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  1. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. | PSNet

    psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
    December 15, 2011 - Study Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Citation Text: Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. Copy Citation Format…

  2. Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/hotline.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Preface Summary I. Introductio…

  3. An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/intervention-increase-situational-awareness-and-culture-mutual-care-foco-and-its-effects
    November 21, 2021 - Study An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. Citation Text: Kozasa EH, Lacerda SS, Polissici MA, et al. An Intervention to Increase Situation…

  4. Use of e-triggers to identify diagnostic errors in the paediatric ED. | PSNet

    psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
    October 27, 2021 - Study Use of e-triggers to identify diagnostic errors in the paediatric ED. Citation Text: Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683. Copy Citation For…

  5. Patient Safety Awareness Week 2023 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/news-events/psaw-2023/index.html
    March 01, 2023 - Patient Safety Awareness Week 2023 AHRQ, together with our colleagues from the U.S. Department of Health and Human Services (HHS), the Health Services Resources Administration, the Institute for Healthcare Improvement , and other dedicated patient safety advocates, are observing Patient Safety Awareness Week. …

  6. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

    psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
    March 09, 2022 - Study Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Citation Text: Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…

  7. Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinical-deterioration-and-hospital-acquired-complications-adult-patients-isolation
    September 23, 2020 - Review Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. Citation Text: Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital‐acquired complications in adult patients wi…

  8. Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
    March 02, 2022 - Study Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. Citation Text: Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …

  9. Prevalence and characteristics of physicians prone to malpractice claims. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-characteristics-physicians-prone-malpractice-claims
    April 03, 2019 - Study Classic Prevalence and characteristics of physicians prone to malpractice claims. Citation Text: Studdert DM, Bismark M, Mello MM, et al. Prevalence and Characteristics of Physicians Prone to Malpractice Claims. New Engl J Med. 2016;374(4):354-362. doi:10.…

  10. Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. | PSNet

    psnet.ahrq.gov/issue/professionalising-patient-safety-findings-mixed-methods-formative-evaluation-patient-safety
    August 28, 2024 - Study Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. Citation Text: Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods for…

  11. Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. | PSNet

    psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
    July 13, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…

  12. A Boost for Health Services Research | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
    June 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders A Boost for Health Services Research JUN 21 2022 By Robert Otto Valdez, Ph.D., M.H.S.A. R. Valdez, Ph.D., M.H.S.A. It has been just four months since joining President Biden’s Administration as Director of AHRQ. What a whir…

  13. Association of overlapping surgery with increased risk for complications following hip surgery. | PSNet

    psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
    November 21, 2021 - Study Classic Association of overlapping surgery with increased risk for complications following hip surgery. Citation Text: Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A…

  14. Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-among-hospitalized-patients-covid-19-march-2020-march-2022
    May 12, 2021 - Study Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. Citation Text: Sands KE, Blanchard EJ, Fraker S, et al. Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. JAMA Netw Open. 2023;6(4):…

  15. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. | PSNet

    psnet.ahrq.gov/issue/incidents-resulting-staff-leaving-normal-duties-attend-medical-emergency-team-calls
    July 13, 2010 - Study Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Citation Text: Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. …

  16. Systematic biases in group decision-making: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety
    July 24, 2024 - Study Systematic biases in group decision-making: implications for patient safety. Citation Text: Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083. Copy Citation …

  17. Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet

    psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
    July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …

  18. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and
    August 04, 2021 - Review Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Citation Text: Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…

  19. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. | PSNet

    psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
    July 19, 2019 - Study Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. Citation Text: Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…

  20. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet

    psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - Study Rates and types of events reported to established incident reporting systems in two US hospitals. Citation Text: Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…
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