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  1. Digital health and patient safety. | PSNet

    psnet.ahrq.gov/issue/digital-health-and-patient-safety
    September 01, 2016 - Commentary Digital health and patient safety. Citation Text: Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  2. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. | PSNet

    psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics-nonmaleficence
    October 19, 2022 - Review Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. Citation Text: Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. …

  3. Human factors in anaesthesia: a narrative review. | PSNet

    psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
    March 01, 2023 - Review Human factors in anaesthesia: a narrative review. Citation Text: Kelly FE, Frerk C, Bailey CR, et al. Human factors in anaesthesia: a narrative review. Anaesthesia. 2023;78(4):479-490. doi:10.1111/anae.15920. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  4. Paramedic intubation errors: isolated events or symptoms of larger problems? | PSNet

    psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
    February 18, 2009 - Study Paramedic intubation errors: isolated events or symptoms of larger problems? Citation Text: Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9. Copy Citation Format: …

  5. Comparing safety climate between two populations of hospitals in the United States. | PSNet

    psnet.ahrq.gov/issue/comparing-safety-climate-between-two-populations-hospitals-united-states
    June 16, 2011 - Study Comparing safety climate between two populations of hospitals in the United States. Citation Text: Singer SJ, Hartmann CW, Hanchate A, et al. Comparing Safety Climate between Two Populations of Hospitals in the United States. Health Serv Res. 2009;44(5p1). doi:10.1111/j.1475-6773…

  6. Rounding to influence. | PSNet

    psnet.ahrq.gov/issue/rounding-influence
    February 22, 2010 - Newspaper/Magazine Article Rounding to influence. Citation Text: Reinertsen JL, Johnson KM. Rounding to influence. Leadership method helps executives answer the "hows" in patient safety initiatives. Healthcare executive. 2010;25(5):72-5. Copy Citation Format: Google Schol…

  7. Academic detailing to improve laboratory testing among outpatient medication users. | PSNet

    psnet.ahrq.gov/issue/academic-detailing-improve-laboratory-testing-among-outpatient-medication-users
    September 24, 2010 - Study Academic detailing to improve laboratory testing among outpatient medication users. Citation Text: Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. Copy Citation Format: …

  8. No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. | PSNet

    psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
    December 21, 2017 - Newspaper/Magazine Article No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. Citation Text: Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…

  9. Time for transparent standards in quality reporting by health care organizations. | PSNet

    psnet.ahrq.gov/issue/time-transparent-standards-quality-reporting-health-care-organizations
    July 07, 2021 - Commentary Time for transparent standards in quality reporting by health care organizations. Citation Text: Pronovost P, Wu AW, Austin M. Time for Transparent Standards in Quality Reporting by Health Care Organizations. JAMA. 2017;318(8):701-702. doi:10.1001/jama.2017.10124. Copy Citat…

  10. Managing an acute adverse event in a radiology department. | PSNet

    psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
    June 14, 2011 - Commentary Managing an acute adverse event in a radiology department. Citation Text: Kruskal JB, Siewert B, Anderson SW, et al. Managing an acute adverse event in a radiology department. Radiographics. 2008;28(5):1237-50. doi:10.1148/rg.285085064. Copy Citation Format: DO…

  11. Patient Safety and Quality Improvement Act of 2005. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0
    December 21, 2011 - Commentary Patient Safety and Quality Improvement Act of 2005. Citation Text: Fassett WE. Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother. 2006;40(5):917-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  12. Medical errors recovered by critical care nurses. | PSNet

    psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
    June 04, 2008 - Study Medical errors recovered by critical care nurses. Citation Text: Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. Copy Citation Format: DOI Google Scholar PubMed BibT…

  13. Innovative teaching in situational awareness. | PSNet

    psnet.ahrq.gov/issue/innovative-teaching-situational-awareness
    November 04, 2020 - Commentary Innovative teaching in situational awareness. Citation Text: Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5. doi:10.1111/tct.12310. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  14. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

    psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
    February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

  15. Reporting trends in a regional medication error data-sharing system. | PSNet

    psnet.ahrq.gov/issue/reporting-trends-regional-medication-error-data-sharing-system
    September 29, 2010 - Study Reporting trends in a regional medication error data-sharing system. Citation Text: Anderson J, Ramanujam R, Hensel DJ, et al. Reporting trends in a regional medication error data-sharing system. Health Care Manag Sci. 2010;13(1):74-83. Copy Citation Format: Google S…

  16. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. | PSNet

    psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education
    May 04, 2014 - Commentary The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Citation Text: Ziv A, Erez D, Munz Y, et al. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091-7. Copy Cit…

  17. The effect of hospitalist discontinuity on adverse events. | PSNet

    psnet.ahrq.gov/issue/effect-hospitalist-discontinuity-adverse-events
    August 25, 2011 - Study The effect of hospitalist discontinuity on adverse events. Citation Text: O'Leary KJ, Turner J, Christensen N, et al. The effect of hospitalist discontinuity on adverse events. J Hosp Med. 2015;10(3):147-51. doi:10.1002/jhm.2308. Copy Citation Format: DOI Google Schol…

  18. What have we learnt after 15 years of research into the 'weekend effect'? | PSNet

    psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
    December 02, 2020 - Commentary What have we learnt after 15 years of research into the 'weekend effect'? Citation Text: Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793. Copy Citation Format:…

  19. Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. | PSNet

    psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
    March 17, 2010 - Study Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. Citation Text: Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad Eme…

  20. Use of simulation to test systems and prepare staff for a new hospital transition. | PSNet

    psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition
    May 31, 2017 - Study Use of simulation to test systems and prepare staff for a new hospital transition. Citation Text: Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.000000000000…
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