AHRQ Search | Home Page

In Conversation With… Amy C. Edmondson, PhD, AM | PSNet

psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am

February 01, 2017 - In Conversation With… Amy C. Edmondson, PhD, AM February 1, 2017 Also Read an Essay Citation Text: In Conversation With… Amy C. Edmondson, PhD, AM. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…

Lesson from the VA's Team Training Program | PSNet

psnet.ahrq.gov/perspective/lesson-vas-team-training-program

November 01, 2011 - Lesson from the VA's Team Training Program Julia Neily, RN, MS, MPH; Peter D. Mills, PhD, MS; Lisa M. Mazzia, MD; and Douglas E. Paull,MD | November 1, 2011 Also Read a Conversation View more articles from the same authors. Citation Text: Neily J, Mills PD, Pa…

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet

psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error

July 30, 2020 - January 4, 2024 WebM&M Cases A framework for assessing

Hospital quality and patient safety competencies: development, description, and recommendations for use. | PSNet

psnet.ahrq.gov/issue/hospital-quality-and-patient-safety-competencies-development-description-and-recommendations

January 10, 2018 - Commentary Hospital quality and patient safety competencies: development, description, and recommendations for use. Citation Text: O'Leary KJ, Afsar-Manesh N, Budnitz T, et al. Hospital quality and patient safety competencies: Development, description, and recommendations for use. J Ho…

Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. | PSNet

psnet.ahrq.gov/issue/guidelines-prevention-diagnosis-and-treatment-ventilator-associated-pneumonia-vap-trauma

October 19, 2022 - Organizational Policy/Guidelines Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. Citation Text: Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (V…

An evolution of reporting: identifying the missing link. | PSNet

psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link

August 17, 2022 - Commentary An evolution of reporting: identifying the missing link. Citation Text: Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761. Copy Citation Format: …

Secure messaging use and wrong-patient ordering errors among inpatient clinicians. | PSNet

psnet.ahrq.gov/issue/secure-messaging-use-and-wrong-patient-ordering-errors-among-inpatient-clinicians

July 20, 2022 - Study Secure messaging use and wrong-patient ordering errors among inpatient clinicians. Citation Text: Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47…

Are med school grads prepared to practice medicine? | PSNet

psnet.ahrq.gov/issue/are-med-school-grads-prepared-practice-medicine

April 04, 2012 - Newspaper/Magazine Article Are med school grads prepared to practice medicine? Citation Text: Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A national survey of internal medicine residency program directors. Academic medicine : journal…

The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-checklist-quality-post-anaesthesia-patient-handover-randomized-controlled-trial

February 15, 2012 - Study The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Citation Text: Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int…

When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? | PSNet

psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety

June 28, 2011 - Commentary When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Citation Text: Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…

Surgical team training: promoting high reliability with nontechnical skills. | PSNet

psnet.ahrq.gov/issue/surgical-team-training-promoting-high-reliability-nontechnical-skills

May 01, 2019 - Commentary Surgical team training: promoting high reliability with nontechnical skills. Citation Text: Paige JT. Surgical team training: promoting high reliability with nontechnical skills. Surg Clin North Am. 2010;90(3):569-81. doi:10.1016/j.suc.2010.02.007. Copy Citation Format…

Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. | PSNet

psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air

November 25, 2009 - Study Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. Citation Text: Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary healt…

Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors. | PSNet

psnet.ahrq.gov/issue/prejudice-perceptions-physicians-influence-race-and-gender-evaluations-medical-errors

March 27, 2019 - Study Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors. Citation Text: Brown D, Martinez LR, Hebl MMR. Prejudice in Perceptions of Physicians?: The Influence of Race and Gender on Evaluations of Medical Errors. J Gen Intern Med. 2…

Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? | PSNet

psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution

October 30, 2013 - Commentary Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? Citation Text: Hunt GJF, Callaghan KSN. COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED? ANZ J Surg. 2008;78(8). doi:1…

The effect of health information technology on quality in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/effect-health-information-technology-quality-us-hospitals

September 27, 2010 - Study The effect of health information technology on quality in U.S. hospitals. Citation Text: McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S. hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155. …

Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet

psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system

January 12, 2022 - Commentary Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Citation Text: Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…

Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/systematic-review-antimicrobial-urinary-catheters-prevent-catheter-associated-urinary-tract

October 19, 2022 - Review Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. Citation Text: Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract i…

Simulation in graduate medical education 2008: a review for emergency medicine. | PSNet

psnet.ahrq.gov/issue/simulation-graduate-medical-education-2008-review-emergency-medicine

July 13, 2010 - Commentary Simulation in graduate medical education 2008: a review for emergency medicine. Citation Text: McLaughlin S, Fitch MT, Goyal DG, et al. Simulation in graduate medical education 2008: a review for emergency medicine. Acad Emerg Med. 2008;15(11):1117-29. doi:10.1111/j.1553-271…

Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? | PSNet

psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe

February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…

Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. | PSNet

psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication

June 29, 2011 - Study Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. Citation Text: Graves K, Symes L, Cesario SK, et al. Is There Light? Well It Depends--A Grounded Theory Study of Nurses, Lighting, and Medication Administration. Nurs Forum. …

Search AHRQ

Results