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Care at the point of impact: insights into the second-victim experience. | PSNet

psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience

January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. | PSNet

psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant

August 03, 2017 - Commentary Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Citation Text: Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…

Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. | PSNet

psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-and-postoperative-outcomes-prospective-randomized

October 10, 2018 - Study Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. Citation Text: Chaudhary N, Varma V, Kapoor S, et al. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled s…

Determination of health-care teamwork training competencies: a Delphi study. | PSNet

psnet.ahrq.gov/issue/determination-health-care-teamwork-training-competencies-delphi-study

May 15, 2024 - Study Determination of health-care teamwork training competencies: a Delphi study. Citation Text: Clay-Williams R, Braithwaite J. Determination of health-care teamwork training competencies: a Delphi study. Int J Qual Health Care. 2009;21(6):433-40. doi:10.1093/intqhc/mzp042. Copy Ci…

Use of "Doctor" badges for physician role identification during clinical training. | PSNet

psnet.ahrq.gov/issue/use-doctor-badges-physician-role-identification-during-clinical-training

December 18, 2017 - Study Use of "Doctor" badges for physician role identification during clinical training. Citation Text: Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. …

Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

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September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…

How to monitor patient safety in primary care? Healthcare professionals' views. | PSNet

psnet.ahrq.gov/issue/how-monitor-patient-safety-primary-care-healthcare-professionals-views

December 14, 2016 - Study How to monitor patient safety in primary care? Healthcare professionals' views. Citation Text: Samra R, Car J, Majeed A, et al. How to monitor patient safety in primary care? Healthcare professionals' views. JRSM Open. 2016;7(8):2054270416648045. doi:10.1177/2054270416648045. Cop…

Hospital patient safety grades may misrepresent hospital performance. | PSNet

psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance

September 21, 2022 - Study Hospital patient safety grades may misrepresent hospital performance. Citation Text: Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139. Copy Citation Format: DOI…

Improving communication and resolution following adverse events using a patient-created simulation exercise. | PSNet

psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created

September 01, 2018 - Study Improving communication and resolution following adverse events using a patient-created simulation exercise. Citation Text: Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…

Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. | PSNet

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August 18, 2010 - Study Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. Citation Text: Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. J Patient Saf. 2010;6(4):206-9. Copy Citation For…

Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts

November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. | PSNet

psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study

December 06, 2010 - Study Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Citation Text: Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1…

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

psnet.ahrq.gov/issue/attitudinal-changes-resulting-repetitive-training-operating-room-personnel-using-high

February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

Handover after pediatric heart surgery: a simple tool improves information exchange. | PSNet

psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange

July 03, 2016 - Study Handover after pediatric heart surgery: a simple tool improves information exchange. Citation Text: Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…

Neonatal intensive care unit safety culture varies widely. | PSNet

psnet.ahrq.gov/issue/neonatal-intensive-care-unit-safety-culture-varies-widely

April 18, 2012 - Study Neonatal intensive care unit safety culture varies widely. Citation Text: Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635. Copy Citati…

The scope of drug-related problems in the home care setting. | PSNet

psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting

February 16, 2011 - Review The scope of drug-related problems in the home care setting. Citation Text: Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9. Copy Citation Format: …

Failures in communication and information transfer across the surgical care pathway: interview study. | PSNet

psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study

August 09, 2013 - Study Failures in communication and information transfer across the surgical care pathway: interview study. Citation Text: Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):8…

Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010

March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

Time-out and checklists: a survey of rural and urban operating room personnel. | PSNet

psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel

January 09, 2014 - Study Time-out and checklists: a survey of rural and urban operating room personnel. Citation Text: Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. Copy Citation Format: Google Scholar…

Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology

July 14, 2010 - Study Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Citation Text: Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;6…

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