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  1. Safe handover. | PSNet

    psnet.ahrq.gov/issue/safe-handover
    December 21, 2017 - Commentary Safe handover. Citation Text: Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  2. Medical error disclosure: the gap between attitude and practice. | PSNet

    psnet.ahrq.gov/issue/medical-error-disclosure-gap-between-attitude-and-practice
    November 13, 2024 - Study Medical error disclosure: the gap between attitude and practice. Citation Text: Ghalandarpoorattar SM, Kaviani A, Asghari F. Medical error disclosure: the gap between attitude and practice. Postgrad Med J. 2012;88(1037):130-3. doi:10.1136/postgradmedj-2011-130118. Copy Citation…

  3. Development of an expert system for classification of medical errors. | PSNet

    psnet.ahrq.gov/issue/development-expert-system-classification-medical-errors
    June 22, 2009 - Commentary Development of an expert system for classification of medical errors. Citation Text: Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud Health Technol Inform. 2005;114:110-6. Copy Citation Format: Google Sc…

  4. The business case for investing in physician well-being. | PSNet

    psnet.ahrq.gov/issue/business-case-investing-physician-well-being
    June 05, 2019 - Commentary The business case for investing in physician well-being. Citation Text: Shanafelt TD, Goh J, Sinsky CA. The Business Case for Investing in Physician Well-being. JAMA Intern Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340. Copy Citation Format: DO…

  5. Patient safety improvement interventions in children's surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review
    March 14, 2012 - Review Patient safety improvement interventions in children's surgery: a systematic review. Citation Text: Macdonald AL, Sevdalis N. Patient safety improvement interventions in children's surgery: A systematic review. J Pediatr Surg. 2017;52(3):504-511. doi:10.1016/j.jpedsurg.2016.09.058…

  6. A root cause analysis project in a medication safety course. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
    October 07, 2020 - Commentary A root cause analysis project in a medication safety course. Citation Text: Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  7. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. | PSNet

    psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
    November 18, 2020 - Newspaper/Magazine Article The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Citation Text: May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3. Copy Citation …

  8. Measurement of adverse events using "incidence flagged" diagnosis codes. | PSNet

    psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
    June 18, 2013 - Study Measurement of adverse events using "incidence flagged" diagnosis codes. Citation Text: Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using "incidence flagged" diagnosis codes. J Health Serv Res Policy. 2006;11(1):21-6. Copy Citation Format: …

  9. Patient involvement in patient safety: what factors influence patient participation and engagement? | PSNet

    psnet.ahrq.gov/issue/patient-involvement-patient-safety-what-factors-influence-patient-participation-and
    February 15, 2013 - Review Patient involvement in patient safety: what factors influence patient participation and engagement? Citation Text: Davis R, Jacklin R, Sevdalis N, et al. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect. 2007;10(3)…

  10. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-individual-lifetime-achievement-jeffrey-b-cooper-phd
    November 11, 2020 - Award Recipient John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. Citation Text: Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts …

  11. Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors. | PSNet

    psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
    January 19, 2011 - Study Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors. Citation Text: Throckmorton T, Etchegaray J. Factors affecting i…

  12. Applying Lean methods to improve quality and safety in surgical sterile instrument processing. | PSNet

    psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
    September 16, 2015 - Study Applying Lean methods to improve quality and safety in surgical sterile instrument processing. Citation Text: Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…

  13. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. | PSNet

    psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
    September 02, 2015 - Commentary Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Citation Text: Aboumatar HJ, Winner L, Davis RO, et al. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Jt Comm J Qual Patient Saf. 2010;36(2):79-86. Cop…

  14. Is failure mode and effect analysis reliable? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
    August 15, 2012 - Study Is failure mode and effect analysis reliable? Citation Text: Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  15. The hard talk: dealing with the disruptive physician. | PSNet

    psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
    April 24, 2018 - Review The hard talk: dealing with the disruptive physician. Citation Text: Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. Copy Citation Format: DOI Google Schol…

  16. Human error: models and management. | PSNet

    psnet.ahrq.gov/issue/human-error-models-and-management
    November 18, 2015 - Commentary Classic Human error: models and management. Citation Text: Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  17. Why is it so hard to reduce harm from medicines? | PSNet

    psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
    April 28, 2021 - Commentary Why is it so hard to reduce harm from medicines? Citation Text: Rochford A. Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205. doi:10.1016/j.fhj.2024.100205. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

  18. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. | PSNet

    psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
    April 24, 2019 - Newspaper/Magazine Article Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. Citation Text: Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…

  19. Resilient actions in the diagnostic process and system performance. | PSNet

    psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
    November 13, 2024 - Study Resilient actions in the diagnostic process and system performance. Citation Text: Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661. Copy Citation Fo…

  20. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. | PSNet

    psnet.ahrq.gov/issue/quantifying-and-monitoring-overdiagnosis-cancer-screening-systematic-review-methods
    September 15, 2021 - Review Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. Citation Text: Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. …
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