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  1. At risk care plans: a way to reduce readmissions and adverse events. | PSNet

    psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
    October 27, 2010 - Commentary At risk care plans: a way to reduce readmissions and adverse events. Citation Text: Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. Copy Citation…

  2. Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. | PSNet

    psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
    August 08, 2018 - Newspaper/Magazine Article Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. Citation Text: Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…

  3. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. | PSNet

    psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improving-safety-iv-drug-administration
    March 23, 2012 - Study Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Citation Text: Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. Copy Citat…

  4. Drug selection errors in relation to medication labels: a simulation study. | PSNet

    psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-labels-simulation-study
    January 14, 2009 - Study Drug selection errors in relation to medication labels: a simulation study. Citation Text: Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. Copy Citation Format: Go…

  5. Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. | PSNet

    psnet.ahrq.gov/issue/inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-medicine
    February 24, 2021 - Commentary Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. Citation Text: Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Inter…

  6. Drug shortages: a complex health care crisis. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis
    September 12, 2016 - Review Drug shortages: a complex health care crisis. Citation Text: Fox ER, Sweet B, Jensen V. Drug shortages: a complex health care crisis. Mayo Clin Proc. 2014;89(3):361-73. doi:10.1016/j.mayocp.2013.11.014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  7. Interventions to improve teamwork and communications among healthcare staff. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-teamwork-and-communications-among-healthcare-staff
    March 03, 2011 - Review Interventions to improve teamwork and communications among healthcare staff. Citation Text: McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98(4):469-79. doi:10.1002/bjs.7434. Copy Citation …

  8. Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. | PSNet

    psnet.ahrq.gov/issue/effect-comprehensive-obstetric-patient-safety-program-compensation-payments-and-sentinel
    July 26, 2010 - Study Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. Citation Text: Grunebaum A, Chervenak F, Skupski D. Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. Am J Obstet Gyneco…

  9. Continuous improvement as an ideal in health care. | PSNet

    psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
    August 04, 2021 - Commentary Classic Continuous improvement as an ideal in health care. Citation Text: Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  10. Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. | PSNet

    psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
    June 19, 2019 - Newspaper/Magazine Article Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. Citation Text: Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…

  11. Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. | PSNet

    psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
    April 05, 2023 - Commentary Emerging Classic Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. Citation Text: Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…

  12. Generative artificial intelligence, patient safety and healthcare quality: a review. | PSNet

    psnet.ahrq.gov/issue/generative-artificial-intelligence-patient-safety-and-healthcare-quality-review
    November 16, 2022 - Review Generative artificial intelligence, patient safety and healthcare quality: a review. Citation Text: Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf. 2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690. Copy Citation …

  13. A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet

    psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
    April 05, 2013 - Study A coaching program to improve employee engagement, culture of safety, and patient experience. Citation Text: Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…

  14. Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-hope-hype-promise-peril
    October 12, 2022 - Book/Report Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. Citation Text: Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. Matheny M, Israni ST, Ahmed M, et al, eds. Washington, DC: National Academy of Medicine. 2022…

  15. Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet

    psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
    February 08, 2023 - Study Restorative just culture: an exploration of the enabling conditions for successful implementation. Citation Text: Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…

  16. Understanding liability risk from using health care artificial intelligence tools. | PSNet

    psnet.ahrq.gov/issue/understanding-liability-risk-using-health-care-artificial-intelligence-tools
    April 03, 2024 - Commentary Understanding liability risk from using health care artificial intelligence tools. Citation Text: Mello MM, Guha N. Understanding liability risk from using health care artificial intelligence tools. N Engl J Med. 2024;390(3):271-278. doi:10.1056/nejmhle2308901. Copy Citation…

  17. The problem with incident reporting. | PSNet

    psnet.ahrq.gov/issue/problem-incident-reporting
    February 28, 2024 - Commentary The problem with incident reporting. Citation Text: Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  18. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. | PSNet

    psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
    August 17, 2005 - Study Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Citation Text: Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7. Copy Citation For…

  19. America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2017
    November 27, 2018 - Book/Report America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Citation Text: America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Oakbrook Terrace; IL: Joint Commission; 2017. Copy Citation …

  20. Quality and Safety Between Ward and Board: a Biography of Artefacts Study. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
    April 19, 2017 - Government Resource Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Citation Text: Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…
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