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  1. Optimizing patient safety during hemodialysis. | PSNet

    psnet.ahrq.gov/issue/optimizing-patient-safety-during-hemodialysis
    October 28, 2020 - Commentary Optimizing patient safety during hemodialysis. Citation Text: Himmelfarb J. Optimizing patient safety during hemodialysis. JAMA. 2011;306(15):1707-8. doi:10.1001/jama.2011.1507. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  2. Wrong site surgery in otolaryngology–head and neck surgery. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery
    March 03, 2021 - Review Wrong site surgery in otolaryngology–head and neck surgery. Citation Text: Liou T-N, Nussenbaum B. Wrong site surgery in otolaryngology-head and neck surgery. Laryngoscope. 2014;124(1):104-109. doi:10.1002/lary.24140. Copy Citation Format: DOI Google Scholar PubMed…

  3. Errors and adverse events in otolaryngology. | PSNet

    psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
    October 27, 2010 - Review Errors and adverse events in otolaryngology. Citation Text: Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  4. Blind spots in the science of safety. | PSNet

    psnet.ahrq.gov/issue/blind-spots-science-safety
    February 24, 2021 - Commentary Blind spots in the science of safety. Citation Text: Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  5. Measuring safety culture in healthcare: a case for accurate diagnosis. | PSNet

    psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
    May 29, 2014 - Commentary Measuring safety culture in healthcare: a case for accurate diagnosis. Citation Text: Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6). doi:10.1016/j.ssci.2007.04.003. Copy Citation Format: DOI Google Scholar …

  6. Engineering the system of communication for safer surgery. | PSNet

    psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
    January 18, 2013 - Commentary Engineering the system of communication for safer surgery. Citation Text: Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5. Copy Citation Format: …

  7. Wise before the event. | PSNet

    psnet.ahrq.gov/issue/wise-event
    October 09, 2024 - Commentary Wise before the event. Citation Text: Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  8. Mortality as a measure of quality: implications for palliative and end-of-life care. | PSNet

    psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
    June 30, 2011 - Commentary Mortality as a measure of quality: implications for palliative and end-of-life care. Citation Text: Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804. Copy Citation Format: Google…

  9. Adverse Events in Hospitals: Methods for Identifying Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-methods-identifying-events
    February 18, 2009 - Book/Report Adverse Events in Hospitals: Methods for Identifying Events. Citation Text: Adverse Events in Hospitals: Methods for Identifying Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; March 2010. Report No. OEI-06…

  10. 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. | PSNet

    psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
    November 23, 2015 - Book/Report 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Citation Text: 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Baltimore, MD: US Department of Health …

  11. Failure to rescue in neonatal care. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-neonatal-care
    July 06, 2011 - Commentary Failure to rescue in neonatal care. Citation Text: Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  12. Adverse Events Toolkit: Clinical Guidance for Identifying Harm | PSNet

    psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
    July 26, 2023 - Tools/Toolkit Adverse Events Toolkit: Clinical Guidance for Identifying Harm Citation Text: Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report n…

  13. Adverse Events in Hospitals: Public Disclosure of Information About Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-information-about-events
    August 01, 2012 - Book/Report Adverse Events in Hospitals: Public Disclosure of Information About Events. Citation Text: Adverse Events in Hospitals: Public Disclosure of Information About Events. Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; Ja…

  14. Early warnings, weak signals and learning from healthcare disasters. | PSNet

    psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
    February 28, 2024 - Commentary Early warnings, weak signals and learning from healthcare disasters. Citation Text: Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685. Copy Citation Format: DOI Google Scho…

  15. Raising an alarm, doctors fight to yank hospital ICUs into the modern era. | PSNet

    psnet.ahrq.gov/issue/raising-alarm-doctors-fight-yank-hospital-icus-modern-era
    February 14, 2024 - Newspaper/Magazine Article Raising an alarm, doctors fight to yank hospital ICUs into the modern era. Citation Text: Raising an alarm, doctors fight to yank hospital ICUs into the modern era. McFarling UL. STAT. September 7, 2016. Copy Citation Save Save to your l…

  16. Engaging Patients for Patient Safety: Advocacy Brief. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
    January 29, 2019 - Book/Report Engaging Patients for Patient Safety: Advocacy Brief. Citation Text: Engaging Patients for Patient Safety: Advocacy Brief. WHO Patient Safety Flagship. Geneva; World Health Organization; December 2023. ISBN: 9789240081987. Copy Citation Save Sav…

  17. Prevent medication errors: a New Year's resolution: teaching patients about their medications. | PSNet

    psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications
    January 18, 2011 - Commentary Prevent medication errors: a New Year's resolution: teaching patients about their medications. Citation Text: Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications. Home Healthc Nurse. 2007;25(1):59-62. Copy Citation F…

  18. 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. | PSNet

    psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients-best-care
    July 19, 2023 - Newspaper/Magazine Article 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Citation Text: 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Renault M. STAT. July 28, …

  19. The Safety of Maternity Services in England. | PSNet

    psnet.ahrq.gov/issue/safety-maternity-services-england
    February 04, 2015 - Book/Report The Safety of Maternity Services in England. Citation Text: The Safety of Maternity Services in England. Fourth Report of Session 2021–22. House of Commons Health Committee. London, England: The Stationery Office; July 6, 2021. Publication HC 19.  Copy Citation …

  20. Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. | PSNet

    psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility
    July 27, 2016 - Newspaper/Magazine Article Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. Citation Text: Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6. …
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