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  1. Microsystems in health care: Part 2. Creating a rich information environment. | PSNet

    psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
    July 19, 2023 - Study Classic Microsystems in health care: Part 2. Creating a rich information environment. Citation Text: Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…

  2. Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients. | PSNet

    psnet.ahrq.gov/issue/acting-wisely-complex-clinical-situations-mutual-safety-clinicians-well-patients
    June 16, 2021 - Study Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients. Citation Text: Dornan T, Lee C, Findlay-White F, et al. Acting wisely in complex clinical situations: ‘Mutual safety’ for clinicians as well as patients. Med Teach. 2021;43(12):1419-14…

  3. Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet

    psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere
    September 23, 2020 - Study Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. Citation Text: Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm.…

  4. Patient identification and tube labelling—a call for harmonisation. | PSNet

    psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
    April 29, 2020 - Commentary Patient identification and tube labelling—a call for harmonisation. Citation Text: van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.15…

  5. Measuring hospital-acquired complications associated with low-value care. | PSNet

    psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
    August 11, 2021 - Study Emerging Classic Measuring hospital-acquired complications associated with low-value care. Citation Text: Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…

  6. Management of test results in family medicine offices. | PSNet

    psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
    July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

  7. Advances in Patient Safety and Medical Liability. | PSNet

    psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
    May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical Liability. Citation Text: Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…

  8. Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media. | PSNet

    psnet.ahrq.gov/issue/enhancing-pediatric-safety-using-simulation-assess-radiology-resident-preparedness
    July 08, 2009 - Study Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media. Citation Text: Gaca AM, Frush DP, Hohenhaus SM, et al. Enhancing pediatric safety: using simulation to assess radiology resident preparedness for …

  9. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
    December 22, 2018 - Study Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Citation Text: Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …

  10. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. | PSNet

    psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care-patients
    August 26, 2015 - Study Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Citation Text: Rhodes P, McDonald R, Campbell S, et al. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Sociol Health Illn. 2016;38(…

  11. Is electronic health record safety a paradox? | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-safety-paradox
    September 01, 2021 - Commentary Is electronic health record safety a paradox? Citation Text: Harrington L. Is electronic health record safety a paradox? AACN Adv Crit Care. 2021;32(4):375-380. doi:10.4037/aacnacc2021406. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  12. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
    September 29, 2017 - Review Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…

  13. Improving hospital safety culture for falls prevention through interdisciplinary health education. | PSNet

    psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
    December 16, 2011 - Study Improving hospital safety culture for falls prevention through interdisciplinary health education. Citation Text: Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…

  14. Complications: acknowledging, managing, and coping with human error. | PSNet

    psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
    March 13, 2024 - Review Complications: acknowledging, managing, and coping with human error. Citation Text: Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. Copy Citation Format: DO…

  15. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

    psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
    April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…

  16. Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review
    June 19, 2024 - Review Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. Citation Text: Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-3…

  17. The impact of power on health care team performance and patient safety: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
    February 01, 2023 - Review The impact of power on health care team performance and patient safety: a review of the literature. Citation Text: Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. …

  18. Room of horrors simulation in healthcare education: a systematic review. | PSNet

    psnet.ahrq.gov/issue/room-horrors-simulation-healthcare-education-systematic-review
    September 09, 2020 - Review Room of horrors simulation in healthcare education: a systematic review. Citation Text: Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824. Copy Citation …

  19. The compliance with a patient safety bundle for management of placenta accreta spectrum. | PSNet

    psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
    October 19, 2022 - Study The compliance with a patient safety bundle for management of placenta accreta spectrum. Citation Text: Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880…

  20. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). | PSNet

    psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
    October 30, 2024 - Study Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). Citation Text: Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…
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