AHRQ Search | Home Page

'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns. | PSNet

psnet.ahrq.gov/issue/saying-it-without-words-qualitative-study-oncology-staffs-experiences-speaking-about-safety

November 05, 2014 - Study 'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns. Citation Text: Schwappach DLB, Gehring K. 'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns. BM…

Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital. | PSNet

psnet.ahrq.gov/issue/quality-and-patient-safety-metrics-developing-structured-program-improving-patient-care

April 22, 2011 - Study Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital. Citation Text: Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured program for i…

Psychometric properties of the perinatal missed care survey and missed care during labor and birth. | PSNet

psnet.ahrq.gov/issue/psychometric-properties-perinatal-missed-care-survey-and-missed-care-during-labor-and-birth

April 12, 2023 - Study Psychometric properties of the perinatal missed care survey and missed care during labor and birth. Citation Text: Lyndon A, Simpson KR, Spetz J, et al. Psychometric properties of the perinatal missed care survey and missed care during labor and birth. Appl Nurs Res. 2022;63:151516…

Deployment of a second victim peer support program: a replication study. | PSNet

psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study

January 12, 2022 - Study Deployment of a second victim peer support program: a replication study. Citation Text: Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. Copy Citation …

A systems approach to identify factors influencing adverse drug events in nursing homes. | PSNet

psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes

March 18, 2020 - Study A systems approach to identify factors influencing adverse drug events in nursing homes. Citation Text: Al-Jumaili AA, Doucette WR. A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. J Am Geriatr Soc. 2018;66(7):1420-1427. doi:10.1111/jgs.15389…

Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/perspectives-perioperative-team-based-morbidity-and-mortality-conferences-mixed-methods-study

October 11, 2023 - Study Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. Citation Text: Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Pati…

Approaches for improving continuity of care in medication management: a systematic review. | PSNet

psnet.ahrq.gov/issue/approaches-improving-continuity-care-medication-management-systematic-review

April 13, 2022 - Review Approaches for improving continuity of care in medication management: a systematic review. Citation Text: Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. d…

“I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. | PSNet

psnet.ahrq.gov/issue/i-made-mistake-narrative-analysis-experienced-physicians-stories-preventable-error

September 26, 2016 - Study “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. Citation Text: Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(…

Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. | PSNet

psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation

February 12, 2020 - Study Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. Citation Text: Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…

Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. | PSNet

psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study

March 03, 2019 - Study Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. Citation Text: Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…

The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. | PSNet

psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles

September 22, 2021 - Study The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. Citation Text: Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…

Anesthesiology patient handoff education interventions: a systematic review. | PSNet

psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review

April 28, 2021 - Review Anesthesiology patient handoff education interventions: a systematic review. Citation Text: Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…

Perceptions of nurses who are second victims in a hospital setting. | PSNet

psnet.ahrq.gov/issue/perceptions-nurses-who-are-second-victims-hospital-setting

February 28, 2018 - Study Perceptions of nurses who are second victims in a hospital setting. Citation Text: Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603. Copy Citation …

The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. | PSNet

psnet.ahrq.gov/issue/relationship-organizational-culture-stress-satisfaction-and-burnout-physician-reported-error

October 12, 2011 - Study The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Citation Text: Williams E, Manwell LB, Konrad TR, et al. The relationship of organizational culture, stress, satis…

Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet

psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient

February 14, 2024 - Study Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. Citation Text: Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…

The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. | PSNet

psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients

April 24, 2018 - Study The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. Citation Text: Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. d…

Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. | PSNet

psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family

November 02, 2010 - Study Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. Citation Text: Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, f…

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. | PSNet

psnet.ahrq.gov/issue/modifications-medical-emergency-team-activation-criteria-and-implications-patient-safety

July 20, 2022 - Study Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. Citation Text: Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and implications for patient safety: a point …

Improving employee voice about transgressive or disruptive behavior: a case study. | PSNet

psnet.ahrq.gov/issue/improving-employee-voice-about-transgressive-or-disruptive-behavior-case-study

June 16, 2021 - Study Improving employee voice about transgressive or disruptive behavior: a case study. Citation Text: Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.00000000000…

Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes? | PSNet

psnet.ahrq.gov/issue/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially

December 15, 2011 - Study Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes? Citation Text: Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive Guidelines Reduce the…

Search AHRQ

Results