AHRQ Search | Home Page

Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet

psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning

November 16, 2022 - Commentary Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. Citation Text: Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…

Facing ambiguous threats. | PSNet

psnet.ahrq.gov/issue/facing-ambiguous-threats

December 24, 2008 - Commentary Facing ambiguous threats. Citation Text: Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Measuring teamwork in health care settings: a review of survey instruments. | PSNet

psnet.ahrq.gov/issue/measuring-teamwork-health-care-settings-review-survey-instruments

December 14, 2016 - Review Measuring teamwork in health care settings: a review of survey instruments. Citation Text: Valentine MA, Nembhard IM, Edmondson A. Measuring teamwork in health care settings: a review of survey instruments. Med Care. 2015;53(4):e16-e30. doi:10.1097/MLR.0b013e31827feef6. Copy Cit…

Understanding psychological safety in health care and education organizations: a comparative perspective. | PSNet

psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative

July 30, 2014 - Commentary Understanding psychological safety in health care and education organizations: a comparative perspective. Citation Text: Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum…

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. | PSNet

psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age

January 09, 2018 - Book/Report Classic The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Citation Text: The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463. …

Implementing SBAR across a large multihospital health system. | PSNet

psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system

November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children

January 12, 2022 - Study Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. Citation Text: Carlotti APCP, Bachette LG, Carmona F, et al. Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective Study.…

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. | PSNet

psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii

April 18, 2012 - Study Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. Citation Text: Garrouste-Orgeas M, Timsit JF, Vesin A, et al. Selected Medical Errors in the Intensive Care Unit. Am J Respir Crit Care Med. 2009;181(2):134-142. doi:10.1164/rccm.20…

Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu

August 15, 2016 - Study Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. Citation Text: Pelieu I, Djadi-Prat J, Consoli SM, et al. Impact of organizational culture on preventability assessment of selec…

Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. | PSNet

psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified

February 01, 2017 - Study Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational survey. Citation Text: Villafranca A, Fast I, Turick M, et al. Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multination…

Characteristics and trends of medical diagnostic errors in the United States. | PSNet

psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states

December 14, 2022 - Study Characteristics and trends of medical diagnostic errors in the United States. Citation Text: Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603. Copy Citation Format: …

Health technology, quality and safety in a learning health system. | PSNet

psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system

February 09, 2022 - Commentary Health technology, quality and safety in a learning health system. Citation Text: Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383. Copy Citation Format: …

Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. | PSNet

psnet.ahrq.gov/issue/changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review

April 06, 2011 - Review Classic Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. JAMA. 2003;2…

Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. | PSNet

psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021

October 12, 2022 - Book/Report Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Citation Text: Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Washington, DC: Veterans Affairs Office of Inspector General; 2…

Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. | PSNet

psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports

July 08, 2020 - Study Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Citation Text: Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555. Copy …

Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet

psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient

November 18, 2016 - Commentary Curriculum development and implementation of a national interprofessional fellowship in patient safety. Citation Text: Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…

Utilizing pharmacy students in transitions-of-care services. | PSNet

psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services

October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…

Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project

September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet

psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case

January 22, 2017 - Study Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. Citation Text: Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and A…

Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity | PSNet

psnet.ahrq.gov/issue/medication-errors-emergency-departments-systematic-review-and-meta-analysis-prevalence-and

April 02, 2014 - Review Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity Citation Text: Nguyen PTL, Phan TAT, Vo VBN, et al. Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity. Int J Clin…

Search AHRQ

Results