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  1. Leadership and patient safety: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/leadership-and-patient-safety-review-literature
    March 29, 2023 - November 6, 2013 Comparative economic analyses of patient safety improvement strategies … July 28, 2010 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses

  2. Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. | PSNet

    psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
    July 12, 2023 - Meta-analyses on provider, patient, organisational, and handoff outcomes. … June 29, 2022 Meta-analyses of the effects of standardized handoff protocols on patient

  3. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. | PSNet

    psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
    November 16, 2022 - Meta-analyses on provider, patient, organisational, and handoff outcomes. … October 7, 2013 Meta-analyses of the effects of standardized handoff protocols on patient

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42564/psn-pdf
    September 11, 2013 - Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. September 11, 2013 Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1002/bjs.9168. https://psnet.ah…

  5. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
    October 24, 2018 - By analyzing 111 root cause analyses of diagnostic error cases in the outpatient setting, the authors … April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36758/psn-pdf
    August 10, 2011 - Seven hundred and fifty-nine (759) chances to learn: a 3- year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. August 10, 2011 Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related ne…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44892/psn-pdf
    June 08, 2016 - Patient complaints about hospital services: applying a complaint taxonomy to analyse and respond to complaints. June 8, 2016 Harrison R, Walton M, Healy J, et al. Patient complaints about hospital services: applying a complaint taxonomy to analyse and respond to complaints. Int J Qual Health Care. 2016;28(2):240-5…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33747/psn-pdf
    March 01, 2013 - A series of recent meta-analyses has quantitatively synthesized the evidence for two common simulation … These meta-analyses collectively included more than 1000 individual studies, which enrolled well over … However, in performing these analyses, my colleagues and I observed high variability between studies … in all these analyses, suggesting that some simulation interventions are more effective in certain settings … individualized training, and longer training time significantly improve skill outcomes.(5) Similar analyses

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42430/psn-pdf
    February 19, 2014 - Framework for analysing risk and safety in clinical medicine. February 19, 2014 Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7. https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine This commentary outlin…

  10. Checking all the boxes: a checklist for when and how to use checklists effectively. | PSNet

    psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
    June 29, 2022 - September 28, 2022 Meta-analyses of the effects of standardized handoff protocols on … Meta-analyses on provider, patient, organisational, and handoff outcomes.

  11. Public opinion of resident physician work hours in 2022. | PSNet

    psnet.ahrq.gov/issue/public-opinion-resident-physician-work-hours-2022
    April 19, 2023 - Systematic review of the impact of physician work schedules on patient safety with meta-analyses … Systematic review of the impact of physician work schedules on patient safety with meta-analyses

  12. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet

    psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - August 18, 2010 Root cause analyses of reported adverse events occurring during gastrointestinal … October 18, 2023 Root cause analyses of reported adverse events occurring during gastrointestinal

  13. Root Cause Analysis Playbook. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-playbook
    July 05, 2017 - December 23, 2016 RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. … February 24, 2016 VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40756/psn-pdf
    September 07, 2011 - How reliable is your hospital? A qualitative framework for analysing reliability levels. September 7, 2011 Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit…

  15. Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. | PSNet

    psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare
    October 19, 2016 - January 3, 2017 RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. … February 17, 2016 VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34706/psn-pdf
    December 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. December 23, 2012 Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident- monitoring study. Med J Aust. 1998;169(2):73-6. https://psnet.ahrq.gov/issue/analysing-potential-harm…

  17. How reliable is your hospital? A qualitative framework for analysing reliability levels. | PSNet

    psnet.ahrq.gov/issue/how-reliable-your-hospital-qualitative-framework-analysing-reliability-levels
    October 19, 2022 - Commentary How reliable is your hospital? A qualitative framework for analysing reliability levels. Citation Text: Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. Copy Citation Format…

  18. Analysing potential harm in Australian general practice: an incident-monitoring study. | PSNet

    psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
    July 29, 2020 - Study Classic Analysing potential harm in Australian general practice: an incident-monitoring study. Citation Text: Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident-monitoring study. Med J Aust. 1998;1…

  19. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/845971
    January 01, 2024 - Measurement Comparative economic analyses of patient safety improvement strategies in acute care: a … https://psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic … This article outlines several recommendations for improved cost-effectiveness analyses of deprescribing … Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review … https://psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46863/psn-pdf
    December 05, 2024 - issue/perfecting-detection-understanding-source-harm This annual publication provides common cause analyses
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