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  1. Munson Medical Center: embedding a culture of safety and QI into the organization. | PSNet

    psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
    March 20, 2024 - Commentary Munson Medical Center: embedding a culture of safety and QI into the organization. Citation Text: Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70. Copy Citation Format: …

  2. Citing harms, momentum grows to remove race from clinical algorithms. | PSNet

    psnet.ahrq.gov/issue/citing-harms-momentum-grows-remove-race-clinical-algorithms
    January 31, 2011 - Commentary Citing harms, momentum grows to remove race from clinical algorithms. Citation Text: Kuehn BM. Citing harms, momentum grows to remove race from clinical algorithms. JAMA. 2024;331(6):463-465. doi:10.1001/jama.2023.25530. Copy Citation Format: DOI Google Scholar B…

  3. Why your doctor's white coat can be a threat to your health. | PSNet

    psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health
    November 18, 2016 - Newspaper/Magazine Article Why your doctor's white coat can be a threat to your health. Citation Text: Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373. Copy Citation Forma…

  4. Incorporating indications into medication ordering—time to enter the age of reason. | PSNet

    psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
    June 05, 2018 - Commentary Incorporating indications into medication ordering—time to enter the age of reason. Citation Text: Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp16039…

  5. Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. | PSNet

    psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing-disruptive-physician
    February 12, 2020 - Commentary Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. Citation Text: Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course aimed at addressing dis…

  6. Findings from the ISMP Medication Safety Self-Assessment for hospitals. | PSNet

    psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
    September 26, 2017 - Study Findings from the ISMP Medication Safety Self-Assessment for hospitals. Citation Text: Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. Copy Citation Format: …

  7. Tracing the foundations of a conceptual framework for a patient safety ontology. | PSNet

    psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology
    March 23, 2011 - Commentary Tracing the foundations of a conceptual framework for a patient safety ontology. Citation Text: Runciman WB, Baker GR, Michel P, et al. Tracing the foundations of a conceptual framework for a patient safety ontology. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2009.035147. …

  8. From good to better: toward a patient safety initiative in dentistry. | PSNet

    psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry
    September 06, 2017 - Commentary From good to better: toward a patient safety initiative in dentistry. Citation Text: Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60. Copy Citation Format: Google Scho…

  9. Gaps in pediatric clinician communication and opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
    March 24, 2011 - Study Gaps in pediatric clinician communication and opportunities for improvement. Citation Text: Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54. Copy Citation Format: Goog…

  10. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. | PSNet

    psnet.ahrq.gov/issue/medication-error-alerts-warfarin-orders-detected-bar-code-assisted-medication-administration
    July 03, 2014 - Study Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Citation Text: FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Am J Hea…

  11. A daily dose of communication to improve quality and safety outcomes. | PSNet

    psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes
    September 15, 2009 - Review A daily dose of communication to improve quality and safety outcomes. Citation Text: Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. Copy Citation Format: DOI Google Scholar B…

  12. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. | PSNet

    psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors
    July 15, 2015 - Commentary Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. Citation Text: Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s0…

  13. Quality-related event learning in community pharmacies: manual versus computerized reporting processes. | PSNet

    psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting
    November 09, 2016 - Study Quality-related event learning in community pharmacies: manual versus computerized reporting processes. Citation Text: Boyle TA, Scobie A, MacKinnon NJ, et al. Quality-related event learning in community pharmacies: Manual versus computerized reporting processes. J Am Pharm Assoc…

  14. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
    November 16, 2022 - Commentary Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. Citation Text: Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4. Copy Citation …

  15. A model of recovering medical errors in the coronary care unit. | PSNet

    psnet.ahrq.gov/issue/model-recovering-medical-errors-coronary-care-unit
    June 02, 2010 - Study A model of recovering medical errors in the coronary care unit. Citation Text: Hurley A, Rothschild JM, Moore ML, et al. A model of recovering medical errors in the coronary care unit. Heart Lung. 2008;37(3):219-26. doi:10.1016/j.hrtlng.2007.06.002. Copy Citation Format: …

  16. Can the aviation industry be useful in teaching oncology about safety? | PSNet

    psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
    June 13, 2011 - Commentary Can the aviation industry be useful in teaching oncology about safety? Citation Text: Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. Copy Citation …

  17. The nexus of nursing leadership and a culture of safer patient care. | PSNet

    psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
    January 18, 2018 - Review The nexus of nursing leadership and a culture of safer patient care. Citation Text: Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980. Copy Citation Format: DOI…

  18. A multi-tiered approach to safety education. | PSNet

    psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
    January 31, 2018 - Commentary A multi-tiered approach to safety education. Citation Text: Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214-8. doi:10.1111/tct.12037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  19. Building a culture of safety in ophthalmology. | PSNet

    psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
    March 14, 2022 - Commentary Building a culture of safety in ophthalmology. Citation Text: Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. Copy Citation Format: DOI Google Sch…

  20. Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation. | PSNet

    psnet.ahrq.gov/issue/potential-utility-data-mining-algorithms-early-detection-potentially-fataldisabling-adverse
    July 19, 2023 - Study Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation. Citation Text: Hauben M, Reich L. Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adve…
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