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  1. The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
    January 14, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. Citation Text: Riley W, Liang BA, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b…

  2. The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
    February 15, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. Citation Text: Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …

  3. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. | PSNet

    psnet.ahrq.gov/issue/safety-culture-healthcare-review-concepts-dimensions-measures-and-progress
    November 21, 2014 - Review Safety culture in healthcare: a review of concepts, dimensions, measures and progress. Citation Text: Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Saf. 2011;20(4):338-43. doi:10.1136/bmjqs.2010.040964. C…

  4. Patient safety in the office-based setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-office-based-setting
    August 20, 2018 - Commentary Patient safety in the office-based setting. Citation Text: Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  5. Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment request. | PSNet

    psnet.ahrq.gov/issue/agency-information-collection-activities-ambulatory-surgery-center-survey-patient-safety
    June 16, 2021 - Press Release/Announcement Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment request. Citation Text: Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment…

  6. Teaching medical students to recognise and report errors. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors
    March 01, 2023 - Commentary Teaching medical students to recognise and report errors. Citation Text: Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558. Copy Citation Format: DOI Google Sc…

  7. The role of practice guidelines and evidence-based medicine in perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
    June 26, 2024 - Review The role of practice guidelines and evidence-based medicine in perioperative patient safety. Citation Text: Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…

  8. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. | PSNet

    psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals
    July 02, 2014 - Study Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. Citation Text: Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;3…

  9. When there's no one to whom an error can be disclosed, how should an error be handled? | PSNet

    psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
    March 19, 2018 - Commentary When there's no one to whom an error can be disclosed, how should an error be handled? Citation Text: Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553. Copy Cita…

  10. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. | PSNet

    psnet.ahrq.gov/issue/identifying-nontechnical-skills-associated-safety-emergency-department-scoping-review
    December 12, 2012 - Review Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. Citation Text: Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of…

  11. Lehigh Valley Hospital: engaging patients and families. | PSNet

    psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
    January 04, 2017 - Award Recipient Lehigh Valley Hospital: engaging patients and families. Citation Text: Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual Patient Saf. 2005;31(10):566-72. Copy Citation Format: Google Scholar PubMed Bi…

  12. In the wake of hospital inquiries: impact on staff and safety. | PSNet

    psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
    January 12, 2022 - Commentary In the wake of hospital inquiries: impact on staff and safety. Citation Text: Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. Copy Citation Format: Google Scholar PubMed BibTeX…

  13. Improving pathologists' communication skills. | PSNet

    psnet.ahrq.gov/issue/improving-pathologists-communication-skills
    May 18, 2022 - Commentary Improving pathologists' communication skills. Citation Text: Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8. doi:10.1001/journalofethics.2016.18.8.medu1-1608. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  14. Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. | PSNet

    psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
    April 17, 2024 - Study Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. Citation Text: O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf.…

  15. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. | PSNet

    psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
    August 04, 2021 - Commentary Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Citation Text: Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. do…

  16. Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. | PSNet

    psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
    May 18, 2022 - Commentary Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. Citation Text: Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003. Copy Cit…

  17. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. | PSNet

    psnet.ahrq.gov/issue/discussing-harm-causing-errors-patients-ethics-primer-plastic-surgeons
    February 28, 2018 - Review Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Citation Text: Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000…

  18. The cost of poor blood specimen quality and errors in preanalytical processes. | PSNet

    psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
    April 22, 2009 - Review The cost of poor blood specimen quality and errors in preanalytical processes. Citation Text: Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001. Copy Citation F…

  19. Surgical site signing and "time out": issues of compliance or complacence. | PSNet

    psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
    January 07, 2011 - Study Surgical site signing and "time out": issues of compliance or complacence. Citation Text: Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. Copy Citation …

  20. Implementing the Safety Thermometer tool in one NHS trust. | PSNet

    psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
    March 19, 2019 - Commentary Implementing the Safety Thermometer tool in one NHS trust. Citation Text: Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…
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