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psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
June 24, 2010 - Review
A review of the literature examining linkages between organizational factors, medical errors, and patient safety.
Citation Text:
Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …
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psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
July 01, 2011 - Review
Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare.
Citation Text:
Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability orga…
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psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit
January 04, 2010 - Study
Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.
Citation Text:
McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…
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psnet.ahrq.gov/issue/building-safety-net
December 21, 2009 - Newspaper/Magazine Article
Building a safety net.
Citation Text:
Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…
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psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
February 16, 2022 - Commentary
Assessment of the use of patient vital sign data for preventing misidentification and medical errors.
Citation Text:
Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. do…
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psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
March 17, 2021 - Study
Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek.
Citation Text:
Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…
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psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
June 16, 2011 - Study
Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.
Citation Text:
Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…
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psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
January 18, 2013 - Study
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.
Citation Text:
Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…
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psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
September 30, 2020 - Commentary
From HRO to HERO: making health equity a core system capability.
Citation Text:
Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020.
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psnet.ahrq.gov/issue/extended-work-shifts-and-neurobehavioral-performance-resident-physicians
July 15, 2020 - Study
Emerging Classic
Extended work shifts and neurobehavioral performance in resident-physicians.
Citation Text:
Rahman SA, Sullivan JP, Barger LK, et al. Extended Work Shifts and Neurobehavioral Performance in Resident-Physicians. Pediatrics. 2021;147(3):e202…
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psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims
September 27, 2017 - Study
Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims.
Citation Text:
Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;1…
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psnet.ahrq.gov/issue/journey-toward-high-reliability-comprehensive-safety-program-improve-quality-care-and-safety
September 19, 2017 - Study
Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department.
Citation Text:
Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to…
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psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
October 11, 2017 - Study
Benefactor or burden: exploring the professional identity of safety professionals.
Citation Text:
Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005.
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psnet.ahrq.gov/issue/qualitative-exploration-patients-attitudes-towards-participate-inform-notice-know-pink
July 06, 2012 - Study
A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.
Citation Text:
Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patien…
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psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood
October 14, 2011 - Study
Human factors and quality improvement in the emergency department: reducing potential errors in blood collection.
Citation Text:
Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …
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psnet.ahrq.gov/issue/health-literacy-informed-communication-reduce-discharge-medication-errors-hospitalized
July 12, 2023 - Study
Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial.
Citation Text:
Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2010
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2010. Am J Health Syst Pharm…
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psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes
November 26, 2014 - Study
The association between night or weekend admission and hospitalization-relevant patient outcomes.
Citation Text:
Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…
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psnet.ahrq.gov/issue/multiprofessional-survey-protocol-use-intensive-care-unit
August 30, 2017 - Study
Multiprofessional survey of protocol use in the intensive care unit.
Citation Text:
LeBlanc JM, Kane-Gill SL, Pohlman AS, et al. Multiprofessional survey of protocol use in the intensive care unit. J Crit Care. 2012;27(6):738.e9-17. doi:10.1016/j.jcrc.2012.07.012.
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psnet.ahrq.gov/issue/prevention-opioid-overdose
July 18, 2018 - Review
Emerging Classic
Prevention of opioid overdose.
Citation Text:
Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose. N Engl J Med. 2019;380(23):2246-2255. doi:10.1056/NEJMra1807054.
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