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  1. What causes adverse events in prehospital care? A human-factors approach. | PSNet

    psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach
    July 26, 2023 - Study What causes adverse events in prehospital care? A human-factors approach. Citation Text: Price R, Bendall JC, Patterson JA, et al. What causes adverse events in prehospital care? A human-factors approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971. Copy Cit…

  2. Using simulation to improve systems. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-systems
    May 29, 2014 - Review Using simulation to improve systems. Citation Text: Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-92. doi:10.1016/j.suc.2015.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  3. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. | PSNet

    psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
    July 10, 2017 - Study Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. Citation Text: Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …

  4. Human factors engineering in patient safety. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
    September 13, 2017 - Commentary Human factors engineering in patient safety. Citation Text: Weinger MB, Gaba DM. Human factors engineering in patient safety. Anesthesiology. 2014;120(4):801-6. doi:10.1097/ALN.0000000000000144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  5. New York-Presbyterian Hospital: translating innovation into practice. | PSNet

    psnet.ahrq.gov/issue/new-york-presbyterian-hospital-translating-innovation-practice
    October 19, 2022 - Award Recipient New York-Presbyterian Hospital: translating innovation into practice. Citation Text: Johnson T, Currie G, Keill P, et al. NewYork-Presbyterian Hospital: translating innovation into practice. Jt Comm J Qual Patient Saf. 2005;31(10):554-60. Copy Citation Format: …

  6. Teams of psychologists helping teams: the evolution of the science of team training. | PSNet

    psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
    February 26, 2020 - Commentary Emerging Classic Teams of psychologists helping teams: the evolution of the science of team training. Citation Text: Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psycho…

  7. Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
    November 06, 2019 - Congressional Testimony Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. Citation Text: Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. US House of Representatives Committee on Veterans' Affa…

  8. Patient safety issues continue to plague American hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
    November 20, 2015 - Commentary Patient safety issues continue to plague American hospitals. Citation Text: Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q. 2019;97(3):641-644. doi:10.1111/1468-0009.12406. Copy Citation Format: DOI Google Scholar PubMed B…

  9. Burnout in healthcare: the case for organisational change. | PSNet

    psnet.ahrq.gov/issue/burnout-healthcare-case-organisational-change
    September 28, 2022 - Commentary Classic Burnout in healthcare: the case for organisational change. Citation Text: Montgomery A, Panagopoulou E, Esmail A, et al. Burnout in healthcare: the case for organisational change. BMJ. 2019;366:l4774. doi:10.1136/bmj.l4774. Copy Citation …

  10. Disclosure of harmful medical error to patients: a review with recommendations for pathologists. | PSNet

    psnet.ahrq.gov/issue/disclosure-harmful-medical-error-patients-review-recommendations-pathologists
    September 21, 2022 - Review Disclosure of harmful medical error to patients: a review with recommendations for pathologists. Citation Text: Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/P…

  11. Postoperative video debriefing reduces technical errors in laparoscopic surgery. | PSNet

    psnet.ahrq.gov/issue/postoperative-video-debriefing-reduces-technical-errors-laparoscopic-surgery
    March 14, 2022 - Study Postoperative video debriefing reduces technical errors in laparoscopic surgery. Citation Text: Hamad GG, Brown MT, Clavijo-Alvarez JA. Postoperative video debriefing reduces technical errors in laparoscopic surgery. Am J Surg. 2007;194(1):110-4. Copy Citation Format: …

  12. Drug shortages: effect on parenteral nutrition therapy. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy
    June 20, 2018 - Review Drug shortages: effect on parenteral nutrition therapy. Citation Text: Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052. Copy Citation Format: DOI Google Scholar PubMed…

  13. Drill down with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/drill-down-root-cause-analysis
    June 15, 2016 - Commentary Drill down with root cause analysis. Citation Text: McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  14. Overuse of medical imaging and its radiation exposure: who’s minding our children? | PSNet

    psnet.ahrq.gov/issue/overuse-medical-imaging-and-its-radiation-exposure-whos-minding-our-children
    August 04, 2021 - Commentary Overuse of medical imaging and its radiation exposure: who’s minding our children? Citation Text: Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2…

  15. Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. | PSNet

    psnet.ahrq.gov/issue/nursing-perception-impact-automated-dispensing-cabinets-patient-safety-and-ergonomics
    September 27, 2016 - Study Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. Citation Text: Rochais E, Atkinson S, Guilbeault M, et al. Nursing perception of the impact of automated dispensing cabinets on patient safety and er…

  16. Assessing clinical handover between paramedics and the trauma team. | PSNet

    psnet.ahrq.gov/issue/assessing-clinical-handover-between-paramedics-and-trauma-team
    January 19, 2011 - Study Assessing clinical handover between paramedics and the trauma team. Citation Text: Evans S, Murray A, Patrick I, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41(5):460-4. doi:10.1016/j.injury.2009.07.065. Copy Citation Format: …

  17. Organizational culture, critical success factors, and the reduction of hospital errors. | PSNet

    psnet.ahrq.gov/issue/organizational-culture-critical-success-factors-and-reduction-hospital-errors
    December 12, 2014 - Study Organizational culture, critical success factors, and the reduction of hospital errors. Citation Text: Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.0…

  18. Good Catch Campaign: improving the perioperative culture of safety. | PSNet

    psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-safety
    April 24, 2018 - Study Good Catch Campaign: improving the perioperative culture of safety. Citation Text: Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148. Copy Citation Format: …

  19. Strategies for improving patient safety: linking task type to error type. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-type-error-type
    August 22, 2012 - Commentary Strategies for improving patient safety: linking task type to error type. Citation Text: Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse. 2012;32(1):52-78. doi:10.4037/ccn2012303. Copy Citation Format: DOI Go…

  20. Inpatient fall prevention: use of in-room Webcams. | PSNet

    psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
    July 19, 2023 - Study Inpatient fall prevention: use of in-room Webcams. Citation Text: Hardin SR, Dienemann J, Rudisill P, et al. Inpatient fall prevention: use of in-room Webcams. J Patient Saf. 2013;9(1):29-35. doi:10.1097/PTS.0b013e3182753e4f. Copy Citation Format: DOI Google Scholar…
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