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  1. Applying the Toyota Production System: using a patient safety alert system to reduce error. | PSNet

    psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
    June 21, 2015 - Commentary Applying the Toyota Production System: using a patient safety alert system to reduce error. Citation Text: Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. Copy …

  2. Physician autonomy and informed decision making: finding the balance for patient safety and quality. | PSNet

    psnet.ahrq.gov/issue/physician-autonomy-and-informed-decision-making-finding-balance-patient-safety-and-quality
    July 01, 2017 - Commentary Physician autonomy and informed decision making: finding the balance for patient safety and quality. Citation Text: Mathews SC, Pronovost P. Physician autonomy and informed decision making: finding the balance for patient safety and quality. JAMA. 2008;300(24):2913-5. doi:10…

  3. The need for systems integration in health care. | PSNet

    psnet.ahrq.gov/issue/need-systems-integration-health-care
    July 01, 2017 - Commentary The need for systems integration in health care. Citation Text: Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  4. Joint Commission offers warnings, advice on adopting new health care IT systems. | PSNet

    psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adopting-new-health-care-it-systems
    September 12, 2016 - Newspaper/Magazine Article Joint Commission offers warnings, advice on adopting new health care IT systems. Citation Text: Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA. 2009;301(6):587-9. doi:10.1001/jama.2009.37. Copy Citation Fo…

  5. Case Study Webinar Series on Clinician Burnout: The Ohio State University | PSNet

    psnet.ahrq.gov/issue/case-study-webinar-series-clinician-burnout-ohio-state-university
    September 28, 2022 - Webinar Case Study Webinar Series on Clinician Burnout: The Ohio State University Citation Text: Case Study Webinar Series on Clinician Burnout: The Ohio State University NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician Burnout: The …

  6. 2007 Guide to State Adverse Event Reporting Systems. | PSNet

    psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
    November 29, 2009 - Book/Report 2007 Guide to State Adverse Event Reporting Systems. Citation Text: 2007 Guide to State Adverse Event Reporting Systems. Rosenthal J, Takach M. Portland, ME: National Academy for State Health Policy; December 2007. Publication No. 2007-301. Copy Citation …

  7. Getting to havarti: moving toward patient safety in obstetrics. | PSNet

    psnet.ahrq.gov/issue/getting-havarti-moving-toward-patient-safety-obstetrics
    October 19, 2022 - Commentary Getting to havarti: moving toward patient safety in obstetrics. Citation Text: Veltman LL. Getting to havarti: moving toward patient safety in obstetrics. Obstet Gynecol. 2007;110(5):1146-1150. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  8. Pediatric drug labeling: improving the safety and efficacy of pediatric therapies. | PSNet

    psnet.ahrq.gov/issue/pediatric-drug-labeling-improving-safety-and-efficacy-pediatric-therapies
    January 24, 2024 - Study Pediatric drug labeling: improving the safety and efficacy of pediatric therapies. Citation Text: Roberts R, Rodriguez W, Murphy D, et al. Pediatric Drug Labeling. JAMA. 2003;290(7). doi:10.1001/jama.290.7.905. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  9. Perinatal clinical decision support system: a documentation tool for patient safety. | PSNet

    psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety
    December 12, 2014 - Commentary Perinatal clinical decision support system: a documentation tool for patient safety. Citation Text: Provost C, Gray M. Perinatal clinical decision support system: a documentation tool for patient safety. Nurs Womens Health. 2007;11(4):407-10. Copy Citation Format: …

  10. A systems approach to patient-centered care. | PSNet

    psnet.ahrq.gov/issue/systems-approach-patient-centered-care
    November 21, 2021 - Commentary A systems approach to patient-centered care. Citation Text: Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  11. Are you using checklists? Check! | PSNet

    psnet.ahrq.gov/issue/are-you-using-checklists-check
    September 13, 2010 - Commentary Are you using checklists? Check! Citation Text: McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  12. Understanding human factors in patient safety when prescribing. | PSNet

    psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing
    June 15, 2022 - Newspaper/Magazine Article Understanding human factors in patient safety when prescribing. Citation Text: Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989). Copy Citation Format: DOI Google Sch…

  13. Can we use incident reports to detect hospital adverse events? | PSNet

    psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
    March 06, 2005 - Study Can we use incident reports to detect hospital adverse events? Citation Text: Can we use incident reports to detect hospital adverse events? Blais R; Bruno D; Bartlett G; Tamblyn R. Copy Citation Save Save to your library Print Download PDF …

  14. An unsuspected MR projectile: a "wooden" chair with metal bracing. | PSNet

    psnet.ahrq.gov/issue/unsuspected-mr-projectile-wooden-chair-metal-bracing
    August 03, 2022 - Commentary An unsuspected MR projectile: a "wooden" chair with metal bracing. Citation Text: Ulaner GA, Colletti PM. An unsuspected MR projectile: A “wooden” chair with metal bracing. Journal of Magnetic Resonance Imaging. 2006;23(5). doi:10.1002/jmri.20573. Copy Citation Format:…

  15. Debriefing after critical incidents for anaesthetic trainees. | PSNet

    psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
    June 10, 2020 - Study Debriefing after critical incidents for anaesthetic trainees. Citation Text: Tan H. Debriefing after critical incidents for anaesthetic trainees. Anaesth Intensive Care. 2005;33(6):768-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  16. Smart pumps: implications for nurse leaders. | PSNet

    psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
    February 02, 2022 - Commentary Smart pumps: implications for nurse leaders. Citation Text: Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  17. Bar coding for patient safety. | PSNet

    psnet.ahrq.gov/issue/bar-coding-patient-safety
    February 12, 2020 - Commentary Bar coding for patient safety. Citation Text: Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  18. Losing the moment: understanding interruptions to nurses' work. | PSNet

    psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
    September 19, 2012 - Study Losing the moment: understanding interruptions to nurses' work. Citation Text: Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162. Copy Citation Format: DOI …

  19. Standardising wristbands improves patient safety. | PSNet

    psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
    January 19, 2022 - Organizational Policy/Guidelines Standardising wristbands improves patient safety. Citation Text: Standardising wristbands improves patient safety. National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2. Copy Citation Save Save to your libra…

  20. What causes near-misses and how are they mitigated? | PSNet

    psnet.ahrq.gov/issue/what-causes-near-misses-and-how-are-they-mitigated
    April 16, 2008 - Study What causes near-misses and how are they mitigated? Citation Text: Speroni KG, Fisher J, Dennis M, et al. What causes near-misses and how are they mitigated? Nursing (Brux). 2013;43(4):19-24. doi:10.1097/01.NURSE.0000427995.92553.ef. Copy Citation Format: DOI Goog…
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