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  1. Using a market model to track advances in patient safety. | PSNet

    psnet.ahrq.gov/issue/using-market-model-track-advances-patient-safety
    September 28, 2010 - Commentary Using a market model to track advances in patient safety. Citation Text: Shulkin DJ. Using a market model to track advances in patient safety. Jt Comm J Qual Saf. 2003;29(3):146-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  2. EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived | PSNet

    psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived
    November 20, 2019 - Newspaper/Magazine Article EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Citation Text: EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Arditi L. Peoples Public Radio. December 3, 2019. …

  3. Prescription errors in psychiatry - a multi-centre study. | PSNet

    psnet.ahrq.gov/issue/prescription-errors-psychiatry-multi-centre-study
    September 27, 2017 - Study Prescription errors in psychiatry - a multi-centre study. Citation Text: Stubbs J, Haw C, Taylor D. Prescription errors in psychiatry - a multi-centre study. J Psychopharmacol. 2006;20(4):553-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  4. Surgical 'never events': how common are adverse occurrences? | PSNet

    psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
    November 16, 2022 - Commentary Surgical 'never events': how common are adverse occurrences? Citation Text: West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105. Copy Citation Format: DOI Google Sc…

  5. Interception of potential adverse drug events in long-term psychiatric care units. | PSNet

    psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
    May 31, 2023 - Study Interception of potential adverse drug events in long-term psychiatric care units. Citation Text: Sawamura K, Ito H, Yamazumi S, et al. Interception of potential adverse drug events in long-term psychiatric care units. Psychiatry Clin Neurosci. 2005;59(4):379-84. Copy Citation …

  6. Normalization of deviance is contrary to the principles of high reliability. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
    June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

  7. The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists? | PSNet

    psnet.ahrq.gov/issue/disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-anesthesiologists
    August 21, 2024 - Review The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists? Citation Text: Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3…

  8. The drive toward transparency: enhancing openness and accountability. | PSNet

    psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
    July 24, 2013 - Newspaper/Magazine Article The drive toward transparency: enhancing openness and accountability. Citation Text: Cohen SS. The drive toward transparency: enhancing openness and accountability. Healthcare executive. 2005;20(4):16-20. Copy Citation Format: Google Scholar PubMe…

  9. Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? | PSNet

    psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
    November 18, 2020 - Newspaper/Magazine Article Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? Citation Text: Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? ISMP Medication Safety Alert! Acute Care Edition. …

  10. Checklists improve experts' diagnostic decisions. | PSNet

    psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
    February 06, 2014 - Study Checklists improve experts' diagnostic decisions. Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ. 2013;47(3):301-8. doi:10.1111/medu.12080. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  11. Philosophy of science and the diagnostic process. | PSNet

    psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
    April 24, 2018 - Commentary Philosophy of science and the diagnostic process. Citation Text: Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  12. Reducing medication prescribing errors in a teaching hospital. | PSNet

    psnet.ahrq.gov/issue/reducing-medication-prescribing-errors-teaching-hospital
    August 02, 2010 - Study Reducing medication prescribing errors in a teaching hospital. Citation Text: Garbutt J, Milligan PE, McNaughton C, et al. Reducing medication prescribing errors in a teaching hospital. Jt Comm J Qual Patient Saf. 2008;34(9):528-536. Copy Citation Format: Google Sch…

  13. Addressing medication errors - the role of undergraduate nurse education. | PSNet

    psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
    October 29, 2014 - Commentary Addressing medication errors - the role of undergraduate nurse education. Citation Text: Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. Copy Citation Format: Google Scholar PubM…

  14. Teaching the diagnostic process as a model to improve medical education. | PSNet

    psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
    September 20, 2012 - Commentary Teaching the diagnostic process as a model to improve medical education. Citation Text: Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481. Copy Citation Format: DOI Google…

  15. Roundtable on public policy affecting patient safety. | PSNet

    psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
    June 15, 2016 - Commentary Roundtable on public policy affecting patient safety. Citation Text: Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  16. The patient safety story. | PSNet

    psnet.ahrq.gov/issue/patient-safety-story
    February 02, 2020 - Commentary The patient safety story. Citation Text: Elwyn G, Corrigan JM. The patient safety story. BMJ. 2005;331(7512):302-304. doi:10.1136/bmj.38562.690104.43. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. (Mis)understanding safety culture and its relationship to safety management. | PSNet

    psnet.ahrq.gov/issue/misunderstanding-safety-culture-and-its-relationship-safety-management
    May 10, 2014 - Commentary (Mis)understanding safety culture and its relationship to safety management. Citation Text: Guldenmund FW. (Mis)understanding Safety Culture and Its Relationship to Safety Management. Risk Anal. 2010;30(10):1466-80. doi:10.1111/j.1539-6924.2010.01452.x. Copy Citation F…

  18. Interdisciplinary communication in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit
    April 18, 2011 - Study Interdisciplinary communication in the intensive care unit. Citation Text: Reader TW, Flin R, Mearns K, et al. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  19. Involuntary automaticity: a work-system induced risk to safe health care. | PSNet

    psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
    June 22, 2009 - Commentary Involuntary automaticity: a work-system induced risk to safe health care. Citation Text: Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6. Copy Citation Format: Google Sc…

  20. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. | PSNet

    psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
    June 21, 2016 - Commentary The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. Citation Text: Streiff MB, Haut ER. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. JAMA. 2009;301(10):1063…
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