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  1. The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. | PSNet

    psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
    December 09, 2020 - Commentary The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. Citation Text: Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591. Copy Citation Format: Google Sc…

  2. Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. | PSNet

    psnet.ahrq.gov/issue/patient-safety-perceptions-survey-iowa-physicians-pharmacists-and-nurses
    February 01, 2012 - Study Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. Citation Text: Durbin J, Hansen MM, Sinkowitz-Cochran R, et al. Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. Am J Infect Control. 2006;34(1):25-30. Copy Citati…

  3. Learning in action: developing safety improvement capabilities through action learning. | PSNet

    psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
    October 16, 2012 - Study Learning in action: developing safety improvement capabilities through action learning. Citation Text: Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.ned…

  4. Potential medical adverse events associated with death: a forensic pathology perspective. | PSNet

    psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective
    July 31, 2019 - Study Potential medical adverse events associated with death: a forensic pathology perspective. Citation Text: Sakai K, Takatsu A, Shigeta A, et al. Potential medical adverse events associated with death: a forensic pathology perspective. International Journal for Quality in Health Car…

  5. FMEA team performance in health care: a qualitative analysis of team member perceptions. | PSNet

    psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
    December 31, 2014 - Study FMEA team performance in health care: a qualitative analysis of team member perceptions. Citation Text: Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. Copy Citation Format: DOI Go…

  6. Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-incidence-and-characteristics-preventable-adverse-drug-events-ambulatory
    July 15, 2010 - Review Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care. Citation Text: Thomsen LA, Winterstein AG, S⊘ndergaard B, et al. Systematic Review of the Incidence and Characteristics of Preventable Adverse Drug Events in Ambulatory …

  7. Building a culture of safety in ophthalmology. | PSNet

    psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
    March 14, 2022 - Commentary Building a culture of safety in ophthalmology. Citation Text: Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. Copy Citation Format: DOI Google Sch…

  8. Auto identification technology and its impact on patient safety in the operating room of the future. | PSNet

    psnet.ahrq.gov/issue/auto-identification-technology-and-its-impact-patient-safety-operating-room-future
    June 22, 2009 - Commentary Auto identification technology and its impact on patient safety in the operating room of the future. Citation Text: Egan MT, Sandberg WS. Auto identification technology and its impact on patient safety in the Operating Room of the Future. Surg Innov. 2007;14(1):41-50; discus…

  9. Information technology cannot guarantee patient safety. | PSNet

    psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
    March 14, 2022 - Commentary Information technology cannot guarantee patient safety. Citation Text: de Wildt SN, Verzijden R, van den Anker JN, et al. Information technology cannot guarantee patient safety. BMJ. 2007;334(7598):851-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  10. Distractions and surgical proficiency: an educational perspective. | PSNet

    psnet.ahrq.gov/issue/distractions-and-surgical-proficiency-educational-perspective
    February 18, 2009 - Study Distractions and surgical proficiency: an educational perspective. Citation Text: Szafranski C, Kahol K, Ghaemmaghami V, et al. Distractions and surgical proficiency: an educational perspective. Am J Surg. 2009;198(6):804-10. doi:10.1016/j.amjsurg.2009.04.027. Copy Citation …

  11. Patient safety knowledge and its determinants in medical trainees. | PSNet

    psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
    July 29, 2020 - Study Patient safety knowledge and its determinants in medical trainees. Citation Text: Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4. Copy Citation Format: Google Scholar Pu…

  12. Systematic error and cognitive bias in obstetric ultrasound. | PSNet

    psnet.ahrq.gov/issue/systematic-error-and-cognitive-bias-obstetric-ultrasound
    December 13, 2023 - Commentary Systematic error and cognitive bias in obstetric ultrasound. Citation Text: Sotiriadis A, Odibo AO. Systematic error and cognitive bias in obstetric ultrasound. Ultrasound Obstet Gynecol. 2019;53(4):431-435. doi:10.1002/uog.20232. Copy Citation Format: DOI Google…

  13. Deciphering harm measurement. | PSNet

    psnet.ahrq.gov/issue/deciphering-harm-measurement
    December 01, 2010 - Commentary Deciphering harm measurement. Citation Text: Parry G, Cline A, Goldmann D. Deciphering harm measurement. JAMA. 2012;307(20):2155-6. doi:10.1001/jama.2012.3649. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  14. Mitigating error vulnerability at the transition of care through the use of health IT applications. | PSNet

    psnet.ahrq.gov/issue/mitigating-error-vulnerability-transition-care-through-use-health-it-applications
    January 23, 2019 - Commentary Mitigating error vulnerability at the transition of care through the use of health IT applications. Citation Text: Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications. J Med Syst. 2012;36(6). d…

  15. Implementation of patient centeredness to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
    June 24, 2010 - Commentary Implementation of patient centeredness to enhance patient safety. Citation Text: Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual. 2006;21(1):15-19. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  16. Seeking high reliability in primary care: leadership, tools, and organization. | PSNet

    psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
    October 13, 2018 - Study Seeking high reliability in primary care: leadership, tools, and organization. Citation Text: Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022. Copy Citation F…

  17. A call for a systems-thinking approach to medication adherence: stop blaming the patient. | PSNet

    psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
    November 09, 2022 - Commentary A call for a systems-thinking approach to medication adherence: stop blaming the patient. Citation Text: Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/j…

  18. Momentary interruptions can derail the train of thought. | PSNet

    psnet.ahrq.gov/issue/momentary-interruptions-can-derail-train-thought
    May 18, 2022 - Study Momentary interruptions can derail the train of thought. Citation Text: Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986. Copy Citation Format: DOI Google Scholar P…

  19. 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…

  20. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. | PSNet

    psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
    September 14, 2011 - Commentary Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. Citation Text: Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577. Copy Citation For…
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