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  1. COVID-19 — a reminder to reason | PSNet

    psnet.ahrq.gov/issue/covid-19-reminder-reason
    October 24, 2018 - Commentary COVID-19 — a reminder to reason Citation Text: Zagury-Orly I, Schwartzstein RM. COVID-19 — A Reminder to Reason. N Engl J Med. 2020;383(3):e12. doi:10.1056/nejmp2009405. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  2. Poor medication history plus slow symptom onset delays a diagnosis. | PSNet

    psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
    October 12, 2022 - Commentary Poor medication history plus slow symptom onset delays a diagnosis. Citation Text: Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41. Copy Citation Save Save to your l…

  3. Start the year off right by preventing these top 10 medication errors and hazards from 2020. | PSNet

    psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
    February 09, 2022 - Newspaper/Magazine Article Start the year off right by preventing these top 10 medication errors and hazards from 2020. Citation Text: Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…

  4. Organization and representation of patient safety data: current status and issues around generalizability and scalability. | PSNet

    psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
    January 21, 2011 - Commentary Organization and representation of patient safety data: current status and issues around generalizability and scalability. Citation Text: Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…

  5. Implementation of patient safety initiatives in US hospitals. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
    December 12, 2014 - Commentary Implementation of patient safety initiatives in US hospitals. Citation Text: McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052. Copy Citation Format: …

  6. Disclosing unanticipated outcomes to patients: the art and practice. | PSNet

    psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
    July 14, 2010 - Commentary Disclosing unanticipated outcomes to patients: the art and practice. Citation Text: Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W. Copy Citation Save Save to your library …

  7. Tubing misconnections: normalization of deviance. | PSNet

    psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
    December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…

  8. Suicide in the medical setting. | PSNet

    psnet.ahrq.gov/issue/suicide-medical-setting
    April 24, 2018 - Review Suicide in the medical setting. Citation Text: Ballard ED, Pao M, Henderson D, et al. Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  9. Checklists improve experts' diagnostic decisions. | PSNet

    psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
    February 06, 2014 - Study Checklists improve experts' diagnostic decisions. Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ. 2013;47(3):301-8. doi:10.1111/medu.12080. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  10. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. | PSNet

    psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
    March 21, 2018 - Commentary Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Citation Text: Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…

  11. Gossypiboma: tales of lost sponges and lessons learned. | PSNet

    psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
    March 24, 2021 - Study Gossypiboma: tales of lost sponges and lessons learned. Citation Text: McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. Instrument readiness: an important link to patient safety. | PSNet

    psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
    January 05, 2011 - Commentary Instrument readiness: an important link to patient safety. Citation Text: McNamara SA. Instrument readiness: an important link to patient safety. AORN J. 2011;93(1):160-4. doi:10.1016/j.aorn.2010.09.027. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  13. Bias in radiology: the how and why of misses and misinterpretations. | PSNet

    psnet.ahrq.gov/issue/bias-radiology-how-and-why-misses-and-misinterpretations
    March 01, 2023 - Commentary Bias in radiology: the how and why of misses and misinterpretations. Citation Text: Busby LP, Courtier JL, Glastonbury CM. Bias in Radiology: The How and Why of Misses and Misinterpretations. Radiographics. 2018;38(1):236-247. doi:10.1148/rg.2018170107. Copy Citation For…

  14. Patient Safety in the Traditional and Evolving Nontraditional Office Setting | PSNet

    psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting
    September 14, 2011 - Commentary Patient Safety in the Traditional and Evolving Nontraditional Office Setting Citation Text: Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471. Copy Cit…

  15. Addressing medication errors - the role of undergraduate nurse education. | PSNet

    psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
    October 29, 2014 - Commentary Addressing medication errors - the role of undergraduate nurse education. Citation Text: Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. Copy Citation Format: Google Scholar PubM…

  16. Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet

    psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
    September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…

  17. Embedding quality and safety in otolaryngology–head and neck surgery education. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
    August 11, 2010 - Commentary Embedding quality and safety in otolaryngology–head and neck surgery education. Citation Text: McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…

  18. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. | PSNet

    psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
    April 22, 2011 - Commentary No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Citation Text: Bismark M, Paterson R. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Healt…

  19. Reducing surgical complications. | PSNet

    psnet.ahrq.gov/issue/reducing-surgical-complications
    January 03, 2018 - Commentary Reducing surgical complications. Citation Text: Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  20. Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. | PSNet

    psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
    March 15, 2016 - Review Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. Citation Text: Conrardy JA, Brenek B, Myers S. Determining the State of Knowledge for Implementing the Universal Protocol Recommendations: An Inte…
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