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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44248/psn-pdfMay 26, 2016 - Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. May 26, 2016 Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Events. JAMA Surg. 2015;150(8):796-805. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837729/psn-pdfJuly 27, 2022 - Development of a multicomponent intervention to decrease racial bias among healthcare staff. July 27, 2022 Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. doi:10.1007/s11606-022-07464-x. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45754/psn-pdfSeptember 01, 2018 - Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. September 1, 2018 Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/1475-6773.12621. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74139/psn-pdfDecember 01, 2021 - Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. December 1, 2021 Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associated with patient deterioration: a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74163/psn-pdfDecember 08, 2008 - Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. December 8, 2008 Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. Patient Educ Coun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866646/psn-pdfSeptember 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. September 4, 2024 Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. doi:10.1136/bmjoq-2024- 002848… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850162/psn-pdfJune 07, 2023 - Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. June 7, 2023 Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45535/psn-pdfJanuary 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41898/psn-pdfDecember 05, 2012 - Pharmacy dispensing of electronically discontinued medications. December 5, 2012 Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851348/psn-pdfJuly 12, 2023 - Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. July 12, 2023 Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orders for Life- Sustaining Treatments thr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850161/psn-pdfJune 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844043/psn-pdfFebruary 08, 2023 - In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? February 8, 2023 Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review. Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41794/psn-pdfJanuary 31, 2013 - Safety culture and complications after bariatric surgery. January 31, 2013 Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085. https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37534/psn-pdfFebruary 13, 2008 - Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. February 13, 2008 DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. J … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840153/psn-pdfNovember 16, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. November 16, 2022 Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-w… -
AHRQ Organization Chart (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/orgchart/organizationchart-060225.pdfJune 01, 2025 - AHRQ Organization Chart Office of Extramural Research, Education and Priority Populations Francis D. Chesley, Jr., M.D. Director Directs the scientific review process for grants and contracts, manages Agency research training programs, evaluates the scientific contribution of proposed and ongoing research an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60539/psn-pdfJuly 10, 2017 - Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. July 10, 2017 Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839817/psn-pdfJanuary 01, 2023 - Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. November 9, 2022 Cakir MS, Wardman JK, Trautrims A. Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the CO… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43117/psn-pdfDecember 12, 2014 - Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. December 12, 2014 Consumer Reports. March 27, 2014. https://psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help- you-find-out Despite lack of consensus on the valu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35935/psn-pdfJune 16, 2011 - Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. June 16, 2011 Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg. 2006;202(5):746-52. https://psnet.ahrq.gov/issue/operating-roo…
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