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  1. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/understanding-and-addressing-sources-anxiety-among-health-care-professionals-during-covid-19
    December 02, 2020 - Commentary Classic Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Citation Text: Shanafelt TD, Ripp JA, Trockel M. Understanding and addressing sources of anxiety among health care professionals duri…

  2. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
    August 17, 2022 - Review Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. Citation Text: Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…

  3. Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication
    August 25, 2011 - Review Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). Citation Text: Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transition…

  4. Health Information Exchange and Ambulatory Test Utilization | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-exchange-and-ambulatory-test-utilization
    January 01, 2023 - Health Information Exchange and Ambulatory Test Utilization Project Final Report ( PDF , 199.36 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of…

  5. Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
    April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…

  6. The prevalence of wrong level surgery among spine surgeons. | PSNet

    psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
    March 09, 2022 - Study The prevalence of wrong level surgery among spine surgeons. Citation Text: Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1. Copy Citation Format: …

  7. Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/influence-state-laws-mandating-reporting-healthcare-associated-infections-case-central-line
    December 21, 2017 - Study Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections. Citation Text: Pakyz AL, Edmond MB. Influence of state laws mandating reporting of healthcare-associated infections: the case of central lin…

  8. Improving team members' attention during the OR briefing or time out. | PSNet

    psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
    November 10, 2021 - Study Improving team members' attention during the OR briefing or time out. Citation Text: Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. Copy Citation Format: DOI Google Scholar …

  9. 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…

  10. Patient Safety Leadership WalkRounds. | PSNet

    psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
    January 02, 2017 - Study Classic Patient Safety Leadership WalkRounds. Citation Text: Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. Copy Citation Format: DOI Google…

  11. The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. | PSNet

    psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
    February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…

  12. 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…

  13. 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 …

  14. Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. | PSNet

    psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
    March 17, 2021 - Study Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. Citation Text: Molina RL, Benski A-C, Bobanski L, et al. Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. Implement Sci Commun. 2021;2(1):76. doi:10.1186/s43058-…

  15. 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…

  16. Emergency department adverse events detected using the emergency department trigger tool. | PSNet

    psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool
    September 30, 2020 - Study Emergency department adverse events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…

  17. Characterization of prescribing errors in an internal medicine clinic. | PSNet

    psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
    March 04, 2011 - Study Characterization of prescribing errors in an internal medicine clinic. Citation Text: Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. Copy Citation Format: …

  18. Reducing pediatric emergency department prescription errors. | PSNet

    psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors
    October 26, 2022 - Study Reducing pediatric emergency department prescription errors. Citation Text: Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. Copy Citation Format: …

  19. Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

    psnet.ahrq.gov/issue/developing-programme-medication-reconciliation-time-admission-hospital
    March 09, 2022 - Study Developing a programme for medication reconciliation at the time of admission into hospital. Citation Text: Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi…

  20. Medication errors reported in a pediatric intensive care unit for oncologic patients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-reported-pediatric-intensive-care-unit-oncologic-patients
    September 20, 2011 - Study Medication errors reported in a pediatric intensive care unit for oncologic patients. Citation Text: Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b0…
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