011 - Commentary The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Citation Text: Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Am J Me…

  5. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. | PSNet

    psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary
    September 23, 2020 - Study Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. Citation Text: Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care…

  6. The influence of resident involvement on surgical outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes
    October 11, 2017 - Study The influence of resident involvement on surgical outcomes. Citation Text: Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029. Copy Citation Format: …

  7. SBAR: electronic handoff tool for noncomplicated procedural patients. | PSNet

    psnet.ahrq.gov/issue/sbar-electronic-handoff-tool-noncomplicated-procedural-patients
    October 19, 2022 - Study SBAR: electronic handoff tool for noncomplicated procedural patients. Citation Text: Wentworth L, Diggins J, Bartel D, et al. SBAR: electronic handoff tool for noncomplicated procedural patients. J Nurs Care Qual. 2012;27(2):125-31. doi:10.1097/NCQ.0b013e31823cc9a0. Copy Citati…

  8. FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
    October 19, 2022 - Press Release/Announcement FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. Citation Text: FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

  9. Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet

    psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere
    September 23, 2020 - Study Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. Citation Text: Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm.…

  10. 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). | PSNet

    psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
    April 12, 2019 - Commentary 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). Citation Text: Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018…

  11. Public perceptions and preferences for patient notification after an unsafe injection. | PSNet

    psnet.ahrq.gov/issue/public-perceptions-and-preferences-patient-notification-after-unsafe-injection
    July 14, 2010 - Study Public perceptions and preferences for patient notification after an unsafe injection. Citation Text: Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:…

  12. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. | PSNet

    psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre
    July 19, 2023 - Study Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. Citation Text: Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…

  13. Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. | PSNet

    psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have
    April 08, 2020 - Study Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. Citation Text: Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…

  14. Crises in clinical care: an approach to management. | PSNet

    psnet.ahrq.gov/issue/crises-clinical-care-approach-management
    March 23, 2011 - Commentary Crises in clinical care: an approach to management. Citation Text: Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  15. Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. | PSNet

    psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk
    August 06, 2014 - Study Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. Citation Text: Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…

  16. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. | PSNet

    psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
    September 25, 2011 - Study Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Citation Text: Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…

  17. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. | PSNet

    psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds
    February 02, 2011 - Study Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Citation Text: Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…

  18. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
    November 26, 2014 - Study Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Citation Text: Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.…

  19. Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet

    psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
    April 03, 2024 - Commentary Using medicolegal data to support safe medical care: a contributing factor coding framework. Citation Text: McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…

  20. Root cause analysis of ambulatory adverse drug events that present to the emergency department. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
    April 25, 2016 - Study Root cause analysis of ambulatory adverse drug events that present to the emergency department. Citation Text: Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.10…
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