-
psnet.ahrq.gov/node/854834/psn-pdf
January 01, 2024 - Bringing the equity lens to patient safety event reporting.
October 25, 2023
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J
Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
https://psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-e…
-
psnet.ahrq.gov/node/60831/psn-pdf
August 19, 2020 - Telediagnosis for Acute Care: Implications for the Quality
and Safety of Diagnosis.
August 19, 2020
Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; August
2020. AHRQ Publication No. 20-0040-2-EF.
https://psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and…
-
psnet.ahrq.gov/node/60875/psn-pdf
September 02, 2020 - Understanding context specificity: the effect of contextual
factors on clinical reasoning.
September 2, 2020
Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors
on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:10.1515/dx-2020-0016.
https://…
-
psnet.ahrq.gov/node/47632/psn-pdf
April 10, 2019 - Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in
clinical setting.
April 10, 2019
Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …
-
psnet.ahrq.gov/node/73668/psn-pdf
September 01, 2021 - Leadership: an effective human factor during COVID-19.
September 1, 2021
Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-
205. doi:10.1136/leader-2020-000384.
https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
Hierarchy and professional…
-
psnet.ahrq.gov/node/34910/psn-pdf
May 27, 2011 - Specificity of computerized physician order entry has a
significant effect on the efficiency of workflow for
critically ill patients.
May 27, 2011
Ali NA, Mekhjian HS, Kuehn L, et al. Specificity of computerized physician order entry has a significant
effect on the efficiency of workflow for critically ill patient…
-
psnet.ahrq.gov/node/46831/psn-pdf
April 18, 2018 - Guideline Summary: Medication Safety.
April 18, 2018
Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096.
https://psnet.ahrq.gov/issue/guideline-summary-medication-safety
Perioperative medication errors can result in patient harm as well as emotional distress among clinical
te…
-
psnet.ahrq.gov/node/40511/psn-pdf
June 08, 2011 - A patient safety curriculum for medical residents based
on the perspectives of residents and supervisors.
June 8, 2011
Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the
perspectives of residents and supervisors. J Patient Saf. 2011;7(2):99-105.
doi:10.1097/PTS.0b013e318…
-
psnet.ahrq.gov/node/45921/psn-pdf
March 08, 2017 - Do hospital boards matter for better, safer, patient care?
March 8, 2017
Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci
Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045.
https://psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-…
-
psnet.ahrq.gov/node/60285/psn-pdf
April 29, 2020 - How Collective Design Triumphed Over Competition in
the Fight Against HAIs.
April 29, 2020
Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020.
https://psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais
Health care environment design can affect safety. This report sh…
-
psnet.ahrq.gov/node/37067/psn-pdf
October 03, 2011 - Using an interactive voice response system to improve
patient safety following hospital discharge.
October 3, 2011
Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following
hospital discharge. J Eval Clin Pract. 2007;13(3):346-51.
https://psnet.ahrq.gov/issue/using-…
-
psnet.ahrq.gov/node/42248/psn-pdf
June 12, 2013 - Measuring handoff quality in labor and delivery:
development, validation, and application of the
Coordination of Handoff Effectiveness Questionnaire
(CHEQ).
June 12, 2013
Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development,
validation, and application of the Coordi…
-
psnet.ahrq.gov/node/73249/psn-pdf
May 12, 2021 - I-PASS handover system: a decade of evidence demands
action.
May 12, 2021
Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf.
2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314.
https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
The I-PASS structu…
-
psnet.ahrq.gov/node/40237/psn-pdf
February 23, 2011 - The impact of the medical emergency team on the
resuscitation practice of critical care nurses.
February 23, 2011
Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation
practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876.
ht…
-
psnet.ahrq.gov/node/45531/psn-pdf
December 14, 2016 - The role of safety culture in influencing provider
perceptions of patient safety.
December 14, 2016
Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J
Patient Saf. 2016;12(4):204-209.
https://psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-percepti…
-
psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - Nontechnical skills in pediatric surgery: factors
influencing operative performance.
April 20, 2016
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J
Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
https://psnet.ahrq.gov/issue/nontechnical-skil…
-
psnet.ahrq.gov/node/44333/psn-pdf
July 15, 2015 - One hospital's initiatives to encourage safe opioid use.
July 15, 2015
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs.
2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
This commentar…
-
psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - June 22, 2022
Factors associated with missed nursing care and nurse-assessed quality
-
psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed
-
psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - January 18, 2013
The effect of hospital electronic health record adoption on nurse-assessed