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  1. Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. | PSNet

    psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
    May 02, 2018 - Newspaper/Magazine Article Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. Citation Text: Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. ISMP Medication Safety Alert! …

  2. Safety strategies in an academic radiation oncology department and recommendations for action. | PSNet

    psnet.ahrq.gov/issue/safety-strategies-academic-radiation-oncology-department-and-recommendations-action
    January 16, 2013 - Commentary Safety strategies in an academic radiation oncology department and recommendations for action. Citation Text: Terezakis SA, Pronovost P, Harris K, et al. Safety strategies in an academic radiation oncology department and recommendations for action. Jt Comm J Qual Patient Saf. …

  3. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet

    psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
    June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

  4. Root cause analysis. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis
    June 15, 2016 - Commentary Root cause analysis. Citation Text: Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  5. Taking risky business out of the MRI suite. | PSNet

    psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
    September 12, 2016 - Newspaper/Magazine Article Taking risky business out of the MRI suite. Citation Text: Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23. Copy Citation Format: …

  6. Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. | PSNet

    psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medical-emergencies
    February 18, 2009 - Book/Report Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. Citation Text: Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. Levinson DR. Washington DC: US Department of Health and Human Services, Office of Inspector General. …

  7. Public reporting of surgical outcomes: surgeons, hospitals, or both? | PSNet

    psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
    April 05, 2013 - Commentary Public reporting of surgical outcomes: surgeons, hospitals, or both? Citation Text: Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815. Copy Citation Format: DOI Google Scholar Pu…

  8. Developing process-support tools for patient safety: finding the balance between validity and feasibility. | PSNet

    psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and
    January 20, 2010 - Commentary Developing process-support tools for patient safety: finding the balance between validity and feasibility. Citation Text: Marsteller JA, Holzmueller CG, Makary MA, et al. Developing process-support tools for patient safety: finding the balance between validity and feasibility.…

  9. New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. | PSNet

    psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
    October 31, 2014 - Book/Report New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. Citation Text: New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. Washington, DC: US Department of Health and Human Services; May 7, 2014…

  10. The frustrating case of incident-reporting systems. | PSNet

    psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
    June 22, 2022 - Commentary The frustrating case of incident-reporting systems. Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  11. Patient Safety 2030. | PSNet

    psnet.ahrq.gov/issue/patient-safety-2030
    April 13, 2016 - Book/Report Patient Safety 2030. Citation Text: Patient Safety 2030. Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citation Save Save to your library Print Download PDF …

  12. Improving care by using patient feedback. | PSNet

    psnet.ahrq.gov/issue/improving-care-using-patient-feedback
    April 19, 2017 - Book/Report Improving care by using patient feedback. Citation Text: Improving care by using patient feedback. National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019. Copy Citation Save Save to your library Print …

  13. A new frontier in healthcare risk management: working to reduce avoidable patient suffering. | PSNet

    psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
    September 26, 2012 - Commentary A new frontier in healthcare risk management: working to reduce avoidable patient suffering. Citation Text: Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.2…

  14. Speaking up about patient safety requires an observant questioner and a high index of suspicion. | PSNet

    psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
    June 10, 2018 - Newspaper/Magazine Article Speaking up about patient safety requires an observant questioner and a high index of suspicion. Citation Text: Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…

  15. The medical emergency team as a safety net. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-safety-net
    September 30, 2010 - Commentary The medical emergency team as a safety net. Citation Text: Buttfield MA, Amos JD, Hillman KM. The medical emergency team as a safety net. Jt Comm J Qual Patient Saf. 2006;32(11):641-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  16. Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. | PSNet

    psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
    August 16, 2016 - Book/Report Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. Citation Text: Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…

  17. Circle Up Training. | PSNet

    psnet.ahrq.gov/issue/circle-training
    February 22, 2023 - Multi-use Website Circle Up Training. Citation Text: Circle Up Training. Center for Medical Simulation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May …

  18. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet

    psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
    March 14, 2023 - Newspaper/Magazine Article Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. Citation Text: Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …

  19. Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet

    psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
    April 27, 2022 - Newspaper/Magazine Article Nurses: Guilty verdict for dosing mistake could cost lives. Citation Text: Nurses: Guilty verdict for dosing mistake could cost lives. Loller T. Associated Press. March 30, 2022. Copy Citation Save Save to your library …

  20. Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. | PSNet

    psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
    October 19, 2022 - Press Release/Announcement Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Citation Text: Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022. C…
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