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  1. Use of a surgical safety checklist to improve team communication. | PSNet

    psnet.ahrq.gov/issue/use-surgical-safety-checklist-improve-team-communication
    August 08, 2018 - Commentary Use of a surgical safety checklist to improve team communication. Citation Text: Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019. Copy Citation Format…

  2. Using improvement science methods to increase accuracy of surgical consents. | PSNet

    psnet.ahrq.gov/issue/using-improvement-science-methods-increase-accuracy-surgical-consents
    October 05, 2011 - Study Using improvement science methods to increase accuracy of surgical consents. Citation Text: Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. Copy Cit…

  3. Improving communication of diagnostic uncertainty to families of hospitalized children. | PSNet

    psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
    December 23, 2020 - Study Improving communication of diagnostic uncertainty to families of hospitalized children. Citation Text: Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-20…

  4. Measurement of quality and assurance of safety in the critically ill. | PSNet

    psnet.ahrq.gov/issue/measurement-quality-and-assurance-safety-critically-ill
    March 21, 2012 - Commentary Measurement of quality and assurance of safety in the critically ill. Citation Text: Pronovost P, Sexton B, Pham JC, et al. Measurement of quality and assurance of safety in the critically ill. Clin Chest Med. 2009;30(1):169-79, x. doi:10.1016/j.ccm.2008.09.004. Copy Citat…

  5. How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. | PSNet

    psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
    February 03, 2021 - Newspaper/Magazine Article How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Citation Text: How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020. Copy Citati…

  6. Improving diagnostic decision support through deliberate reflection: a proposal. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-decision-support-through-deliberate-reflection-proposal
    September 23, 2020 - Commentary Improving diagnostic decision support through deliberate reflection: a proposal. Citation Text: Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. Copy Citation …

  7. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. | PSNet

    psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
    September 17, 2010 - Study Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Citation Text: Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-orie…

  8. Artificial intelligence systems for complex decision-making in acute care medicine: a review. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
    March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…

  9. Medical emergency teams: a strategy for improving patient care and nursing work environments. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-teams-strategy-improving-patient-care-and-nursing-work-environments
    March 24, 2011 - Study Medical emergency teams: a strategy for improving patient care and nursing work environments. Citation Text: Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-7. Copy C…

  10. The problem with Plan-Do-Study-Act cycles. | PSNet

    psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
    June 26, 2019 - Commentary The problem with Plan-Do-Study-Act cycles. Citation Text: Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. doi:10.1136/bmjqs-2015-005076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  11. Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. | PSNet

    psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
    October 02, 2024 - Commentary Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. Citation Text: Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient…

  12. She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. | PSNet

    psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead-she-became-statistic
    July 22, 2020 - Newspaper/Magazine Article She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. Citation Text: She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. Chuck E, Assefa H. N…

  13. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. | PSNet

    psnet.ahrq.gov/issue/risk-adverse-drug-events-and-hospital-related-morbidity-and-mortality-among-older-adults
    October 10, 2012 - Study The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. Citation Text: Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with po…

  14. Building safer systems by ecological design: using restoration science to develop a medication safety intervention. | PSNet

    psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
    February 14, 2024 - Study Building safer systems by ecological design: using restoration science to develop a medication safety intervention. Citation Text: Marck PB, Kwan JA, Preville B, et al. Building safer systems by ecological design: using restoration science to develop a medication safety intervent…

  15. Roadmap for patient safety research: approaches and roadforks. | PSNet

    psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
    July 17, 2019 - Review Roadmap for patient safety research: approaches and roadforks. Citation Text: Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public Health. 2008;36(8):812-7. doi:10.1177/1403494808096168. Copy Citation Format: DOI Google S…

  16. Creating a fair and just culture: one institution's path toward organizational change. | PSNet

    psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
    July 23, 2014 - Commentary Creating a fair and just culture: one institution's path toward organizational change. Citation Text: Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. …

  17. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. | PSNet

    psnet.ahrq.gov/issue/comprehensive-collaborative-patient-safety-residency-curriculum-address-acgme-core
    October 06, 2011 - Commentary A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Citation Text: Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Med Educ.…

  18. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. | PSNet

    psnet.ahrq.gov/issue/barcode-medication-administration-work-arounds-systematic-review-and-implications-nurse
    January 10, 2017 - Review Barcode medication administration work-arounds: a systematic review and implications for nurse executives. Citation Text: Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…

  19. Taking up the challenge to improve name and role recognition in the operating room. | PSNet

    psnet.ahrq.gov/issue/taking-challenge-improve-name-and-role-recognition-operating-room
    July 12, 2023 - Review Taking up the challenge to improve name and role recognition in the operating room. Citation Text: Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.00000000000011…

  20. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. | PSNet

    psnet.ahrq.gov/issue/daytime-sleepiness-sleep-habits-and-occupational-accidents-among-hospital-nurses
    June 19, 2024 - Study Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. Citation Text: Suzuki K, Ohida T, Kaneita Y, et al. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. J Adv Nurs. 2005;52(4):445-53. Copy Citation Format: …
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