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  1. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. | PSNet

    psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
    February 17, 2011 - Study Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Citation Text: Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Ph…

  2. 'Even now it makes me angry': health care students' professionalism dilemma narratives. | PSNet

    psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
    June 12, 2019 - Study 'Even now it makes me angry': health care students' professionalism dilemma narratives. Citation Text: Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377…

  3. Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. | PSNet

    psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained
    February 08, 2012 - Commentary Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. Citation Text: Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally ret…

  4. A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. | PSNet

    psnet.ahrq.gov/issue/qi-initiative-implementing-patient-handoff-checklist-pediatric-hospitalist-attendings
    July 28, 2021 - Commentary A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. Citation Text: Lo H-Y, Mullan PC, Lye C, et al. A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. BMJ Qual Improv Rep. 2016;5(1). doi:1…

  5. The weekend effect in hospitalized patients: a meta-analysis. | PSNet

    psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
    September 23, 2020 - Review The weekend effect in hospitalized patients: a meta-analysis. Citation Text: Pauls LA, Johnson-Paben R, McGready J, et al. The Weekend Effect in Hospitalized Patients: A Meta-Analysis. J Hosp Med. 2017;12(9):760-766. doi:10.12788/jhm.2815. Copy Citation Format: DOI G…

  6. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. | PSNet

    psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
    July 02, 2014 - Study Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Citation Text: Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …

  7. Debriefing in the emergency department after clinical events: a practical guide. | PSNet

    psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
    November 16, 2022 - Commentary Debriefing in the emergency department after clinical events: a practical guide. Citation Text: Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…

  8. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
    September 16, 2020 - Commentary Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Citation Text: Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…

  9. Decreasing surgical site infections by developing a high reliability culture. | PSNet

    psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
    July 05, 2017 - Commentary Decreasing surgical site infections by developing a high reliability culture. Citation Text: Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. Copy Citation Format: DOI Go…

  10. Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet

    psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
    October 19, 2022 - Review Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. Citation Text: Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…

  11. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet

    psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
    November 30, 2016 - Study Provider perspectives on partnering with parents of hospitalized children to improve safety. Citation Text: Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. …

  12. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet

    psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
    February 15, 2023 - Organizational Policy/Guidelines Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. Citation Text: Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…

  13. Exploring the concept of medication discrepancy within the context of patient safety to improve population health. | PSNet

    psnet.ahrq.gov/issue/exploring-concept-medication-discrepancy-within-context-patient-safety-improve-population
    November 18, 2020 - Review Exploring the concept of medication discrepancy within the context of patient safety to improve population health. Citation Text: Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population h…

  14. Engaging patients to improve quality of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-improve-quality-care-systematic-review
    May 26, 2021 - Review Classic Engaging patients to improve quality of care: a systematic review. Citation Text: Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.…

  15. Implementation of bar-code medication administration to reduce patient harm. | PSNet

    psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm
    September 23, 2020 - Study Implementation of bar-code medication administration to reduce patient harm. Citation Text: Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…

  16. Rates of safety incident reporting in MRI in a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center
    May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center. Citation Text: Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055. Copy…

  17. Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. | PSNet

    psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay
    January 23, 2017 - Study Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. Citation Text: Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in …

  18. Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care | PSNet

    psnet.ahrq.gov/issue/building-bridge-quality-urgent-call-integrate-quality-improvement-and-patient-safety
    January 14, 2014 - Commentary Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care Citation Text: Wong BM, Baum KD, Headrick LA, et al. Building the bridge to quality: an urgent call to integrate quality improvement and patient safe…

  19. Patient safety at ten: unmistakable progress, troubling gaps. | PSNet

    psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
    March 02, 2011 - Commentary Classic Patient safety at ten: unmistakable progress, troubling gaps. Citation Text: Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. Copy Citation …

  20. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

    psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
    October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…
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