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A meta-analysis of the effectiveness of crew resource management training in acute care domains. | PSNet

psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care-domains

July 24, 2013 - Review A meta-analysis of the effectiveness of crew resource management training in acute care domains. Citation Text: O'Dea A, O'Connor P, Keogh I. A meta-analysis of the effectiveness of crew resource management training in acute care domains. Postgrad Med J. 2014;90(1070):699-708. doi…

Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

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August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. | PSNet

psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions

May 12, 2021 - Study "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. Citation Text: Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions a…

The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. | PSNet

psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus

October 27, 2021 - Review The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. Citation Text: Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…

A narrative review of strategies to increase patient safety event reporting by residents. | PSNet

psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents

December 02, 2020 - Review A narrative review of strategies to increase patient safety event reporting by residents. Citation Text: Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…

Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-patient-safety-interventions-perspectives-operational-safety

February 26, 2025 - Study Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations. Citation Text: Gomes KM, Handley J, Pruitt ZM, et al. Development and evaluation of patient safety interventions: perspectives of operational saf…

Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet

psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event

August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. | PSNet

psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program

November 15, 2023 - Study Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. Citation Text: Battar S, Dickerson KRW, Sedgwick C, et al. Understand…

How different countries respond to adverse events whilst patients' rights are protected. | PSNet

psnet.ahrq.gov/issue/how-different-countries-respond-adverse-events-whilst-patients-rights-are-protected

December 11, 2024 - Study How different countries respond to adverse events whilst patients' rights are protected. Citation Text: Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1…

Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet

psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and

September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…

A longitudinal study on the impact of simulation on positive deviance through speaking up. | PSNet

psnet.ahrq.gov/issue/longitudinal-study-impact-simulation-positive-deviance-through-speaking

August 24, 2022 - Study A longitudinal study on the impact of simulation on positive deviance through speaking up. Citation Text: M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up. Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006. Copy …

Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. | PSNet

psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality

November 26, 2014 - Review Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. Citation Text: Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…

Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. | PSNet

psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality

April 06, 2022 - Commentary Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Citation Text: Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…

Factors determining safety culture in hospitals: a scoping review. | PSNet

psnet.ahrq.gov/issue/factors-determining-safety-culture-hospitals-scoping-review

March 09, 2022 - Review Factors determining safety culture in hospitals: a scoping review. Citation Text: Carvalho REFL de, Bates DW, Syrowatka A, et al. Factors determining safety culture in hospitals: a scoping review. BMJ Open Qual. 2023;12(4):e002310. doi:10.1136/bmjoq-2023-002310. Copy Citation …

What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. | PSNet

psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective

March 18, 2013 - Study What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. Citation Text: Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retr…

Exploring perinatal shift-to-shift handover communication and process: an observational study. | PSNet

psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study

April 04, 2018 - Study Exploring perinatal shift-to-shift handover communication and process: an observational study. Citation Text: Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…

Stigmatizing language, patient demographics, and errors in the diagnostic process. | PSNet

psnet.ahrq.gov/issue/stigmatizing-language-patient-demographics-and-errors-diagnostic-process

April 12, 2023 - Study Stigmatizing language, patient demographics, and errors in the diagnostic process. Citation Text: Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.…

Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. | PSNet

psnet.ahrq.gov/issue/using-ecological-systems-theory-understand-blackwhite-disparities-maternal-morbidity-and

February 08, 2023 - Study Emerging Classic Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. Citation Text: Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white …

A combined assessment tool of teamwork, communication, and workload in hospital procedural units. | PSNet

psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital-procedural-units

August 04, 2021 - Study A combined assessment tool of teamwork, communication, and workload in hospital procedural units. Citation Text: Weaver BW, Murphy DJ. A combined assessment tool of teamwork, communication, and workload in hospital procedural units. Jt Comm J Qual Patient Saf. 2024;50(3):219-227. d…

Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac

June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

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