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  1. Battling the obstetric malpractice crisis: improving patient safety, part 1. | PSNet

    psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-1
    July 05, 2013 - Commentary Battling the obstetric malpractice crisis: improving patient safety, part 1. Citation Text: Battling the obstetric malpractice crisis: improving patient safety, part 1. Bernstein PS. Medscape Ob/Gyn. October 31, 2005. Copy Citation Save Save to your lib…

  2. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. | PSNet

    psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
    April 22, 2016 - Newspaper/Magazine Article Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Citation Text: Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern healthcare. 2015;45(3):18-20. Copy Citation For…

  3. Laboratory results that should be ignored. | PSNet

    psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
    August 19, 2009 - Commentary Laboratory results that should be ignored. Citation Text: Elston DM. Laboratory results that should be ignored. MedGenMed. 2006;8(4):9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  4. Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? | PSNet

    psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
    June 10, 2018 - Newspaper/Magazine Article Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? Citation Text: Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…

  5. Building a safety culture. | PSNet

    psnet.ahrq.gov/issue/building-safety-culture
    December 21, 2014 - Commentary Building a safety culture. Citation Text: Milligan F, Dennis S. Building a safety culture. Nurs Stand. 2005;20(11):48-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  6. White blood cell left shift in a neonate: a case of mistaken identity. | PSNet

    psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
    March 30, 2022 - Commentary White blood cell left shift in a neonate: a case of mistaken identity. Citation Text: White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S. Copy Citation …

  7. ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent. | PSNet

    psnet.ahrq.gov/issue/ismp-2007-survey-high-alert-medications-differences-between-nursing-and-pharmacy-perspectives
    February 13, 2019 - Newspaper/Magazine Article ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent. Citation Text: ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent. ISMP Medication …

  8. Dana-Farber Cancer Institute Principles of a Fair and Just Culture. | PSNet

    psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
    January 11, 2023 - Organizational Policy/Guidelines Dana-Farber Cancer Institute Principles of a Fair and Just Culture. Citation Text: Dana-Farber Cancer Institute Principles of a Fair and Just Culture. Dana-Farber Cancer Institute. Copy Citation Save Save to your library …

  9. Unreadable barcodes and multiple barcodes on packages can lead to errors. | PSNet

    psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
    November 01, 2023 - Newspaper/Magazine Article Unreadable barcodes and multiple barcodes on packages can lead to errors. Citation Text: Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. Copy Citation …

  10. Should we disclose harmful medical errors to patients? If so, how?   | PSNet

    psnet.ahrq.gov/issue/should-we-disclose-harmful-medical-errors-patients-if-so-how
    November 23, 2016 - Review Should we disclose harmful medical errors to patients? If so, how?   Citation Text: Should we disclose harmful medical errors to patients? If so, how?   Gallagher TH, Lucas MH. J Clin Outcomes Manag. 2005;2(5):253-259. Copy Citation Save Save to your li…

  11. Radiotherapy Incident Reporting and Analysis System. | PSNet

    psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
    February 05, 2020 - Multi-use Website Radiotherapy Incident Reporting and Analysis System. Citation Text: Radiotherapy Incident Reporting and Analysis System. Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-5795. Email: brthomad@cars-pso.org. Copy Citation …

  12. The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. | PSNet

    psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries
    September 02, 2020 - Meeting/Conference Proceedings The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. Citation Text: The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. Simul Healthc. 2018;13(3S suppl 1):S1-S55. Copy Citation …

  13. Making Healthcare Safe: The Story of the Patient Safety Movement. | PSNet

    psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
    January 20, 2021 - Book/Report Making Healthcare Safe: The Story of the Patient Safety Movement. Citation Text: Making Healthcare Safe: The Story of the Patient Safety Movement. Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252. Copy Citation Save Save to you…

  14. Advancing Anticoagulation Stewardship: A Playbook. | PSNet

    psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
    March 23, 2012 - Book/Report Advancing Anticoagulation Stewardship: A Playbook. Citation Text: Advancing Anticoagulation Stewardship: A Playbook. Washington DC; National Quality Forum and Anticoagulation Forum; 2022. Copy Citation Save Save to your library Print Download…

  15. Human Error. | PSNet

    psnet.ahrq.gov/issue/human-error
    March 06, 2005 - Book/Report Classic Human Error. Citation Text: Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  16. Special Issue on Resilience Engineering and High Reliability Organizations. | PSNet

    psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
    July 22, 2019 - Special or Theme Issue Special Issue on Resilience Engineering and High Reliability Organizations. Citation Text: Special Issue on Resilience Engineering and High Reliability Organizations. Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533. Copy Citation Save …

  17. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/840940
    March 22, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality PSNet How-to Videos Curated Library All Library Content Optimizing PSNet Search for Patient Safety Resources February 15, 2024 Optimizing PSNet Search for Patient Safety Resources PSNet has over 17,000 patient safety resources available - d…

  18. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet

    psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication …

  19. Patient Safety Indicators Overview. | PSNet

    psnet.ahrq.gov/issue/patient-safety-indicators-overview
    December 24, 2008 - Measurement Tool/Indicator Classic Patient Safety Indicators Overview. Citation Text: Patient Safety Indicators Overview. Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Download PDF …

  20. Digital Tools to Support Care Coordination for People with Depression | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-stories/digital-tools-support-care-coordination-people-depression
    January 01, 2023 - Digital Tools to Support Care Coordination for People with Depression Theme: Optimizing Care Delivery for Clinicians Subtheme: Optimizing Data Visualization to Improve Care Adaptation of a digital mental health intervention has the potential to improve the coordination of and access to men…
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