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psnet.ahrq.gov/issue/association-hospital-participation-regional-trauma-quality-improvement-collaborative-patient
August 20, 2018 - Study
Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes.
Citation Text:
Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patie…
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psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
August 28, 2024 - Commentary
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Citation Text:
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…
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psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
December 15, 2011 - Study
Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.
Citation Text:
Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of c…
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psnet.ahrq.gov/issue/understanding-informal-aspects-medication-processes-maintain-patient-safety-hospitals
March 06, 2024 - Study
Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units.
Citation Text:
Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to mainta…
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psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn
July 10, 2024 - Study
Patient safety near misses – still missing opportunities to learn.
Citation Text:
Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430.
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psnet.ahrq.gov/issue/applying-decision-science-prioritization-healthcare-associated-infection-initiatives
October 20, 2021 - Study
Applying decision science to the prioritization of healthcare-associated infection initiatives.
Citation Text:
Tsai TH, Gerst MD, Engineer C, et al. Applying decision science to the prioritization of healthcare-associated infection initiatives. J Patient Saf. 2021;17(7):506-512. do…
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psnet.ahrq.gov/issue/development-and-evaluation-checklist-support-decision-making-cancer-multidisciplinary-team
September 25, 2011 - Study
Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC.
Citation Text:
Lamb BW, Sevdalis N, Vincent C, et al. Development and evaluation of a checklist to support decision making in cancer multidisciplinary team me…
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psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
March 25, 2017 - Study
Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes.
Citation Text:
Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…
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psnet.ahrq.gov/issue/surgeon-specific-mortality-data-disguise-wider-failings-delivery-safe-surgical-services
March 09, 2022 - Study
Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services.
Citation Text:
Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):3…
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psnet.ahrq.gov/issue/patients-negative-experiences-health-care-settings-brought-light-formal-complaints
July 21, 2021 - Review
Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis.
Citation Text:
Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…
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psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary-paradigm-mitigating
January 02, 2017 - Study
A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.
Citation Text:
Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidiscipli…
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psnet.ahrq.gov/issue/making-health-care-safer-critical-review-modern-evidence-supporting-strategies-improve
June 08, 2011 - Special or Theme Issue
Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.
Citation Text:
Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Shekelle PG, Pronovost…
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psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
October 19, 2022 - Study
Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.
Citation Text:
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…
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psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go-considerations
June 13, 2018 - Study
Enhancing safety of a system-wide in situ simulation program using no-go considerations.
Citation Text:
Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/si…
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psnet.ahrq.gov/issue/role-morbidity-and-mortality-rounds-medical-education-scoping-review
July 03, 2016 - Review
The role of morbidity and mortality rounds in medical education: a scoping review.
Citation Text:
Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234.
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psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - Commentary
DEEP SCOPE: a framework for safe healthcare design.
Citation Text:
Taylor E, Hignett S. DEEP SCOPE: a framework for safe healthcare design. Int J Environ Res Public Health. 2021;18(15):7780. doi:10.3390/ijerph18157780.
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
January 24, 2018 - Study
Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice.
Citation Text:
Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual …
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psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature
November 10, 2015 - Review
Incident and error reporting systems in intensive care: a systematic review of the literature.
Citation Text:
Brunsveld-Reinders AH, Arbous S, De Vos R, et al. Incident and error reporting systems in intensive care: a systematic review of the literature. Int J Qual Health Care. 20…
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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…
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psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors
June 19, 2019 - Study
Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation.
Citation Text:
Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity …