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psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
October 24, 2018 - Study
Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training.
Citation Text:
West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team…
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psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care
August 08, 2018 - Review
Checking the lists: a systematic review of electronic checklist use in health care.
Citation Text:
Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006.
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psnet.ahrq.gov/issue/development-web-based-surgical-booking-and-informed-consent-system-reduce-potential-error-and
November 16, 2022 - Study
Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication.
Citation Text:
Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent system to reduce the potential…
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digital.ahrq.gov/overview
January 01, 2023 - Overview
1. Eight Key Lessons for Managing Care in Medicaid in 2011 and Beyond ( PDF , 142 KB)
Author(s) : Lorie Martin, Center for Health Care Strategies, Inc. Date : May 2011 Summary : This brief outlines eight lessons for effective managed care drawn from the Center for Health Care Str…
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psnet.ahrq.gov/issue/perceived-patient-safety-culture-critical-care-transport-program
July 03, 2014 - Study
Perceived patient safety culture in a critical care transport program.
Citation Text:
Erler C, Edwards NE, Ritchey S, et al. Perceived patient safety culture in a critical care transport program. Air Med J. 2013;32(4):208-215. doi:10.1016/j.amj.2012.11.002.
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psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans
October 14, 2009 - Study
Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.
Citation Text:
Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…
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psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
March 04, 2020 - Study
Risk of adverse drug events by patient destination after hospital discharge.
Citation Text:
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
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psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams
December 21, 2016 - Study
Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams.
Citation Text:
Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.11…
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psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
May 11, 2016 - Study
Implementing an error disclosure coaching model: a multicenter case study.
Citation Text:
White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260.
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psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative
February 03, 2011 - Study
Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.
Citation Text:
Parnes B, Fernald D, Quintela J, et al. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Qual Saf Health Care. 2007;16(1):12-6.
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psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line
September 30, 2020 - Commentary
Every patient should be enabled to stop the line.
Citation Text:
Bell SK, Martinez W. Every patient should be enabled to stop the line. BMJ Qual Saf. 2019;28(3):172-176. doi:10.1136/bmjqs-2018-008714.
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psnet.ahrq.gov/issue/mandatory-presuit-mediation-5-year-results-medical-malpractice-resolution-program
February 02, 2022 - Study
Mandatory presuit mediation: 5-year results of a medical malpractice resolution program.
Citation Text:
Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/j…
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psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
June 23, 2015 - Review
Classic
Effect of outcome on physician judgments of appropriateness of care.
Citation Text:
Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60.
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psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients
August 30, 2017 - Study
Use of the WHO surgical safety checklist in trauma and orthopaedic patients.
Citation Text:
Sewell M, Adebibe M, Jayakumar P, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897-901. doi:10.1007/s00264-010-1112-7.
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psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
June 19, 2012 - Study
Reducing delay in diagnosis: multistage recommendation tracking.
Citation Text:
Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332.
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psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
April 03, 2009 - Book/Report
Classic
The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.
Citation Text:
The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…
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psnet.ahrq.gov/issue/implementing-warm-handoff-between-hospital-and-skilled-nursing-facility-clinicians
March 04, 2020 - Study
Implementing a warm handoff between hospital and skilled nursing facility clinicians.
Citation Text:
Britton MC, Hodshon B, Chaudhry SI. Implementing a Warm Handoff Between Hospital and Skilled Nursing Facility Clinicians. J Patient Saf. 2019;15(3):198-204. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
May 15, 2019 - Commentary
A quality improvement approach to standardization and sustainability of the hand-off process.
Citation Text:
Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…
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psnet.ahrq.gov/issue/patients-experiences-dental-diagnostic-failures-qualitative-study-using-social-media
September 06, 2017 - Study
Patients' experiences of dental diagnostic failures: a qualitative study using social media.
Citation Text:
Obadan-Udoh E, Howard R, Valmadrid LC, et al. Patients' experiences of dental diagnostic failures: a qualitative study using social media. J Patient Saf. 2024;20(3):177-185. …
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psnet.ahrq.gov/issue/crowdsourcing-diagnosis-exploring-accuracy-size-and-type-group-diagnosis-experimental-study
October 27, 2021 - Study
Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study.
Citation Text:
Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study…