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  1. Deciphering harm measurement. | PSNet

    psnet.ahrq.gov/issue/deciphering-harm-measurement
    December 01, 2010 - Commentary Deciphering harm measurement. Citation Text: Parry G, Cline A, Goldmann D. Deciphering harm measurement. JAMA. 2012;307(20):2155-6. doi:10.1001/jama.2012.3649. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  2. Quality and safety in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
    January 19, 2011 - Review Quality and safety in the intensive care unit. Citation Text: Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  3. Improving communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/improving-communication-emergency-department
    September 09, 2009 - Study Improving communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  4. Weekend versus weekday admission and mortality from myocardial infarction. | PSNet

    psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
    February 18, 2011 - Study Weekend versus weekday admission and mortality from myocardial infarction. Citation Text: Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…

  5. Learning safe prescribing during post-take ward rounds. | PSNet

    psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
    August 14, 2013 - Newspaper/Magazine Article Learning safe prescribing during post-take ward rounds. Citation Text: Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x. Copy Citation …

  6. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet

    psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
    January 21, 2015 - Study Toward safer practice in otology: a report on 15 years of clinical negligence claims. Citation Text: Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…

  7. Medication safety in primary care practice: results from a PPRNet quality improvement intervention. | PSNet

    psnet.ahrq.gov/issue/medication-safety-primary-care-practice-results-pprnet-quality-improvement-intervention
    April 23, 2008 - Study Medication safety in primary care practice: results from a PPRNet quality improvement intervention. Citation Text: Wessell AM, Ornstein SM, Jenkins RG, et al. Medication Safety in Primary Care Practice: results from a PPRNet quality improvement intervention. Am J Med Qual. 2013;2…

  8. How surgeons disclose medical errors to patients: a study using standardized patients.   | PSNet

    psnet.ahrq.gov/issue/how-surgeons-disclose-medical-errors-patients-study-using-standardized-patients
    July 10, 2008 - Study How surgeons disclose medical errors to patients: a study using standardized patients.   Citation Text: Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery. 2005;138(5):851-8. Copy Citation …

  9. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center
    March 02, 2011 - Commentary John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Citation Text: Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;…

  10. The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet

    psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
    October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…

  11. How we cut drug errors. | PSNet

    psnet.ahrq.gov/issue/how-we-cut-drug-errors
    August 19, 2020 - Newspaper/Magazine Article How we cut drug errors. Citation Text: Nicol N, Huminski L. How we cut drug errors. At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  12. Implementation of computerized physician order entry in seven countries. | PSNet

    psnet.ahrq.gov/issue/implementation-computerized-physician-order-entry-seven-countries
    April 05, 2017 - Study Implementation of computerized physician order entry in seven countries. Citation Text: Aarts J, Koppel R. Implementation of computerized physician order entry in seven countries. Health Aff (Millwood). 2009;28(2):404-414. doi:10.1377/hlthaff.28.2.404. Copy Citation Format: …

  13. Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet

    psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
    August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…

  14. Use of health information technology to reduce diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/use-health-information-technology-reduce-diagnostic-errors
    April 30, 2014 - Review Use of health information technology to reduce diagnostic errors. Citation Text: El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. Copy Citation Format: …

  15. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. | PSNet

    psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
    March 11, 2015 - Commentary A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. Citation Text: Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/j…

  16. The safety of emergency medicine. | PSNet

    psnet.ahrq.gov/issue/safety-emergency-medicine
    November 21, 2021 - Review The safety of emergency medicine. Citation Text: Ramlakhan S, Qayyum H, Burke D, et al. The safety of emergency medicine. Emerg Med J. 2016;33(4):293-9. doi:10.1136/emermed-2014-204564. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  17. Narrativizing errors of care: critical incident reporting in clinical practice. | PSNet

    psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice
    September 06, 2017 - Commentary Narrativizing errors of care: critical incident reporting in clinical practice. Citation Text: Iedema R, Flabouris A, Grant S, et al. Narrativizing errors of care: critical incident reporting in clinical practice. Soc Sci Med. 2006;62(1):134-44. Copy Citation Format: …

  18. EACTS guidelines for the use of patient safety checklists. | PSNet

    psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklists
    October 31, 2012 - Commentary EACTS guidelines for the use of patient safety checklists. Citation Text: Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009. Copy Citation Format: …

  19. Rapid response systems. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems
    September 30, 2010 - Commentary Rapid response systems. Citation Text: Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  20. The automated operating room: a team approach to patient safety and communication. | PSNet

    psnet.ahrq.gov/issue/automated-operating-room-team-approach-patient-safety-and-communication
    November 16, 2022 - Study The automated operating room: a team approach to patient safety and communication. Citation Text: Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825…
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