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  1. More than a feeling: the role of empathetic care in promoting safety in health care. | PSNet

    psnet.ahrq.gov/issue/more-feeling-role-empathetic-care-promoting-safety-health-care
    June 23, 2021 - Study More than a feeling: the role of empathetic care in promoting safety in health care. Citation Text: Leana C, Meuris J, Lamberton C. More Than a Feeling: The Role of Empathetic Care in Promoting Safety in Health Care. ILR Review. 2017;71(2):394-425. doi:10.1177/0019793917720432. C…

  2. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. | PSNet

    psnet.ahrq.gov/issue/impact-diagnostic-management-team-patient-time-diagnosis-and-percent-accurate-and-clinically
    October 19, 2022 - Study Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. Citation Text: Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinica…

  3. Patient safety indicators for judging hospital performance: still not ready for prime time. | PSNet

    psnet.ahrq.gov/issue/patient-safety-indicators-judging-hospital-performance-still-not-ready-prime-time
    December 22, 2021 - Study Patient safety indicators for judging hospital performance: still not ready for prime time. Citation Text: Kubasiak JC, Francescatti AB, Behal R, et al. Patient Safety Indicators for Judging Hospital Performance. Am J Med Qual. 2017;32(2):129-133. doi:10.1177/1062860615618782. Co…

  4. Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. | PSNet

    psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
    April 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. Citation Text: Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Contr…

  5. A classification system for incidents and accidents in the health-care system. | PSNet

    psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
    September 28, 2010 - Study Classic A classification system for incidents and accidents in the health-care system. Citation Text: Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. …

  6. Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? | PSNet

    psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
    September 02, 2020 - Study Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? Citation Text: Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…

  7. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. | PSNet

    psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing-patient-safety
    October 19, 2022 - Study Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. Citation Text: Foster PN, Sidhu R, Gadhia DA, et al. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate me…

  8. Error disclosure and family members' reactions: does the type of error really matter? | PSNet

    psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter
    March 08, 2023 - Study Error disclosure and family members' reactions: does the type of error really matter? Citation Text: Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.20…

  9. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
    April 26, 2023 - Commentary The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Citation Text: Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…

  10. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
    December 22, 2021 - Study Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. Citation Text: Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. J Healthc Qual. 2023;45(3):…

  11. Impact of senior clinical review on patient disposition from the emergency department. | PSNet

    psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
    August 28, 2024 - Study Impact of senior clinical review on patient disposition from the emergency department. Citation Text: White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…

  12. Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
    March 06, 2005 - Study Sins of omission. Getting too little medical care may be the greatest threat to patient safety. Citation Text: Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…

  13. Quality and strength of patient safety climate on medical–surgical units. | PSNet

    psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units
    February 15, 2011 - Study Quality and strength of patient safety climate on medical–surgical units. Citation Text: Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. Copy…

  14. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. | PSNet

    psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
    May 27, 2011 - Study Classic An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Citation Text: Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…

  15. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. | PSNet

    psnet.ahrq.gov/issue/e-learning-risk-management-opportunity-sharing-knowledge-and-experiences-patient-safety
    November 18, 2020 - Commentary E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Citation Text: Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Int J He…

  16. Case-control analysis of the financial cost of medication errors in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
    January 15, 2025 - Study Case-control analysis of the financial cost of medication errors in hospitalized patients. Citation Text: Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006;7(1):66-71. Copy…

  17. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. | PSNet

    psnet.ahrq.gov/issue/reducing-error-anticoagulant-dosing-multidisciplinary-team-rounding-point-care
    November 16, 2016 - Study Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Citation Text: Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp…

  18. Sterile compounding: clinical, legal, and regulatory implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
    March 20, 2024 - Review Sterile compounding: clinical, legal, and regulatory implications for patient safety. Citation Text: Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191. …

  19. Designing highly reliable adverse-event detection systems to predict subsequent claims. | PSNet

    psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
    September 01, 2018 - Study Designing highly reliable adverse-event detection systems to predict subsequent claims. Citation Text: Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm…

  20. Organizational costs of preventable medical errors. | PSNet

    psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
    April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
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