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psnet.ahrq.gov/issue/developing-person-centred-analysis-harm-paediatric-hospital-quality-improvement-report
September 23, 2020 - Study
Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report.
Citation Text:
Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44…
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psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
January 23, 2017 - Study
Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.
Citation Text:
Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …
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psnet.ahrq.gov/issue/patient-safety-error-reduction-and-pediatric-nurses-perceptions-smart-pump-technology
February 28, 2024 - Study
Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology.
Citation Text:
Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51.…
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psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods
March 05, 2025 - Review
Economic evaluation in patient safety: a literature review of methods.
Citation Text:
de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191.
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psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
June 08, 2022 - Commentary
Structural racism and the COVID-19 experience in the United States.
Citation Text:
Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031.
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psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered
November 06, 2019 - Commentary
Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege?
Citation Text:
de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't these communications be covered by legal pri…
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psnet.ahrq.gov/issue/sages-fundamental-use-surgical-energy-program-fuse-history-development-and-purpose
April 05, 2017 - Commentary
The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.
Citation Text:
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):…
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psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
September 10, 2014 - Study
Improved incident reporting following the implementation of a standardized emergency department peer review process.
Citation Text:
Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …
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psnet.ahrq.gov/issue/applying-ethnography-study-context-healthcare-quality-and-safety
August 15, 2018 - Review
Applying ethnography to the study of context in healthcare quality and safety.
Citation Text:
Leslie M, Paradis E, Gropper MA, et al. Applying ethnography to the study of context in healthcare quality and safety. BMJ Qual Saf. 2014;23(2):99-105. doi:10.1136/bmjqs-2013-002335.
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psnet.ahrq.gov/issue/beyond-clinical-engagement-pragmatic-model-quality-improvement-interventions-aligning
April 24, 2018 - Review
Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities.
Citation Text:
Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clini…
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psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp
January 31, 2024 - Commentary
Root-cause analysis: swatting at mosquitoes versus draining the swamp.
Citation Text:
Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229.
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psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign
November 26, 2014 - Review
Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out.
Citation Text:
Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp…
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psnet.ahrq.gov/issue/physician-engagement-malpractice-risk-reduction-uphs-case-study
June 02, 2019 - Commentary
Physician engagement in malpractice risk reduction: a UPHS case study.
Citation Text:
Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…
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psnet.ahrq.gov/issue/aviation-and-healthcare-comparative-review-implications-patient-safety
February 14, 2018 - Review
Aviation and healthcare: a comparative review with implications for patient safety.
Citation Text:
Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/20542704156…
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psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
March 02, 2022 - Study
Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation.
Citation Text:
Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Wiig S, Haraldseid-Driftlan…
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psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
September 27, 2016 - Commentary
Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory.
Citation Text:
Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…
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psnet.ahrq.gov/issue/team-management-training-using-crisis-resource-management-results-perceived-benefits
October 03, 2011 - Study
Team management training using crisis resource management results in perceived benefits by healthcare workers.
Citation Text:
Rudy SJ, Polomano R, Murray WB, et al. Team management training using crisis resource management results in perceived benefits by healthcare workers. J Co…
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psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-review
March 08, 2023 - Review
Nurses and nursing students as second victims: a scoping review.
Citation Text:
Sahay A, McKenna L. Nurses and nursing students as second victims: a scoping review. Nurs Outlook. 2023;71(4):101992. doi:10.1016/j.outlook.2023.101992.
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psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
September 27, 2023 - Review
Defining speaking up in the healthcare system: a systematic review.
Citation Text:
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - Study
Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.
Citation Text:
Tjia J, Field T, Garber LD, et al. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010;…