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  1. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. | PSNet

    psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
    March 03, 2011 - Study A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. Citation Text: Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer servi…

  2. 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…

  3. Examining markers of safety in homecare using the international classification for patient safety. | PSNet

    psnet.ahrq.gov/issue/examining-markers-safety-homecare-using-international-classification-patient-safety
    March 02, 2016 - Review Examining markers of safety in homecare using the international classification for patient safety. Citation Text: Macdonald M, Lang A, Storch J, et al. Examining markers of safety in homecare using the international classification for patient safety. BMC Health Serv Res. 2013;13:…

  4. A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. | PSNet

    psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital-united-kingdom
    September 27, 2017 - Study A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. Citation Text: Haw CM, Dickens G, Stubbs J. A review of medication administration errors reported in a large psychiatric hospital in the United kingdom. Psychiatr Serv. 2005…

  5. Characteristics of medical liability claims against dermatologists from 1991 through 2015. | PSNet

    psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
    July 29, 2020 - Study Characteristics of medical liability claims against dermatologists from 1991 through 2015. Citation Text: Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001…

  6. IV medication safety software implementation in a multihospital health system. | PSNet

    psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system
    October 17, 2018 - Commentary IV medication safety software implementation in a multihospital health system. Citation Text: Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151. Copy Citation Format: …

  7. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. | PSNet

    psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
    July 10, 2017 - Study Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. Citation Text: Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …

  8. When should students learn about ethics, professionalism and patient safety? | PSNet

    psnet.ahrq.gov/issue/when-should-students-learn-about-ethics-professionalism-and-patient-safety
    June 26, 2019 - Commentary When should students learn about ethics, professionalism and patient safety? Citation Text: Walton M, Jeffery H, Van Staalduinen S, et al. When should students learn about ethics, professionalism and patient safety? Clin Teach. 2013;10(4):224-9. doi:10.1111/tct.12029. Copy C…

  9. Intralipid medication errors in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit
    January 02, 2017 - Study Intralipid medication errors in the neonatal intensive care unit. Citation Text: Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11. Copy Citation Format: Google Scholar PubMed B…

  10. A chemotherapy incident reporting and improvement system. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
    November 16, 2022 - Study A chemotherapy incident reporting and improvement system. Citation Text: France DJ, Miles P, Cartwright J, et al. A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  11. Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet

    psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
    September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…

  12. Human factors—recognising and minimising errors in our day to day practice. | PSNet

    psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
    October 09, 2016 - Review Human factors—recognising and minimising errors in our day to day practice. Citation Text: Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384. Copy Citation Format…

  13. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
    June 19, 2018 - Commentary Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Citation Text: Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…

  14. Gaps in pediatric clinician communication and opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
    March 24, 2011 - Study Gaps in pediatric clinician communication and opportunities for improvement. Citation Text: Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54. Copy Citation Format: Goog…

  15. Revisiting old slides—how worthwhile is it? | PSNet

    psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
    October 05, 2022 - Study Revisiting old slides—how worthwhile is it? Citation Text: Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  16. Label design affects medication safety in an operating room crisis: a controlled simulation study. | PSNet

    psnet.ahrq.gov/issue/label-design-affects-medication-safety-operating-room-crisis-controlled-simulation-study
    April 24, 2018 - Study Label design affects medication safety in an operating room crisis: a controlled simulation study. Citation Text: Estock JL, Murray AW, Mizah MT, et al. Label Design Affects Medication Safety in an Operating Room Crisis: A Controlled Simulation Study. J Patient Saf. 2018;14(2):101-…

  17. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. | PSNet

    psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
    May 24, 2012 - Commentary Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. Citation Text: Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …

  18. Weaving a healthcare tapestry of safety and communication. | PSNet

    psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
    September 29, 2017 - Commentary Weaving a healthcare tapestry of safety and communication. Citation Text: Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d. Copy Citation Format: DOI Google…

  19. Use of information technology in medication reconciliation: a scoping review. | PSNet

    psnet.ahrq.gov/issue/use-information-technology-medication-reconciliation-scoping-review
    June 15, 2022 - Review Use of information technology in medication reconciliation: a scoping review. Citation Text: Bassi J, Lau F, Bardal S. Use of information technology in medication reconciliation: a scoping review. Ann Pharmacother. 2010;44(5):885-97. doi:10.1345/aph.1M699. Copy Citation For…

  20. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. | PSNet

    psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive-reinforcement
    September 03, 2015 - Study Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. Citation Text: Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bm…
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