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  1. Creating a just culture: the Ottawa Hospital's experience. | PSNet

    psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
    July 10, 2024 - Commentary Creating a just culture: the Ottawa Hospital's experience. Citation Text: Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. Copy Citation Format: …

  2. How surgeons disclose medical errors to patients: a study using standardized patients.   | PSNet

    psnet.ahrq.gov/issue/how-surgeons-disclose-medical-errors-patients-study-using-standardized-patients
    July 10, 2008 - Study How surgeons disclose medical errors to patients: a study using standardized patients.   Citation Text: Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery. 2005;138(5):851-8. Copy Citation …

  3. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
    May 04, 2010 - Study The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Citation Text: Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…

  4. Strategies for safe medication use in ambulatory care settings in the United States. | PSNet

    psnet.ahrq.gov/issue/strategies-safe-medication-use-ambulatory-care-settings-united-states
    March 08, 2017 - Study Strategies for safe medication use in ambulatory care settings in the United States. Citation Text: Sorensen AV, Bernard SL. Strategies for Safe Medication Use in Ambulatory Care Settings in the United States. J Patient Saf. 2009;5(3). doi:10.1097/pts.0b013e3181b3afc1. Copy Cit…

  5. A demonstration project on the impact of safety culture on infection control practices in hemodialysis | PSNet

    psnet.ahrq.gov/issue/demonstration-project-impact-safety-culture-infection-control-practices-hemodialysis
    May 01, 2024 - Journal Article A demonstration project on the impact of safety culture on infection control practices in hemodialysis Citation Text: Millson T, Hackbarth D, Bernard HL. A demonstration project on the impact of safety culture on infection control practices in hemodialysis. Am J Infect Co…

  6. Getting moving on patient safety—harnessing electronic data for safer care. | PSNet

    psnet.ahrq.gov/issue/getting-moving-patient-safety-harnessing-electronic-data-safer-care
    April 05, 2013 - Commentary Getting moving on patient safety—harnessing electronic data for safer care. Citation Text: Jha AK, Classen D. Getting moving on patient safety--harnessing electronic data for safer care. N Engl J Med. 2011;365(19):1756-8. doi:10.1056/NEJMp1109398. Copy Citation Format:…

  7. Epidemiology of malpractice lawsuits in paediatrics. | PSNet

    psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics
    June 16, 2021 - Review Epidemiology of malpractice lawsuits in paediatrics. Citation Text: Najaf-Zadeh A, Dubos F, Aurel M, et al. Epidemiology of malpractice lawsuits in paediatrics. Acta Paediatr. 2008;97(11):1486-91. doi:10.1111/j.1651-2227.2008.00898.x. Copy Citation Format: DOI Goog…

  8. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry
    April 10, 2024 - Commentary Enhancing patient safety: improving the patient handoff process through appreciative inquiry. Citation Text: Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104. C…

  9. Core principles of quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
    August 01, 2018 - Review Core principles of quality improvement and patient safety. Citation Text: Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  10. New solutions to reduce wrong route medication errors. | PSNet

    psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
    March 20, 2019 - Review New solutions to reduce wrong route medication errors. Citation Text: Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279. Copy Citation Format: DOI Google Scholar PubMed Bib…

  11. Implementing AORN recommended practices for transfer of patient care information. | PSNet

    psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-transfer-patient-care-information
    October 07, 2013 - Commentary Implementing AORN recommended practices for transfer of patient care information. Citation Text: Seifert PC. Implementing AORN recommended practices for transfer of patient care information. AORN J. 2012;96(5):475-93. doi:10.1016/j.aorn.2012.08.011. Copy Citation Forma…

  12. The outcomes card: development of a systems-based practice educational tool. | PSNet

    psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
    July 13, 2010 - Study The outcomes card: development of a systems-based practice educational tool. Citation Text: Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  13. Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet

    psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
    April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…

  14. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet

    psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…

  15. Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. | PSNet

    psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
    April 24, 2018 - Commentary Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. Citation Text: Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Che…

  16. Causes of preventable drug-related hospital admissions: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/causes-preventable-drug-related-hospital-admissions-qualitative-study
    October 16, 2012 - Study Causes of preventable drug-related hospital admissions: a qualitative study. Citation Text: Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care. 2008;17(2):109-116. doi:10.1136/qshc.2007.022681. Copy Ci…

  17. 'The ABC of Handover': impact on shift handover in the emergency department. | PSNet

    psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
    June 17, 2010 - Study 'The ABC of Handover': impact on shift handover in the emergency department. Citation Text: Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201. Copy Ci…

  18. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
    December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…

  19. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. | PSNet

    psnet.ahrq.gov/issue/human-factor-improve-patients-safety-hospitals-urged-adjust-how-staff-use-new-technology
    April 22, 2016 - Newspaper/Magazine Article The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Citation Text: Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Modern healthcare…

  20. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
    June 19, 2018 - Commentary Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Citation Text: Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…
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