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  1. Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet

    psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
    February 28, 2024 - Commentary Remembering to learn: the overlooked role of remembrance in safety improvement. Citation Text: Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. Copy Citation Format:…

  2. Unintended exposure in radiotherapy: identification of prominent causes. | PSNet

    psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
    May 01, 2003 - Study Unintended exposure in radiotherapy: identification of prominent causes. Citation Text: Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044. Copy Citation Format: …

  3. Keeping patients safe in healthcare organizations: a structuration theory of safety culture. | PSNet

    psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture
    September 04, 2010 - Review Keeping patients safe in healthcare organizations: a structuration theory of safety culture. Citation Text: Groves PS, Meisenbach RJ, Scott-Cawiezell J. Keeping patients safe in healthcare organizations: a structuration theory of safety culture. J Adv Nurs. 2011;67(8):1846-55. d…

  4. Nursing home error and level of staff credentials. | PSNet

    psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
    September 24, 2010 - Study Nursing home error and level of staff credentials. Citation Text: Scott-Cawiezell J, Pepper GA, Madsen RW, et al. Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  5. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. | PSNet

    psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
    December 21, 2016 - Study Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. Citation Text: Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can. 2011;33(3):262-26…

  6. Influencing leadership perceptions of patient safety through just culture training. | PSNet

    psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training
    September 24, 2010 - Commentary Influencing leadership perceptions of patient safety through just culture training. Citation Text: Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010;25(4):288-94. doi:…

  7. Accuracies of diagnostic methods for acute appendicitis. | PSNet

    psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
    September 06, 2017 - Study Accuracies of diagnostic methods for acute appendicitis. Citation Text: Park JS, Jeong JH, Lee JI, et al. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-106. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  8. Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01
    May 19, 2021 - Press Release/Announcement Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. Citation Text: Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. Copy …

  9. 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. …

  10. Mistakes, Errors and Failures across Cultures. | PSNet

    psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
    January 20, 2021 - Book/Report Mistakes, Errors and Failures across Cultures. Citation Text: Mistakes, Errors and Failures across Cultures. Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739 Copy Citation Save Save to your library P…

  11. 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. …

  12. Incidence of Adverse Events in Indian Health Service Hospitals. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
    May 20, 2020 - Book/Report Incidence of Adverse Events in Indian Health Service Hospitals. Citation Text: Incidence of Adverse Events in Indian Health Service Hospitals. Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530. Copy Citation Sav…

  13. 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.…

  14. The Basics of FMEA. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/basics-fmea-2nd-edition
    October 23, 2013 - Book/Report Classic The Basics of FMEA. 2nd ed. Citation Text: The Basics of FMEA. 2nd ed. McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773. Copy Citation Save Save to your library Print …

  15. Enteral feeding misconnections: a consortium position statement. | PSNet

    psnet.ahrq.gov/issue/enteral-feeding-misconnections-consortium-position-statement
    June 17, 2009 - Organizational Policy/Guidelines Enteral feeding misconnections: a consortium position statement. Citation Text: Guenter P, Hicks RW, Simmons D, et al. Enteral feeding misconnections: a consortium position statement. Jt Comm J Qual Patient Saf. 2008;34(5):285-92, 245. Copy Citation …

  16. 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…

  17. Barriers to adverse event and error reporting in anesthesia. | PSNet

    psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
    April 19, 2017 - Study Barriers to adverse event and error reporting in anesthesia. Citation Text: Heard GC, Sanderson PM, Thomas RD. Barriers to Adverse Event and Error Reporting in Anesthesia. Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8. Copy Citation Format: D…

  18. Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. | PSNet

    psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
    August 21, 2019 - Book/Report Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Citation Text: Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …

  19. Increasing demands for quality measurement. | PSNet

    psnet.ahrq.gov/issue/increasing-demands-quality-measurement
    November 16, 2022 - Commentary Increasing demands for quality measurement. Citation Text: Panzer RJ, Gitomer RS, Greene WH, et al. Increasing demands for quality measurement. JAMA. 2013;310(18):1971-80. doi:10.1001/jama.2013.282047. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  20. Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. | PSNet

    psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
    May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9…
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