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  1. Challenges and opportunities for improving patient safety through human factors and systems engineering. | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
    September 11, 2019 - Commentary Emerging Classic Challenges and opportunities for improving patient safety through human factors and systems engineering. Citation Text: Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety Through Human …

  2. Pqi 09 Low Birth Weight Rate (pdf file)

    qualityindicators.ahrq.gov/Downloads/Modules/PQI/V43/TechSpecs/PQI%2009%20Low%20Birth%20Weight%20Rate.pdf
    January 01, 2009 - AHRQ QI, Prevention Quality Indicators #9, Technical Specifications, Low Birth Weight Rate www.qualityindicators.ahrq.gov Page 1 Low Birth Weight Rate Prevention Quality Indicators #9 Technical Specifications Area-Level Indicator AHRQ Quality Indicators, Version 4.3, August 2011 NOTE: This indicator…

  3. The patient is in: patient involvement strategies for diagnostic error mitigation. | PSNet

    psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
    April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation. Citation Text: McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…

  4. Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. | PSNet

    psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
    July 05, 2017 - Study Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. Citation Text: Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…

  5. SEIPS 3.0: human-centered design of the patient journey for patient safety. | PSNet

    psnet.ahrq.gov/issue/seips-30-human-centered-design-patient-journey-patient-safety
    September 11, 2019 - Review Classic SEIPS 3.0: human-centered design of the patient journey for patient safety. Citation Text: Carayon P, Wooldridge AR, Hoonakker P, et al. SEIPS 3.0: human-centered design of the patient journey for patient safety. App Ergon. 2020;84:103033. doi:10…

  6. Understanding context specificity: the effect of contextual factors on clinical reasoning. | PSNet

    psnet.ahrq.gov/issue/understanding-context-specificity-effect-contextual-factors-clinical-reasoning
    August 19, 2020 - Study Understanding context specificity: the effect of contextual factors on clinical reasoning. Citation Text: Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:…

  7. Clinical reasoning of a generative artificial intelligence model compared with physicians. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-generative-artificial-intelligence-model-compared-physicians
    November 13, 2024 - Study Clinical reasoning of a generative artificial intelligence model compared with physicians. Citation Text: Cabral S, Restrepo D, Kanjee Z, et al. Clinical reasoning of a generative artificial intelligence model compared with physicians. JAMA Intern Med. 2024;184(5):581-583. doi:10.1…

  8. Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. | PSNet

    psnet.ahrq.gov/issue/testing-and-improving-acceptability-web-based-platform-collective-intelligence-improve
    December 02, 2020 - Study Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. Citation Text: Fontil V, Radcliffe K, Lyson HC, et al. Testing and improving the acceptability of a web-based platform for collective …

  9. Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge
    October 16, 2024 - Review Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. Citation Text: Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…

  10. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. | PSNet

    psnet.ahrq.gov/issue/decreasing-clinically-significant-adverse-events-using-feedback-emergency-physicians
    January 21, 2015 - Study Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Citation Text: Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-…

  11. Nurse leader attitudes and beliefs regarding medical errors. | PSNet

    psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
    March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

  12. Safety of patients isolated for infection control. | PSNet

    psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
    January 15, 2020 - Study Classic Safety of patients isolated for infection control. Citation Text: Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA. 2003;290(14):1899-1905. Copy Citation Format: Google Scholar PubMed BibT…

  13. Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. | PSNet

    psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre
    August 16, 2017 - Study Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. Citation Text: Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11…

  14. Impact of including readmissions for qualifying events in the Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/impact-including-readmissions-qualifying-events-patient-safety-indicators
    January 26, 2022 - Study Impact of including readmissions for qualifying events in the Patient Safety Indicators. Citation Text: Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…

  15. Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents. | PSNet

    psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
    December 04, 2015 - Study Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents. Citation Text: Bertsche T, Bertsche A, Krieg E-M, et al. Prospective pilot intervention study to prevent m…

  16. Predictive value of alert triggers for identification of developing adverse drug events. | PSNet

    psnet.ahrq.gov/issue/predictive-value-alert-triggers-identification-developing-adverse-drug-events
    October 19, 2022 - Study Predictive value of alert triggers for identification of developing adverse drug events. Citation Text: Moore C, Li J, Hung C-C, et al. Predictive Value of Alert Triggers for Identification of Developing Adverse Drug Events. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181bc0…

  17. The role of language barriers on efficacy of rapid response teams. | PSNet

    psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-response-teams
    April 13, 2022 - Study The role of language barriers on efficacy of rapid response teams. Citation Text: Raff L, Moore C, Raff E. The role of language barriers on efficacy of rapid response teams. Hosp Pract (1995). 2023;51(1):29-34. doi:10.1080/21548331.2022.2150416. Copy Citation Format: …

  18. Perceptions of rounding checklists in the intensive care unit: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/perceptions-rounding-checklists-intensive-care-unit-qualitative-study
    July 21, 2021 - Study Perceptions of rounding checklists in the intensive care unit: a qualitative study. Citation Text: Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.…

  19. Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
    March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

  20. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. | PSNet

    psnet.ahrq.gov/issue/awareness-recall-during-general-anaesthesia-prospective-observational-evaluation-4001
    March 09, 2022 - Study Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Citation Text: Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth.…
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