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  1. Long-term sustainability and adaptation of I-PASS handovers. | PSNet

    psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
    September 09, 2020 - Study Long-term sustainability and adaptation of I-PASS handovers. Citation Text: Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007. Copy Citation Format: …

  2. Who's covering our loved ones: surprising barriers in the sign-out process. | PSNet

    psnet.ahrq.gov/issue/whos-covering-our-loved-ones-surprising-barriers-sign-out-process
    October 19, 2022 - Study Who's covering our loved ones: surprising barriers in the sign-out process. Citation Text: Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. Co…

  3. Surgical never events in the United States. | PSNet

    psnet.ahrq.gov/issue/surgical-never-events-united-states
    September 10, 2014 - Study Surgical never events in the United States. Citation Text: Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  4. Identifying resilience: a system safety review of trauma and orthopaedic theatres. | PSNet

    psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
    October 19, 2011 - Commentary Identifying resilience: a system safety review of trauma and orthopaedic theatres. Citation Text: Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. Copy Citation Fo…

  5. Impact of patient safety culture on missed nursing care and adverse patient events. | PSNet

    psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events
    March 16, 2022 - Study Emerging Classic Impact of patient safety culture on missed nursing care and adverse patient events. Citation Text: Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…

  6. Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. | PSNet

    psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
    July 24, 2013 - Commentary Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. Citation Text: Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …

  7. The safety of outpatient health care: review of electronic health records. | PSNet

    psnet.ahrq.gov/issue/safety-outpatient-health-care-review-electronic-health-records
    January 25, 2023 - Study The safety of outpatient health care: review of electronic health records. Citation Text: Levine DM, Syrowatka A, Salmasian H, et al. The safety of outpatient health care: review of electronic health records. Ann Intern Med. 2024;177(6):738-748. doi:10.7326/m23-2063. Copy Citatio…

  8. Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients. | PSNet

    psnet.ahrq.gov/issue/knowledge-translation-critical-care-factors-associated-prescription-commonly-recommended-best
    October 31, 2011 - Study Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients. Citation Text: Ilan R, Fowler RA, Geerts R, et al. Knowledge translation in critical care: factors associated with prescription of comm…

  9. "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. | PSNet

    psnet.ahrq.gov/issue/black-women-should-not-die-giving-life-lived-experiences-black-women-diagnosed-severe
    August 17, 2017 - Study "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. Citation Text: Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of Black women diagnosed with s…

  10. Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
    November 02, 2022 - Commentary Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. Citation Text: McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric units. Aust N Z J Obstet Gyna…

  11. To catch a killer: electronic sepsis alert tools reaching a fever pitch? | PSNet

    psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools-reaching-fever-pitch
    November 15, 2023 - Commentary To catch a killer: electronic sepsis alert tools reaching a fever pitch? Citation Text: Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. Copy Citation Format: …

  12. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences
    June 15, 2022 - Study Patient safety incidents in hospice care: observations from interdisciplinary case conferences. Citation Text: Oliver DP, Demiris G, Wittenberg-Lyles E, et al. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. J Palliat Med. 2013;16(1…

  13. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet

    psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
    March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error disclosure. Citation Text: Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. Co…

  14. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. | PSNet

    psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-protocol
    November 12, 2014 - Study 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. Citation Text: Pandit JJ, Andrade J, Bogod DG, et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, metho…

  15. Effect of genetic diagnosis on patients with previously undiagnosed disease. | PSNet

    psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
    October 19, 2022 - Study Effect of genetic diagnosis on patients with previously undiagnosed disease. Citation Text: Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458. Copy…

  16. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. | PSNet

    psnet.ahrq.gov/issue/developing-high-performance-team-training-framework-internal-medicine-residents-abcs-teamwork
    June 01, 2011 - Study Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. Citation Text: Carbo AR, Tess A, Roy CL, et al. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. J Patient Sa…

  17. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

    psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding
    November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

  18. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. | PSNet

    psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
    February 18, 2011 - Study Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Citation Text: Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…

  19. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims
    September 27, 2017 - Study Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. Citation Text: Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;1…

  20. Improving the safety of medication administration using an interactive CD-ROM program. | PSNet

    psnet.ahrq.gov/issue/improving-safety-medication-administration-using-interactive-cd-rom-program
    February 15, 2011 - Commentary Improving the safety of medication administration using an interactive CD-ROM program. Citation Text: Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…
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