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  1. The Value of Close Calls in Improving Patient Safety. | PSNet

    psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
    July 12, 2006 - Book/Report The Value of Close Calls in Improving Patient Safety. Citation Text: The Value of Close Calls in Improving Patient Safety. Wu AW, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2011. ISBN: 9781599404158. Copy Citation Save Save to your library …

  2. Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being. | PSNet

    psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-creating-national-agenda-systemic-change-enhanced
    April 28, 2021 - Book/Report Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being. Citation Text: Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change …

  3. Accuracy of a proprietary large language model in labeling obstetric incident reports. | PSNet

    psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
    September 23, 2020 - Study Accuracy of a proprietary large language model in labeling obstetric incident reports. Citation Text: Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.10…

  4. How useful are voluntary medication error reports? The case of warfarin-related medication errors. | PSNet

    psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors
    May 27, 2011 - Study How useful are voluntary medication error reports? The case of warfarin-related medication errors. Citation Text: Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;3…

  5. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
    November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Citation Text: de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 202…

  6. Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
    May 25, 2016 - Government Resource Promoting Patient Safety Through Effective Health Information Technology Risk Management. Citation Text: Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…

  7. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. | PSNet

    psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
    December 29, 2014 - Study Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. Citation Text: Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real ti…

  8. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. | PSNet

    psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training-retrospective-qualitative
    September 01, 2021 - Study Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. Citation Text: Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg…

  9. Improving safety for hospitalized patients: much progress but many challenges remain. | PSNet

    psnet.ahrq.gov/issue/improving-safety-hospitalized-patients-much-progress-many-challenges-remain
    September 24, 2017 - Commentary Improving safety for hospitalized patients: much progress but many challenges remain. Citation Text: Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887. Copy…

  10. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
    May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33610/psn-pdf
    April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) April 1, 2005 Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet Editorial Five year…

  12. Patient Engagement in Safety | PSNet

    psnet.ahrq.gov/perspective/patient-engagement-safety
    January 01, 2018 - Annual Perspective Patient Engagement in Safety Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017  View more articles from the same authors. Citation Text: Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…

  13. 2016 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. | PSNet

    psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
    April 13, 2016 - Award Recipient 2016 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Citation Text: Joint Commission. April 4, 2017. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33689/psn-pdf
    October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety October 1, 2009 Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety Perspective …

  15. 2020-2021 Road to High Reliability Webinar Series. | PSNet

    psnet.ahrq.gov/issue/2020-road-high-reliability-webinar-series
    October 11, 2006 - Upcoming Meeting/Conference February 1, 2021 2020-2021 Road to High Reliability Webinar Series. Citation Text: Chesterfield, MO; Center for Patient Safety: 2020-2021. Copy Citation Save Print Share Facebook Twitter Linkedin …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40353/psn-pdf
    September 27, 2017 - Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. September 27, 2017 Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an ad…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866401/psn-pdf
    January 01, 2025 - Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. July 31, 2024 Groves PS, Farag A, Perkhounkova Y, et al. Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteri…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865976/psn-pdf
    May 29, 2024 - What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. May 29, 2024 Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real?time narratives. J Hosp Med. 2024;19(9):765-776. doi:10.1002/j…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866170/psn-pdf
    June 19, 2024 - The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. June 19, 2024 Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1. https://p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50406/psn-pdf
    October 02, 2019 - The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns October 2, 2019 Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation and evaluation of a serious board game 'Pl…
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