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  1. The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments. | PSNet

    psnet.ahrq.gov/issue/effect-clinical-history-accuracy-electrocardiograph-interpretation-among-doctors-working
    March 20, 2019 - Study The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments. Citation Text: Cruz MF, Edwards J, Dinh MM, et al. The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working…

  2. Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet

    psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
    January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

  3. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet

    psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
    September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…

  4. Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
    September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

  5. A work systems analysis approach to understanding fatigue in hospital nurses. | PSNet

    psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses
    July 08, 2020 - Study A work systems analysis approach to understanding fatigue in hospital nurses. Citation Text: Steege LM, Pasupathy KS, Drake DA. A work systems analysis approach to understanding fatigue in hospital nurses. Ergonomics. 2017;61(1):148-161. doi:10.1080/00140139.2017.1280186. Copy Ci…

  6. Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. | PSNet

    psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-intravenous-iv
    January 27, 2021 - Newspaper/Magazine Article Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. Citation Text: Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. ISMP Medication …

  7. Creating a stronger culture of safety within US community pharmacies. | PSNet

    psnet.ahrq.gov/issue/creating-stronger-culture-safety-within-us-community-pharmacies
    June 14, 2023 - Commentary Creating a stronger culture of safety within US community pharmacies. Citation Text: Lewis NJW, Marwitz KK, Gaither CA, et al. Creating a stronger culture of safety within US community pharmacies. Jt Comm J Qual Patient Saf. 2023;49(5):280-284. doi:10.1016/j.jcjq.2023.01.012. …

  8. Quality initiatives: developing a radiology quality and safety program: a primer. | PSNet

    psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
    March 04, 2015 - Commentary Quality initiatives: developing a radiology quality and safety program: a primer. Citation Text: Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…

  9. Cognitive and system factors contributing to diagnostic errors in radiology. | PSNet

    psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
    October 29, 2012 - Review Cognitive and system factors contributing to diagnostic errors in radiology. Citation Text: Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375. Copy Cita…

  10. Review of the Australian Incident Monitoring System. | PSNet

    psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
    July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  11. Improving patient safety by identifying latent failures in successful operations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-identifying-latent-failures-successful-operations
    September 15, 2010 - Study Improving patient safety by identifying latent failures in successful operations. Citation Text: Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142(1):102-10. Copy Citation Forma…

  12. When systems fail. | PSNet

    psnet.ahrq.gov/issue/when-systems-fail
    February 10, 2011 - Commentary When systems fail. Citation Text: Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-2616(01)00025-0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  13. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet

    psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
    February 20, 2016 - Study Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. Citation Text: Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170. Copy Citation Form…

  14. Development of a rating system for surgeons' non-technical skills. | PSNet

    psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
    June 12, 2008 - Study Development of a rating system for surgeons' non-technical skills. Citation Text: Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ. 2006;40(11):1098-104. Copy Citation Format: Google Scholar PubMed …

  15. Association of emotional intelligence with malpractice claims: a review. | PSNet

    psnet.ahrq.gov/issue/association-emotional-intelligence-malpractice-claims-review
    August 02, 2015 - Review Association of emotional intelligence with malpractice claims: a review. Citation Text: Shouhed D, Beni C, Manguso N, et al. Association of Emotional Intelligence With Malpractice Claims: A Review. JAMA Surg. 2019;154(3):250-256. doi:10.1001/jamasurg.2018.5065. Copy Citation …

  16. Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet

    psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
    April 24, 2018 - Study Critical phase distractions in anaesthesia and the sterile cockpit concept. Citation Text: Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. Copy…

  17. A review of current and emerging approaches to address failure-to-rescue. | PSNet

    psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
    March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…

  18. Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. | PSNet

    psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions
    July 14, 2010 - Study Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. Citation Text: Flanders S, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: lessons learned and future directions. J Patient Saf. 2009;5(1):3-8. doi:10.1097/P…

  19. America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
    November 23, 2016 - Book/Report America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Citation Text: America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Oakbrook Terrace, IL: The Joint Commission; November 2015. Copy Citation …

  20. Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet

    psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
    August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…
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