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  1. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety
    December 06, 2013 - Commentary Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. Citation Text: Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…

  2. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet

    psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance
    January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

  3. Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. | PSNet

    psnet.ahrq.gov/issue/novel-use-electronic-whiteboard-operating-room-increases-surgical-team-compliance-pre
    March 20, 2013 - Study Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. Citation Text: Mainthia R, Lockney T, Zotov A, et al. Novel use of electronic whiteboard in the operating room increases surgical team compliance with p…

  4. Physician engagement in malpractice risk reduction: a UPHS case study. | PSNet

    psnet.ahrq.gov/issue/physician-engagement-malpractice-risk-reduction-uphs-case-study
    June 02, 2019 - Commentary Physician engagement in malpractice risk reduction: a UPHS case study. Citation Text: Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…

  5. Structural racism and the COVID-19 experience in the United States. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
    June 08, 2022 - Commentary Structural racism and the COVID-19 experience in the United States. Citation Text: Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. Copy Citation F…

  6. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. | PSNet

    psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-targeting-few-affect-many
    January 29, 2010 - Commentary Hospitalists as emerging leaders in patient safety: targeting a few to affect many. Citation Text: Flanders SA, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. J Patient Saf. 2005;1(2):78-82. doi:10.1097/pts.0b0…

  7. Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. | PSNet

    psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign
    November 26, 2014 - Review Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. Citation Text: Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp…

  8. Implementation and evaluation of a laboratory safety process improvement toolkit. | PSNet

    psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit
    July 12, 2010 - Study Implementation and evaluation of a laboratory safety process improvement toolkit. Citation Text: Kwan BM, Fernald D, Ferrarone P, et al. Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit. J Am Board Fam Med. 2019;32(2):136-145. doi:10.3122/jabfm.2019.…

  9. 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…

  10. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. | PSNet

    psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner
    December 04, 2015 - Study Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. Citation Text: Leigh J, Flynn J. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. J Healthc Risk Manag. 2013;33(2):2…

  11. Operational failures detected by frontline acute care nurses. | PSNet

    psnet.ahrq.gov/issue/operational-failures-detected-frontline-acute-care-nurses
    July 19, 2023 - Study Operational failures detected by frontline acute care nurses. Citation Text: Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791. Copy Citation Format: DO…

  12. Emergency department adverse events detected using the emergency department trigger tool. | PSNet

    psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool
    September 30, 2020 - Study Emergency department adverse events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…

  13. 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…

  14. 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…

  15. 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…

  16. 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…

  17. Resident hesitation in the operating room: does uncertainty equal incompetence? | PSNet

    psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence
    September 24, 2016 - Study Resident hesitation in the operating room: does uncertainty equal incompetence? Citation Text: Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. Copy Citati…

  18. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
    December 16, 2020 - Commentary Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. Citation Text: Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…

  19. Medication errors and trainees: advice for learners and organizations. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
    April 10, 2019 - Commentary Medication errors and trainees: advice for learners and organizations. Citation Text: Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. Copy Citation…

  20. Diagnostic reasoning: an endangered competency in internal medicine training. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
    September 04, 2019 - Commentary Diagnostic reasoning: an endangered competency in internal medicine training. Citation Text: Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. Copy Citat…
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