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Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. | PSNet

psnet.ahrq.gov/issue/implicit-bias-and-caring-diverse-populations-pediatric-trainee-attitudes-and-gaps-training

April 22, 2020 - Study Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Citation Text: Barber Doucet H, Ward VL, Johnson TJ, et al. Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Clin Pediatr (Phila). …

Bad things can happen: are medical students aware of patient centered care and safety? | PSNet

psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety

July 06, 2022 - Study Bad things can happen: are medical students aware of patient centered care and safety? Citation Text: Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/…

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. | PSNet

psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse

March 17, 2021 - Study Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. Citation Text: Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…

The Veterans Affairs root cause analysis system in action. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action

June 22, 2022 - Study Classic The Veterans Affairs root cause analysis system in action. Citation Text: Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.…

What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

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August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

Using incident reports to assess communication failures and patient outcomes. | PSNet

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February 06, 2019 - Study Using incident reports to assess communication failures and patient outcomes. Citation Text: Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2…

Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. | PSNet

psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial

October 18, 2023 - Study Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. Citation Text: Eindhoven DC, Bo…

Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet

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March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

I-PASS handoff program: use of a campaign to effect transformational change. | PSNet

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April 24, 2018 - Study I-PASS handoff program: use of a campaign to effect transformational change. Citation Text: Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. Co…

Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. | PSNet

psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following

November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…

Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. | PSNet

psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second

March 24, 2019 - Study Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. Citation Text: Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet

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March 14, 2022 - EMERGING INNOVATIONS Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Citation Text: Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23…

A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? | PSNet

psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and

January 23, 2019 - Review A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? Citation Text: Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about team…

The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet

psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical

July 14, 2021 - Study The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. Citation Text: Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes…

Enhancing patient safety and risk management through clinical pathways in oncology. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology

September 13, 2023 - Study Enhancing patient safety and risk management through clinical pathways in oncology. Citation Text: Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024…

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. | PSNet

psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through

August 21, 2019 - Study Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. Citation Text: Riblet NB, Soncrant C, Mills PD, et al. Analysis of reported suicide safety events among veterans who received treatment…

Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. | PSNet

psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events

July 20, 2022 - Review Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. Citation Text: Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and eva…

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. | PSNet

psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best

March 01, 2023 - Organizational Policy/Guidelines Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. Citation Text: Cicero MX, Adelgais K, Hoyle JD, et al.…

Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. | PSNet

psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health

December 09, 2020 - Study Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. Citation Text: Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. BMJ Qual …

Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/factors-associated-missed-nursing-care-and-nurse-assessed-quality-care-during-covid-19

June 09, 2021 - Study Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. Citation Text: Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse‐assessed quality of care during the COVID‐19 pandemic. J Nurs Manag.…

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