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  1. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-staff-perspectives
    January 20, 2016 - Study Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Citation Text: Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Me…

  2. Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. | PSNet

    psnet.ahrq.gov/issue/application-aviation-black-box-principle-pediatric-cardiac-surgery-tracking-all-failures
    October 07, 2013 - Study Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. Citation Text: Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: trac…

  3. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. | PSNet

    psnet.ahrq.gov/issue/evaluation-culture-safety-survey-clinicians-and-managers-academic-medical-center
    September 28, 2010 - Study Classic Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Citation Text: Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academ…

  4. How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. | PSNet

    psnet.ahrq.gov/issue/how-nurses-and-physicians-judge-their-own-quality-care-deteriorating-patients-medical-wards
    November 20, 2015 - Study How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. Citation Text: Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality of care for…

  5. A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet

    psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
    September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…

  6. Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. | PSNet

    psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores
    September 29, 2017 - Study Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. Citation Text: Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes…

  7. Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/validation-new-icd-10-based-patient-safety-indicators-identification-hospital-complications
    April 19, 2023 - Study Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy. Citation Text: McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…

  8. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. | PSNet

    psnet.ahrq.gov/issue/implementing-receiver-driven-handoffs-emergency-department-reduce-miscommunication
    December 05, 2018 - Study Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. Citation Text: Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.113…

  9. Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. | PSNet

    psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
    August 21, 2024 - Study Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. Citation Text: Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…

  10. Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet

    psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
    May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…

  11. Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet

    psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
    June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

  12. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
    November 10, 2021 - Study In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. Citation Text: Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. 2022…

  13. Medicines reconciliation using a shared electronic health care record. | PSNet

    psnet.ahrq.gov/issue/medicines-reconciliation-using-shared-electronic-health-care-record
    March 04, 2015 - Study Medicines reconciliation using a shared electronic health care record. Citation Text: Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record. J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9. Copy Citation …

  14. Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet

    psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
    December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …

  15. Speaking up or remaining silent about patient safety concerns in rehabilitation: a cross-sectional survey to assess staff experiences and perceptions. | PSNet

    psnet.ahrq.gov/issue/speaking-or-remaining-silent-about-patient-safety-concerns-rehabilitation-cross-sectional
    November 06, 2019 - Study Speaking up or remaining silent about patient safety concerns in rehabilitation: a cross-sectional survey to assess staff experiences and perceptions. Citation Text: Niederhauser A, Schwappach DLB. Speaking up or remaining silent about patient safety concerns in rehabilitation: a c…

  16. Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results of a multicentre validity and reproducibility study, 11 European Union countries, 2017 to 2018. | PSNet

    psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections-death-results
    August 10, 2022 - Study Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results of a multicentre validity and reproducibility study, 11 European Union countries, 2017 to 2018. Citation Text: van der Kooi T, Lepape A, Astagneau P, et al. Mortality review …

  17. Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. | PSNet

    psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice
    October 13, 2021 - Study Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. Citation Text: Ostrovsky D, Novack V, Smulowitz PB, et al. Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. J…

  18. A systematic review of patient safety measures in adult primary care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
    March 15, 2016 - Review A systematic review of patient safety measures in adult primary care. Citation Text: Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328. Copy Citation Format…

  19. The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program. | PSNet

    psnet.ahrq.gov/issue/analysis-hospital-readmission-rates-after-implementation-hospital-readmissions-reduction
    October 12, 2022 - Study The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program. Citation Text: Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of hospital readmissions reduction program. J Patie…

  20. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. | PSNet

    psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving
    March 03, 2021 - Review Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. Citation Text: Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…
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