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Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. | PSNet

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January 25, 2023 - Commentary Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. Citation Text: Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual…

The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. | PSNet

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March 11, 2020 - Commentary The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. Citation Text: Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…

Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. | PSNet

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May 07, 2014 - Book/Report Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Citation Text: Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Ag…

'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. | PSNet

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April 10, 2019 - Review 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Citation Text: Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-…

Patient Safety in Ambulatory Settings. | PSNet

psnet.ahrq.gov/issue/patient-safety-ambulatory-settings

June 08, 2011 - Book/Report Classic Patient Safety in Ambulatory Settings. Citation Text: Patient Safety in Ambulatory Settings. Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publi…

Improving standardization of paging communication using quality improvement methodology. | PSNet

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September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…

Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. | PSNet

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July 05, 2023 - Study Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. Citation Text: Michelson KA, McGarghan FLE, Patterson EE, et al. Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. BMJ Qual Saf. 2024;33(5):293-300. doi:1…

A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. | PSNet

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June 27, 2018 - Study Classic A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Citation Text: Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, mea…

A professional development course improves unprofessional physician behavior. | PSNet

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August 12, 2020 - Study A professional development course improves unprofessional physician behavior. Citation Text: Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.…

Nurse leader attitudes and beliefs regarding medical errors. | PSNet

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March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. | PSNet

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September 13, 2023 - Study Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. Citation Text: Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round …

Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. | PSNet

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September 27, 2023 - Commentary Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. Citation Text: Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…

Health care worker fatigue and patient safety. | PSNet

psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety

December 23, 2016 - Sentinel Event Alerts Health care worker fatigue and patient safety. Citation Text: Health care worker fatigue and patient safety. Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). Copy Citation Save Save to your library Print Do…

Sociotechnical work system approach to occupational fatigue. | PSNet

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January 15, 2025 - Commentary Sociotechnical work system approach to occupational fatigue. Citation Text: Watterson TL, Steege LM, Mott DA, et al. Sociotechnical work system approach to occupational fatigue. Jt Comm J Qual Patient Saf. 2023;49(9):485-493. doi:10.1016/j.jcjq.2023.05.007. Copy Citation …

Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. | PSNet

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July 22, 2010 - Study Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. Citation Text: Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752. Copy Citation …

The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. | PSNet

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October 19, 2022 - Meeting/Conference Proceedings The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. Citation Text: Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Found…

Understanding risk factors for complaints against pharmacists: a content analysis. | PSNet

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February 07, 2024 - Study Understanding risk factors for complaints against pharmacists: a content analysis. Citation Text: Wang Y, Ram S (S), Scahill S. Understanding risk factors for complaints against pharmacists: a content analysis. J Patient Saf. 2024;20(4):e18-e28. doi:10.1097/pts.0000000000001217. …

Recommendations from a national panel on quality improvement in obstetrics. | PSNet

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July 12, 2023 - Commentary Recommendations from a national panel on quality improvement in obstetrics. Citation Text: Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. | PSNet

psnet.ahrq.gov/issue/implementation-parent-centered-approach-preinduction-checklist-pediatric-surgery

October 05, 2022 - Study Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. Citation Text: Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. d…

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. | PSNet

psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes

July 31, 2008 - Study Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Citation Text: Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…

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