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  1. People, systems and safety: resilience and excellence in healthcare practice. | PSNet

    psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
    March 04, 2020 - Review Emerging Classic People, systems and safety: resilience and excellence in healthcare practice. Citation Text: Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…

  2. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet

    psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
    December 06, 2023 - Study Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Citation Text: Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health C…

  3. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. | PSNet

    psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ
    April 28, 2021 - Study Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Citation Text: Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qua…

  4. Performance of large language models on medical oncology examination questions. | PSNet

    psnet.ahrq.gov/issue/performance-large-language-models-medical-oncology-examination-questions
    January 12, 2022 - Study Performance of large language models on medical oncology examination questions. Citation Text: Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology examination questions. JAMA Netw Open. 2024;7(6):e2417641. doi:10.1001/jamanetworkopen.202…

  5. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-usability-contributions-patient-safety-and-clinician-burnout-path
    December 21, 2022 - Commentary Electronic health record usability contributions to patient safety and clinician burnout: a path forward. Citation Text: Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19…

  6. Bedside shift reports: what does the evidence say? | PSNet

    psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
    October 19, 2022 - Review Bedside shift reports: what does the evidence say? Citation Text: Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. Copy Citation Format: DOI Google Scholar PubMed B…

  7. Cognitive error in an academic emergency department. | PSNet

    psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
    July 29, 2020 - Study Cognitive error in an academic emergency department. Citation Text: Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. Copy Citation Format: DOI Google Scholar PubMed B…

  8. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. | PSNet

    psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
    September 04, 2019 - Study Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Citation Text: Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. Copy Citation Format: …

  9. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? | PSNet

    psnet.ahrq.gov/issue/how-do-patients-and-care-partners-describe-diagnostic-uncertainty-emergency-department-or
    October 23, 2024 - Study How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Citation Text: DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent c…

  10. The effect of medical emergency teams on patient outcome: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/effect-medical-emergency-teams-patient-outcome-review-literature
    September 23, 2020 - Review The effect of medical emergency teams on patient outcome: a review of the literature. Citation Text: Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.0187…

  11. Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. | PSNet

    psnet.ahrq.gov/issue/predicting-future-staffing-needs-teaching-hospitals-use-analytical-program-multiple-variables
    October 19, 2022 - Study Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. Citation Text: Mitchell CC, Ashley SW, Zinner MJ, et al. Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. Arc…

  12. Applying requisite imagination to safeguard electronic health record transitions. | PSNet

    psnet.ahrq.gov/issue/applying-requisite-imagination-safeguard-electronic-health-record-transitions
    August 25, 2021 - Commentary Applying requisite imagination to safeguard electronic health record transitions. Citation Text: Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab…

  13. How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet

    psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
    August 03, 2017 - Review How to perform a root cause analysis for workup and future prevention of medical errors: a review. Citation Text: Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…

  14. The evidence base for US Joint Commission hospital accreditation standards: cross sectional study. | PSNet

    psnet.ahrq.gov/issue/evidence-base-us-joint-commission-hospital-accreditation-standards-cross-sectional-study
    June 09, 2021 - Study The evidence base for US Joint Commission hospital accreditation standards: cross sectional study. Citation Text: Ibrahim SA, Reynolds KA, Poon E, et al. The evidence base for US joint commission hospital accreditation standards: cross sectional study. BMJ. 2022;377:e063064. doi:10…

  15. Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet

    psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
    October 19, 2022 - Review Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. Citation Text: Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…

  16. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. | PSNet

    psnet.ahrq.gov/issue/checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated
    July 18, 2014 - Study Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. Citation Text: Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopu…

  17. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet

    psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
    February 21, 2015 - Study Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Citation Text: Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …

  18. Validation of a mobile app for reducing errors of administration of medications in an emergency. | PSNet

    psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
    September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…

  19. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. | PSNet

    psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
    March 13, 2019 - Study Classic A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Citation Text: Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …

  20. Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. | PSNet

    psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
    January 23, 2017 - Study Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. Citation Text: Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …
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