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psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and
April 21, 2015 - Review
Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.
Citation Text:
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.
Citation Text:
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
September 10, 2014 - Book/Report
Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020.
Citation Text:
Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Washington, DC: Veterans Affairs Office of Inspector General; August …
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psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
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www.ahrq.gov/news/newsroom/case-studies/201905.html
September 01, 2019 - University of Texas Health at San Antonio, University Health System Used AHRQ Tools
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July 2019
The University of Texas Health at San Antonio (UT Health SA) used three AHRQ tools as the basis for developing a multimedia decision aid to help patients fully understand and consent …
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psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents-attitudes-and
November 16, 2022 - Study
Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.
Citation Text:
Matlow AG, Moody L, Laxer R, et al. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influe…
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psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations
October 29, 2017 - Commentary
PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations.
Citation Text:
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…
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psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
June 26, 2019 - Study
An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting.
Citation Text:
Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…
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psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
June 14, 2019 - Study
Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice.
Citation Text:
Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better …
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psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room
June 19, 2024 - Study
Cognitive biases encountered by physicians in the emergency room.
Citation Text:
Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3.
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psnet.ahrq.gov/issue/do-final-year-medical-students-have-sufficient-prescribing-competencies-systematic-literature
February 22, 2023 - Review
Emerging Classic
Do final-year medical students have sufficient prescribing competencies? A systematic literature review.
Citation Text:
Brinkman DJ, Tichelaar J, Graaf S, et al. Do final-year medical students have sufficient prescribing competencies? A s…
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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Commentary
Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
Citation Text:
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
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psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
September 27, 2023 - Commentary
Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond.
Citation Text:
Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…
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psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
July 10, 2024 - Study
Dynamic pocket card for implementing ISBAR in shift handover communication.
Citation Text:
Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831.
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psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
June 01, 2022 - Study
Inattentional blindness in anesthesiology: a gorilla is worth one thousand words.
Citation Text:
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.02575…
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psnet.ahrq.gov/issue/leveraging-patient-safety-research-efforts-made-fifteen-years-err-human
March 24, 2019 - Study
Leveraging patient safety research: efforts made fifteen years since To Err Is Human.
Citation Text:
Liang C, Miao Q, Kang H, et al. Leveraging Patient Safety Research: Efforts Made Fifteen Years Since To Err Is Human. Stud Health Technol Inform. 2019;264:983-987. doi:10.3233/SHTI1…
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psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
July 21, 2017 - Study
Simulation in the executive suite: lessons learned for building patient safety leadership.
Citation Text:
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
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psnet.ahrq.gov/issue/improving-medication-administration-safety-using-naive-observation-assess-practice-and-guide
October 06, 2016 - Study
Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes.
Citation Text:
Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and g…
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psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training
February 21, 2018 - Study
An assessment of basic patient safety skills in residents entering the first year of clinical training.
Citation Text:
Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…
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psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths
September 02, 2009 - Study
Medical negligence in drug associated deaths.
Citation Text:
Madea B, Musshoff F, Preuss J. Medical negligence in drug associated deaths. Forensic Sci Int. 2009;190(1-3):67-73. doi:10.1016/j.forsciint.2009.05.014.
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