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  1. A multihospital safety improvement effort and the dissemination of new knowledge. | PSNet

    psnet.ahrq.gov/issue/multihospital-safety-improvement-effort-and-dissemination-new-knowledge
    September 23, 2020 - Study A multihospital safety improvement effort and the dissemination of new knowledge. Citation Text: Mills PD, Weeks WB, Surott-Kimberly BC. A multihospital safety improvement effort and the dissemination of new knowledge. Jt Comm J Qual Patient Saf. 2003;29(3):124-133. Copy Citati…

  2. Improving patient safety through the systematic evaluation of patient outcomes. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-through-systematic-evaluation-patient-outcomes
    August 25, 2011 - Review Improving patient safety through the systematic evaluation of patient outcomes. Citation Text: Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811. Copy Cita…

  3. Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary Care - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/online-counseling-enable-lifestyle-focused-obesity-treatment-primary-care/annual-summary/2010
    January 01, 2010 - Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary Care - 2010 Project Name Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care Principal Investigator McTigue, Kathleen M. Organization University of Pittsburgh at Pittsburgh …

  4. 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: …

  5. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. | PSNet

    psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error
    May 18, 2022 - Study Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. Citation Text: Friedman CP, Gatti GG, Franz TM, et al. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. J Gen Int…

  6. 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…

  7. Cascades of care after incidental findings in a US national survey of physicians. | PSNet

    psnet.ahrq.gov/issue/cascades-care-after-incidental-findings-us-national-survey-physicians
    April 24, 2018 - Study Classic Cascades of care after incidental findings in a US national survey of physicians. Citation Text: Ganguli I, Simpkin AL, Lupo C, et al. Cascades of Care After Incidental Findings in a US National Survey of Physicians. JAMA Netw Open. 2019;2(10):e191…

  8. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet

    psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
    December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

  9. ADVERSE drug events: incidence and risk reduction across the care continuum. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
    April 12, 2019 - Image/Poster ADVERSE drug events: incidence and risk reduction across the care continuum. Citation Text: Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. Copy C…

  10. A leadership framework for culture change in health care. | PSNet

    psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
    January 02, 2017 - Commentary A leadership framework for culture change in health care. Citation Text: Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. Copy Citation Format: Google Scholar PubMed B…

  11. Human factors in surgery: from Three Mile Island to the operating room. | PSNet

    psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
    July 12, 2019 - Review Human factors in surgery: from Three Mile Island to the operating room. Citation Text: D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662. Copy Citation Form…

  12. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-safety-practices-us-cancer-centres-questionnaire-survey
    July 23, 2014 - Study Oral chemotherapy safety practices at US cancer centres: questionnaire survey. Citation Text: Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55. Copy Cita…

  13. Medical error, incident investigation and the second victim: doing better but feeling worse? | PSNet

    psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse
    July 29, 2020 - Commentary Medical error, incident investigation and the second victim: doing better but feeling worse? Citation Text: Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-20…

  14. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet

    psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
    January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…

  15. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. | PSNet

    psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
    April 30, 2014 - Study Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. Citation Text: Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…

  16. Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
    December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. Citation Text: Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…

  17. Waking up the next morning: surgeons' emotional reactions to adverse events. | PSNet

    psnet.ahrq.gov/issue/waking-next-morning-surgeons-emotional-reactions-adverse-events
    July 02, 2014 - Study Waking up the next morning: surgeons' emotional reactions to adverse events. Citation Text: Luu S, Patel P, St-Martin L, et al. Waking up the next morning: surgeons' emotional reactions to adverse events. Med Educ. 2012;46(12):1179-88. doi:10.1111/medu.12058. Copy Citation F…

  18. Observation for assessment of clinician performance: a narrative review. | PSNet

    psnet.ahrq.gov/issue/observation-assessment-clinician-performance-narrative-review
    September 09, 2015 - Review Observation for assessment of clinician performance: a narrative review. Citation Text: Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. Copy Citatio…

  19. Public reporting of patient safety metrics: ready or not? | PSNet

    psnet.ahrq.gov/issue/public-reporting-patient-safety-metrics-ready-or-not
    July 14, 2010 - Commentary Public reporting of patient safety metrics: ready or not? Citation Text: Podolsky DK, Nagarkar PA, Reed G, et al. Public reporting of patient safety metrics: ready or not? Plast Reconstr Surg. 2014;134(6):981e-5e. doi:10.1097/PRS.0000000000000713. Copy Citation Format: …

  20. Simulation based adverse event reporting system: development and feasibility. | PSNet

    psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
    July 08, 2020 - Study Simulation based adverse event reporting system: development and feasibility. Citation Text: Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. Copy Citation Format: …
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