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  1. Disclosing harmful medical errors to patients: a time for professional action. | PSNet

    psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-professional-action
    June 01, 2004 - Commentary Disclosing harmful medical errors to patients: a time for professional action. Citation Text: Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. Copy Citation Format: DOI Googl…

  2. Drug-related hospital admissions. | PSNet

    psnet.ahrq.gov/issue/drug-related-hospital-admissions
    September 07, 2016 - Study Classic Drug-related hospital admissions. Citation Text: Drug-related hospital admissions. Einarson TR Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  3. Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. | PSNet

    psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
    September 05, 2012 - Book/Report Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Citation Text: Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…

  4. Moving patient safety into ambulatory settings and beyond. | PSNet

    psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
    October 02, 2019 - Commentary Moving patient safety into ambulatory settings and beyond. Citation Text: Ricciardi R, Shofer M. Moving Patient Safety Into Ambulatory Settings and Beyond. J Nurs Care Qual. 2018;33(3):195-199. doi:10.1097/NCQ.0000000000000329. Copy Citation Format: DOI Google Sc…

  5. Addressing the nursing work environment to promote patient safety. | PSNet

    psnet.ahrq.gov/issue/addressing-nursing-work-environment-promote-patient-safety
    September 27, 2017 - Commentary Addressing the nursing work environment to promote patient safety. Citation Text: Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nurs Forum. 2007;42(1):20-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  6. A systems approach to patient-centered care. | PSNet

    psnet.ahrq.gov/issue/systems-approach-patient-centered-care
    November 21, 2021 - Commentary A systems approach to patient-centered care. Citation Text: Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  7. Interdisciplinary communication: an uncharted source of medical error? | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
    September 24, 2016 - Review Interdisciplinary communication: an uncharted source of medical error? Citation Text: Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. Copy Citation Format: Google Scholar Pu…

  8. Medication errors involving pediatric patients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
    January 02, 2017 - Study Medication errors involving pediatric patients. Citation Text: Santell JP, Hicks RW. Medication errors involving pediatric patients. Jt Comm J Qual Patient Saf. 2005;31(6):348-53. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  9. Embedding quality and safety in otolaryngology–head and neck surgery education. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
    August 11, 2010 - Commentary Embedding quality and safety in otolaryngology–head and neck surgery education. Citation Text: McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…

  10. Audibility of patient clinical alarms to hospital nursing personnel. | PSNet

    psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
    November 15, 2023 - Study Audibility of patient clinical alarms to hospital nursing personnel. Citation Text: Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10. Copy Citation Format: Google Scholar PubMed Bib…

  11. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. | PSNet

    psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
    April 22, 2011 - Commentary No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Citation Text: Bismark M, Paterson R. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Healt…

  12. The evolving story of overlapping surgery. | PSNet

    psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
    April 19, 2016 - Commentary The evolving story of overlapping surgery. Citation Text: Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  13. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. | PSNet

    psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
    November 03, 2015 - Review Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. Citation Text: O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…

  14. 5 pandemic mistakes we keep repeating. We can learn from our failures. | PSNet

    psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
    March 10, 2021 - Newspaper/Magazine Article 5 pandemic mistakes we keep repeating. We can learn from our failures. Citation Text: 5 pandemic mistakes we keep repeating. We can learn from our failures. Zeynep Tufekci. The Atlantic. February 26, 2021 Copy Citation Save Save to you…

  15. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet

    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

  16. Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. | PSNet

    psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
    October 23, 2013 - Book/Report Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Citation Text: Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…

  17. The tension between promoting mobility and preventing falls in the hospital. | PSNet

    psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
    April 24, 2018 - Commentary The tension between promoting mobility and preventing falls in the hospital. Citation Text: Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …

  18. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. | PSNet

    psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
    November 29, 2017 - Commentary Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Citation Text: Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…

  19. Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. | PSNet

    psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
    October 05, 2016 - Book/Report Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Citation Text: Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023. Copy C…

  20. Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. | PSNet

    psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
    May 11, 2019 - Commentary Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Citation Text: Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Guttman O,…
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