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psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support
July 01, 2017 - Review
Emerging Classic
Improving medication-related clinical decision support.
Citation Text:
Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830.
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psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event
June 30, 2019 - Study
Responding to health information technology reported safety events: insights from patient safety event reports.
Citation Text:
Responding to health information technology reported safety events: insights from patient safety event reports. Adams KT, Kim TC, Fong A, et al. J Patient …
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psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
October 19, 2022 - Review
A new, evidence-based estimate of patient harms associated with hospital care.
Citation Text:
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
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psnet.ahrq.gov/issue/incidence-and-characteristics-errors-detected-short-team-briefing-pediatric-anesthesia
September 30, 2020 - Study
Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.
Citation Text:
Keil O, Brunsmann K, Boethig D, et al. Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. Paediatr Anaesth. 2022;32(10):…
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psnet.ahrq.gov/issue/reductions-sepsis-mortality-and-costs-after-design-and-implementation-nurse-based-early
March 09, 2016 - Study
Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program.
Citation Text:
Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and implementation of a nurse-based early rec…
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psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
October 12, 2012 - Commentary
Systems errors versus physicians' errors: finding the balance in medical education.
Citation Text:
Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22.
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psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
January 04, 2017 - Study
Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.
Citation Text:
Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…
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psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
March 02, 2022 - Study
What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives.
Citation Text:
Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…
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psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
January 19, 2022 - Review
How well is quality improvement described in the perioperative care literature? A systematic review.
Citation Text:
Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
October 19, 2022 - Study
Quality and safety practices among academic obstetrics and gynecology departments.
Citation Text:
Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…
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psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
February 01, 2023 - Study
The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned,
Citation Text:
Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…
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psnet.ahrq.gov/issue/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
February 28, 2024 - Study
Tools for establishing a sustainable safety culture within maternity services: a retrospective case study.
Citation Text:
Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open …
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psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
April 14, 2021 - Commentary
Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation.
Citation Text:
Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public…
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psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
April 27, 2019 - Study
Advancing perinatal patient safety through application of safety science principles using health IT.
Citation Text:
Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…
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psnet.ahrq.gov/issue/improving-clinician-well-being-and-patient-safety-through-human-centered-design
April 29, 2018 - Commentary
Improving clinician well-being and patient safety through human-centered design.
Citation Text:
Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through human-centered design. JAMA. 2023;329(14):1149-1150. doi:10.1001/jama.2023.2…
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psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
February 24, 2021 - Study
Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center.
Citation Text:
Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nur…
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psnet.ahrq.gov/issue/impact-team-and-leaders-directed-strategy-improve-nurses-adherence-hand-hygiene-guidelines
November 19, 2009 - Study
Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial.
Citation Text:
Huis A, Schoonhoven L, Grol R, et al. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guid…
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psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
September 29, 2017 - Commentary
The medical liability climate and prospects for reform.
Citation Text:
Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705.
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psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review
January 12, 2022 - Review
Emerging Classic
Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice.
Citation Text:
Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Impr…
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psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns
November 02, 2022 - Study
Nurse sensemaking for responding to patient and family safety concerns.
Citation Text:
Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487.
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