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  1. Evaluation of an anonymous system to report medical errors in pediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/evaluation-anonymous-system-report-medical-errors-pediatric-inpatients
    April 30, 2014 - Study Evaluation of an anonymous system to report medical errors in pediatric inpatients. Citation Text: Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33. Copy Citation Forma…

  2. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. | PSNet

    psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
    March 17, 2010 - Commentary Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Citation Text: Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …

  3. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  4. 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…

  5. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. | PSNet

    psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
    March 30, 2022 - Study Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Citation Text: Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…

  6. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/reporting-medical-errors-improve-patient-safety-survey-physicians-teaching-hospitals
    February 24, 2011 - Study Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Citation Text: Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-…

  7. Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. | PSNet

    psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
    December 21, 2014 - Study Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. Citation Text: Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Fe…

  8. HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. | PSNet

    psnet.ahrq.gov/issue/hhs-seeks-input-medical-office-survey-patient-safety-culture-database-information-collection
    March 13, 2024 - Press Release/Announcement HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Citation Text: HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fe…

  9. Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. | PSNet

    psnet.ahrq.gov/issue/creating-spaces-intensive-care-safe-communication-video-reflexive-ethnographic-study
    December 18, 2013 - Study Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. Citation Text: Hor S-Y, Iedema R, Manias E. Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. BMJ Qual Saf. 2014;23(12):1007-13. doi:10.1136…

  10. Seen through the patients' eyes: safety of chronic illness care. | PSNet

    psnet.ahrq.gov/issue/seen-through-patients-eyes-safety-chronic-illness-care
    May 16, 2018 - Study Seen through the patients' eyes: safety of chronic illness care. Citation Text: Desmedt M, Petrovic M, Bergs J, et al. Seen through the patients' eyes: Safety of chronic illness care. Int J Qual Health Care. 2017;29(7):916-921. doi:10.1093/intqhc/mzx137. Copy Citation Format:…

  11. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. | PSNet

    psnet.ahrq.gov/issue/consequences-misdiagnosing-race-based-trauma-response-black-men-critical-examination
    November 16, 2022 - Commentary The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Citation Text: Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Soc Work Public Heal…

  12. Making the Patient Safety and Quality Improvement Act of 2005 work. | PSNet

    psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
    July 11, 2018 - Commentary Making the Patient Safety and Quality Improvement Act of 2005 work. Citation Text: Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10. Copy Citation Format: Google Scholar PubMed B…

  13. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. | PSNet

    psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
    December 21, 2017 - Commentary Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. Citation Text: Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…

  14. Safe injection, infusion, and medication vial practices in health care (2016). | PSNet

    psnet.ahrq.gov/issue/safe-injection-infusion-and-medication-vial-practices-health-care-2016
    October 19, 2022 - Organizational Policy/Guidelines Safe injection, infusion, and medication vial practices in health care (2016). Citation Text: Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. American journal of infectio…

  15. The Daily Plan: including patients for safety's sake. | PSNet

    psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
    March 13, 2013 - Study The Daily Plan: including patients for safety's sake. Citation Text: King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e. Copy Citation Format: DOI Google Sch…

  16. Improving situation awareness to advance patient outcomes: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review
    January 16, 2010 - Review Improving situation awareness to advance patient outcomes: a systematic literature review. Citation Text: Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.…

  17. Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. | PSNet

    psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
    February 14, 2024 - Study Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. Citation Text: Wubben I, van Manen JG, van den Akker BJ, et al. Equipment-related incidents in the operating room: an analysis of occurrence,…

  18. The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study. | PSNet

    psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
    January 23, 2019 - Study The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study. Citation Text: Schimmel AM, Becker ML, van den Bout T, et al. The impact of type of manual medication cart filling method on the f…

  19. The limits of psychological safety: nonlinear relationships with performance. | PSNet

    psnet.ahrq.gov/issue/limits-psychological-safety-nonlinear-relationships-performance
    April 24, 2018 - Study The limits of psychological safety: nonlinear relationships with performance. Citation Text: Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. …

  20. "See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. | PSNet

    psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
    February 16, 2011 - Study "See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. Citation Text: Minha S'ar, Shefet D, Sagi D, et al. "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition. PLo…
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