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  1. Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. | PSNet

    psnet.ahrq.gov/issue/exploring-factors-promote-or-diminish-psychologically-safe-environment-qualitative-interview
    September 01, 2021 - Study Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. Citation Text: Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a psychologically safe environment…

  2. Speaking up during the COVID-19 pandemic: nurses' experiences of organizational disregard and silence. | PSNet

    psnet.ahrq.gov/issue/speaking-during-covid-19-pandemic-nurses-experiences-organizational-disregard-and-silence
    September 07, 2022 - Study Speaking up during the COVID-19 pandemic: nurses' experiences of organizational disregard and silence. Citation Text: Abrams R, Conolly A, Rowland E, et al. Speaking up during the COVID‐19 pandemic: nurses' experiences of organizational disregard and silence. J Adv Nurs. 2023;79(6)…

  3. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
    November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Citation Text: de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 202…

  4. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. | PSNet

    psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
    February 22, 2023 - Study NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. Citation Text: Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative documen…

  5. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet

    psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
    January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions Remain Eric J. Thomas, MD, MPH | January 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. P…

  6. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
    April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

  7. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
    January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer Final Progress Report Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer Principal Investigator: Katherine J. Jones, PT, PhD1 Co-Investigators: MARobin High, MBA, 1 Roni Reiter-P…

  8. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
    October 01, 2012 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Eliminating CLABSI, A National Patient Safety Imperative Final Report on the National On the CUSP: Stop BSI Project A Project of: Health Research & Educational Trust Johns Hopkins Medicine Armstrong Institute for Patient Safet…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35306/psn-pdf
    July 14, 2009 - The iatrogenic-harm cost equation and new technology. July 14, 2009 Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x. https://psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology The author suggests that greater focus o…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33966/psn-pdf
    August 01, 2017 - Enhancing Patient Safety and Reducing Errors in Health Care. August 1, 2017 Scheffler A; Zipperer LA, eds. Chicago, IL: National Patient Safety Foundation; 1999. ISBN: 9781579470555. https://psnet.ahrq.gov/issue/enhancing-patient-safety-and-reducing-errors-health-care The proceedings from the 1998 Annenberg meeti…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36760/psn-pdf
    August 23, 2011 - A plan for achieving significant improvement in patient safety. August 23, 2011 Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual. 2007;22(2):164-71. https://psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety The authors describe the u…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38251/psn-pdf
    November 26, 2008 - Nursing peer review: developing a framework for patient safety. November 26, 2008 Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28. https://psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety This…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41197/psn-pdf
    March 07, 2012 - Fear of punitive response to hospital errors lingers. March 7, 2012 O'Reilly KB. American Medical News. February 20, 2012. https://psnet.ahrq.gov/issue/fear-punitive-response-hospital-errors-lingers This news article highlights the problem of blame culture in health care, which hinders incident reporting and safet…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37208/psn-pdf
    December 15, 2011 - Can your nurses stop a surgeon? December 15, 2011 Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42. https://psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon This article traces the development of a safety culture in a large Illinois health care system and describes its successful us…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35775/psn-pdf
    July 20, 2010 - Development and implementation of a hospital-based patient safety program. July 20, 2010 Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8. https://psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37633/psn-pdf
    June 29, 2011 - Development of a patient safety climate scale in Japan. June 29, 2011 Matsubara S, Hagihara A, Nobutomo K. Development of a patient safety climate scale in Japan. Int J Qual Health Care. 2008;20(3):211-20. doi:10.1093/intqhc/mzn003. https://psnet.ahrq.gov/issue/development-patient-safety-climate-scale-japan This a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36428/psn-pdf
    December 22, 2010 - Medical errors: where are we now? December 22, 2010 Mewshaw MR, White KM, Walrath JM. Medical errors: where are we now? Nurs Manage. 2006;37(10):50- 54. https://psnet.ahrq.gov/issue/medical-errors-where-are-we-now The authors discuss the Patient Safety and Quality Improvement Act of 2005 and the role nurse manager…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42112/psn-pdf
    March 13, 2013 - Anger management courses are a new tool for dealing with out-of-control doctors.   March 13, 2013 Boodman SG. Washington Post. March 4, 2013. https://psnet.ahrq.gov/issue/anger-management-courses-are-new-tool-dealing-out-control-doctors This newspaper article reports on how anger management courses can address phy…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35247/psn-pdf
    December 17, 2008 - Review of the Australian Incident Monitoring System. December 17, 2008 Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657- 61. https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system The authors surveyed users of the Australian Incident Monitorin…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35389/psn-pdf
    June 09, 2011 - Working conditions that support patient safety. June 9, 2011 Hughes RG, Clancy CM. Working conditions that support patient safety. J Nurs Care Qual. 2005;20(4):289- 292. https://psnet.ahrq.gov/issue/working-conditions-support-patient-safety Drawing on insights from AHRQ-funded research, the authors recap how human…
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