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Showing results for "cultural".
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  1. Toward a safer health care system: the critical need to improve measurement. | PSNet

    psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
    November 03, 2015 - Commentary Classic Toward a safer health care system: the critical need to improve measurement. Citation Text: Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…

  2. Anesthesia-related closed claims in free-standing ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
    March 29, 2023 - Study Anesthesia-related closed claims in free-standing ambulatory surgery centers. Citation Text: Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. C…

  3. Medical team training: applying crew resource management in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
    April 30, 2014 - Study Classic Medical team training: applying crew resource management in the Veterans Health Administration. Citation Text: Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…

  4. Nurses' experiences of organizational learning. | PSNet

    psnet.ahrq.gov/issue/nurses-experiences-organizational-learning
    July 21, 2021 - Study Nurses' experiences of organizational learning. Citation Text: Lyman B, Biddulph ME, Hopper VG, et al. Nurses' experiences of organisational learning: a qualitative descriptive study. J Nurs Manag. 2020;28(6):1241-1249. doi:10.1111/jonm.13070. Copy Citation Format: DO…

  5. The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
    January 22, 2016 - Review The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. Citation Text: Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam …

  6. Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
    July 25, 2018 - Review Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. Citation Text: Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;4…

  7. Incivility in healthcare: the impact of poor communication. | PSNet

    psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
    October 19, 2022 - Review Incivility in healthcare: the impact of poor communication. Citation Text: Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. Copy Citation Format: DOI Google Sch…

  8. “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. | PSNet

    psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
    December 02, 2020 - Study “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. Citation Text: Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-23…

  9. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. | PSNet

    psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
    April 17, 2024 - Study Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Citation Text: Zerillo JA, Tardiff SA, Flood D, et al. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Jt Comm J Qual Patient Saf. 2024;50(7):492-49…

  10. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. | PSNet

    psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study
    January 15, 2025 - Study Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. Citation Text: Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …

  11. Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. | PSNet

    psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems
    May 11, 2022 - Review Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. Citation Text: Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…

  12. Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. | PSNet

    psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens
    January 22, 2025 - Study Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. Citation Text: Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient saf…

  13. Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). | PSNet

    psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
    February 15, 2023 - Study Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). Citation Text: Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of a patient safety inciden…

  14. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? | PSNet

    psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions
    May 28, 2014 - Study Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? Citation Text: Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 20…

  15. Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. | PSNet

    psnet.ahrq.gov/issue/implementation-i-pass-handoff-program-diverse-clinical-environments-multicenter-prospective
    April 24, 2018 - Study Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. Citation Text: Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I‐PASS handoff program in diverse clinical environments: a mu…

  16. The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. | PSNet

    psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus
    September 20, 2011 - Study Classic The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. Citation Text: Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Saf…

  17. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome. | PSNet

    psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and
    April 12, 2019 - Study The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome. Citation Text: Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean sectio…

  18. What and when to debrief: a scoping review examining interprofessional clinical debriefing. | PSNet

    psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing
    September 09, 2015 - Review What and when to debrief: a scoping review examining interprofessional clinical debriefing. Citation Text: Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1…

  19. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. | PSNet

    psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
    December 20, 2017 - Study Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Citation Text: Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …

  20. Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). | PSNet

    psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
    September 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Citation Text: Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…
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