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  1. Managing the care of patients discharged from home health: a quiet threat to patient safety? | PSNet

    psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
    October 16, 2012 - Study Managing the care of patients discharged from home health: a quiet threat to patient safety? Citation Text: Flynn L. Managing the care of patients discharged from home health: a quiet threat to patient safety? Home Healthc Nurse. 2007;25(3):184-90. Copy Citation Format: …

  2. Professionalism in medicine: results of a national survey of physicians. | PSNet

    psnet.ahrq.gov/issue/professionalism-medicine-results-national-survey-physicians
    February 17, 2011 - Study Classic Professionalism in medicine: results of a national survey of physicians. Citation Text: Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: results of a national survey of physicians. Ann Intern Med. 2007;147(11):795-802. Copy C…

  3. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. | PSNet

    psnet.ahrq.gov/issue/professional-values-and-reported-behaviours-doctors-usa-and-uk-quantitative-survey
    February 17, 2011 - Study Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. Citation Text: Roland M, Rao SR, Sibbald B, et al. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. BMJ Qual Saf. 2011;20(6):515-21. doi:10…

  4. Technical mistakes during the acquisition of the electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
    March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

  5. Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. | PSNet

    psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
    March 11, 2015 - Book/Report Classic Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Citation Text: Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011. Cop…

  6. Closing the disclosure gap: medical errors in pediatrics. | PSNet

    psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics
    March 30, 2022 - Review Closing the disclosure gap: medical errors in pediatrics. Citation Text: Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4). doi:10.1542/peds.2019-0221. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  7. Surgeon-reported conflict with intensivists about postoperative goals of care. | PSNet

    psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
    September 26, 2012 - Study Surgeon-reported conflict with intensivists about postoperative goals of care. Citation Text: Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403. Co…

  8. The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. | PSNet

    psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
    November 18, 2020 - Book/Report The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Citation Text: The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…

  9. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

  10. Wrong site surgery near misses and actual occurrences. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
    November 30, 2012 - Study Wrong site surgery near misses and actual occurrences. Citation Text: Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010. Copy Citation Format: DOI Google Scholar …

  11. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. | PSNet

    psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review
    July 05, 2017 - Review Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. Citation Text: Wheeler SQ, Greenberg ME, Mahlmeister L, et al. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. J Telemed Telecare. 2015;21(6):3…

  12. Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model. | PSNet

    psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-administration-aspen-model
    June 12, 2018 - Organizational Policy/Guidelines Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model. Citation Text: Guenter P, Worthington P, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Administration: The ASPEN Model. Nutr Clin Pract. 2018;33(2):29…

  13. Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. | PSNet

    psnet.ahrq.gov/issue/influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon-revisited
    March 04, 2015 - Study Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. Citation Text: van Walraven C, Jennings A, Wong J, et al. Influence of house-staff experience on teaching-hospital mortality: the "July phenomenon" revisited. J Hosp Med. 2011;6(7…

  14. Flowchart | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/flowchart
    January 01, 2023 - Flowchart Also Known As Activity Diagram Cross-Functional Flowchart Process Flowchart Process Map "Swim Lane" Flowchart Examples Common Office Visit ( PDF , 34KB) Flowchart Incoming Calls ( PDF , 432KB) In-Office Prescribing Flowchart - Electronic System ( PDF , 475KB) In-O…

  15. The development and implementation of checklists in obstetrics. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-checklists-obstetrics
    July 13, 2010 - Commentary The development and implementation of checklists in obstetrics. Citation Text: Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032. Copy Citat…

  16. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? | PSNet

    psnet.ahrq.gov/issue/modern-palliative-radiation-treatment-do-complexity-and-workload-contribute-medical-errors
    April 07, 2021 - Study Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Citation Text: D'Souza N, Holden L, Robson S, et al. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Int J Radiat Oncol Biol Phys. 2012;84…

  17. Risks related to patient bed safety. | PSNet

    psnet.ahrq.gov/issue/risks-related-patient-bed-safety
    July 19, 2023 - Commentary Risks related to patient bed safety. Citation Text: Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  18. Managing clinical failure: a complex adaptive system perspective. | PSNet

    psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
    August 13, 2014 - Study Managing clinical failure: a complex adaptive system perspective. Citation Text: Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. Copy Citation Format: …

  19. An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. | PSNet

    psnet.ahrq.gov/issue/organisation-without-memory-qualitative-study-hospital-staff-perceptions-reporting-and
    July 10, 2024 - Study An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. Citation Text: Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and organisation…

  20. A clinical reasoning curriculum for medical students: an interim analysis. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-curriculum-medical-students-interim-analysis
    March 02, 2022 - Study A clinical reasoning curriculum for medical students: an interim analysis. Citation Text: Connor DM, Narayana S, Dhaliwal G. A clinical reasoning curriculum for medical students: an interim analysis. Diagnosis (Berl). 2022;9(2):265-273. doi:10.1515/dx-2021-0112. Copy Citation …
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