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  1. Dental patient safety in the military health system: joining medicine in the journey to high reliability. | PSNet

    psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
    October 19, 2022 - Study Dental patient safety in the military health system: joining medicine in the journey to high reliability. Citation Text: Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…

  2. COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. | PSNet

    psnet.ahrq.gov/issue/covid-19-and-healthcare-facilities-decalogue-design-strategies-resilient-hospitals
    February 23, 2022 - Commentary COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Citation Text: COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Capolongo S, Gola M, Brambilla A, et al. Acta Biomed. 2020;91(9-s):50-60.&…

  3. Special report: suicidal ideation among American surgeons. | PSNet

    psnet.ahrq.gov/issue/special-report-suicidal-ideation-among-american-surgeons
    June 28, 2010 - Study Special report: suicidal ideation among American surgeons. Citation Text: Shanafelt TD, Balch CM, Dyrbye LN, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146(1):54-62. doi:10.1001/archsurg.2010.292. Copy Citation Format: DOI Google…

  4. Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. | PSNet

    psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
    February 10, 2015 - Study Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Citation Text: Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thoma…

  5. Learning from incidents in health care: critique from a Safety-II perspective. | PSNet

    psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
    August 19, 2020 - Commentary Learning from incidents in health care: critique from a Safety-II perspective. Citation Text: Learning from incidents in health care: critique from a Safety-II perspective. Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121. Copy Citation Save …

  6. How one hospital improved patient safety in 10 minutes a day. | PSNet

    psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
    April 11, 2018 - Newspaper/Magazine Article How one hospital improved patient safety in 10 minutes a day. Citation Text: How one hospital improved patient safety in 10 minutes a day. van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018. Copy Citation Save Save to your lib…

  7. Pediatric rapid response teams in the academic medical center. | PSNet

    psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
    November 21, 2016 - Study Pediatric rapid response teams in the academic medical center. Citation Text: Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010. Copy Citation Format: …

  8. Identified safety risks with splitting and crushing oral medications. | PSNet

    psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
    September 24, 2010 - Commentary Identified safety risks with splitting and crushing oral medications. Citation Text: Paparella S. Identified safety risks with splitting and crushing oral medications. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

  9. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
    September 23, 2009 - Study Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Citation Text: Teng C-I, Shyu Y-IL, Chiou W-K, et al. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int…

  10. Sharing the process of diagnostic decision making. | PSNet

    psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
    January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …

  11. Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. | PSNet

    psnet.ahrq.gov/issue/swapping-horses-midstream-factors-related-physicians-changing-their-minds-about-diagnosis
    January 29, 2020 - Study Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. Citation Text: Eva KW, Link CL, Lutfey KE, et al. Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. Acad Med. 2010;85(7):1112-7. doi:10.…

  12. Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. | PSNet

    psnet.ahrq.gov/issue/investigating-prevalence-and-causes-prescribing-errors-general-practice-practice-study
    May 24, 2015 - Book/Report Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Citation Text: Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Avery T, Barber N, Ghaleb M, et al. London, UK: Gener…

  13. Rolling out the rapid response team. | PSNet

    psnet.ahrq.gov/issue/rolling-out-rapid-response-team
    November 11, 2020 - Commentary Rolling out the rapid response team. Citation Text: Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, et al. Rolling out the rapid response team. Am J Nurs. 2011;111(5):42-47. doi:10.1097/01.naj.0000398050.30793.0f. Copy Citation Format: DOI Google Scholar BibTe…

  14. Risk factors of missed colorectal lesions after colonoscopy. | PSNet

    psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
    March 25, 2020 - Study Risk factors of missed colorectal lesions after colonoscopy. Citation Text: Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468. Copy Citation Format: DOI …

  15. Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mothers and babies. | PSNet

    psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save
    January 06, 2016 - Review Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mothers and babies. Citation Text: Cornthwaite K, Edwards S, Siassakos D. Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mot…

  16. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. | PSNet

    psnet.ahrq.gov/issue/severe-drug-interactions-and-potentially-inappropriate-medication-usage-elderly-cancer
    November 11, 2020 - Study Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Citation Text: Alkan A, Yaşar A, Karcı E, et al. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Support Care Cancer. 2017;25(1):2…

  17. What has change management in industry got to do with improving patient safety? | PSNet

    psnet.ahrq.gov/issue/what-has-change-management-industry-got-do-improving-patient-safety
    April 01, 2010 - Commentary What has change management in industry got to do with improving patient safety? Citation Text: Noble DJ, Lemer C, Stanton E. What has change management in industry got to do with improving patient safety? Postgrad Med J. 2011;87(1027):345-348. doi:10.1136/pgmj.2010.097923. …

  18. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
    March 24, 2011 - Study Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…

  19. Developing and evaluating a trigger response system. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-trigger-response-system
    August 29, 2018 - Study Developing and evaluating a trigger response system. Citation Text: Cherry K, Martinek J, Esleck S, et al. Developing and Evaluating a Trigger Response System. The Joint Commission Journal on Quality and Patient Safety. 2016;35(6). doi:10.1016/s1553-7250(09)35047-3. Copy Citation…

  20. Patient safety event reporting in a large radiology department. | PSNet

    psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department
    March 04, 2015 - Commentary Patient safety event reporting in a large radiology department. Citation Text: Schultz SR, Watson RE, Prescott SL, et al. Patient Safety Event Reporting in a Large Radiology Department. American Journal of Roentgenology. 2011;197(3). doi:10.2214/ajr.11.6718. Copy Citation …
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