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  1. A scholarly pathway in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety
    December 18, 2017 - Commentary A scholarly pathway in quality improvement and patient safety. Citation Text: Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. Copy Citation Format: DOI Google Sch…

  2. HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. | PSNet

    psnet.ahrq.gov/issue/hhs-seeks-input-medical-office-survey-patient-safety-culture-database-information-collection
    March 13, 2024 - Press Release/Announcement HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Citation Text: HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fe…

  3. How do we learn about error? A cross-sectional study of urology trainees. | PSNet

    psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
    October 21, 2010 - Study How do we learn about error? A cross-sectional study of urology trainees. Citation Text: Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. Copy Citation Fo…

  4. Using root cause analysis to reduce falls with injury in community settings. | PSNet

    psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
    April 25, 2016 - Study Using root cause analysis to reduce falls with injury in community settings. Citation Text: Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374. Copy Citation Format: Goo…

  5. Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19). | PSNet

    psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
    August 10, 2016 - Commentary Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19). Citation Text: Lippi G, Simundic A-M, Plebani M. Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease…

  6. Simulation-based medical error disclosure training for pediatric healthcare professionals. | PSNet

    psnet.ahrq.gov/issue/simulation-based-medical-error-disclosure-training-pediatric-healthcare-professionals
    April 11, 2011 - Study Simulation-based medical error disclosure training for pediatric healthcare professionals. Citation Text: Wayman KI, Yaeger KA, Sharek PJ, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual. 2007;29(4):12-9. Copy Cit…

  7. Guided reflection interventions show no effect on diagnostic accuracy in medical students. | PSNet

    psnet.ahrq.gov/issue/guided-reflection-interventions-show-no-effect-diagnostic-accuracy-medical-students
    September 20, 2016 - Study Guided reflection interventions show no effect on diagnostic accuracy in medical students. Citation Text: Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297…

  8. Doctors' stress responses and poor communication performance in simulated bad-news consultations. | PSNet

    psnet.ahrq.gov/issue/doctors-stress-responses-and-poor-communication-performance-simulated-bad-news-consultations
    July 19, 2023 - Study Doctors' stress responses and poor communication performance in simulated bad-news consultations. Citation Text: Brown R, Dunn S, Byrnes K, et al. Doctors' stress responses and poor communication performance in simulated bad-news consultations. Acad Med. 2009;84(11):1595-602. doi…

  9. Surgical skill is predicted by the ability to detect errors. | PSNet

    psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
    September 02, 2020 - Study Surgical skill is predicted by the ability to detect errors. Citation Text: Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  10. Making the Patient Safety and Quality Improvement Act of 2005 work. | PSNet

    psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
    July 11, 2018 - Commentary Making the Patient Safety and Quality Improvement Act of 2005 work. Citation Text: Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10. Copy Citation Format: Google Scholar PubMed B…

  11. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. | PSNet

    psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
    December 21, 2017 - Commentary Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. Citation Text: Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…

  12. Improving situation awareness to advance patient outcomes: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review
    January 16, 2010 - Review Improving situation awareness to advance patient outcomes: a systematic literature review. Citation Text: Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.…

  13. Representative case series from public hospital admissions 1998 II: surgical adverse events. | PSNet

    psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
    June 07, 2023 - Study Representative case series from public hospital admissions 1998 II: surgical adverse events. Citation Text: Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591. Copy C…

  14. Interruptions during the delivery of high-risk medications. | PSNet

    psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications
    September 26, 2016 - Study Interruptions during the delivery of high-risk medications. Citation Text: Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047. Copy Citation Format: DOI G…

  15. When doing wrong feels so right: normalization of deviance. | PSNet

    psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
    September 03, 2011 - Review When doing wrong feels so right: normalization of deviance. Citation Text: Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. Copy Citation Format: DOI Google Scholar Pub…

  16. Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study. | PSNet

    psnet.ahrq.gov/issue/differences-medication-knowledge-and-risk-errors-between-graduating-nursing-students-and
    December 29, 2014 - Study Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study. Citation Text: Simonsen BO, Daehlin GK, Johansson I, et al. Differences in medication knowledge and risk of errors between graduating nursing…

  17. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. | PSNet

    psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
    October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…

  18. Flow disruptions in trauma care handoffs. | PSNet

    psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs
    August 02, 2015 - Study Flow disruptions in trauma care handoffs. Citation Text: Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  19. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. | PSNet

    psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse
    October 19, 2022 - Review Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. Citation Text: Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …

  20. State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections. | PSNet

    psnet.ahrq.gov/issue/state-mandated-hospital-infection-reporting-not-associated-decreased-pediatric-health-care
    February 17, 2010 - Study State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections. Citation Text: Rinke ML, Bundy DG, Abdullah F, et al. State-Mandated Hospital Infection Reporting Is Not Associated With Decreased Pediatric Health Care-Associa…
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