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psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
July 21, 2017 - Review
Emerging Classic
Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis.
Citation Text:
McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact …
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psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
February 24, 2011 - Study
Does error and adverse event reporting by physicians and nurses differ?
Citation Text:
Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545.
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psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
June 16, 2021 - Study
Emerging Classic
Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns.
Citation Text:
Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of …
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psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - Study
Classic
Explaining Michigan: developing an ex post theory of a quality improvement program.
Citation Text:
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…
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psnet.ahrq.gov/issue/influence-gender-profession-and-managerial-function-clinicians-perceptions-patient-safety
September 07, 2022 - Study
Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study.
Citation Text:
Gambashidze N, Hammer A, Wagner A, et al. Influence of gender, profession, and managerial function on clinicians' pe…
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psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools
May 26, 2021 - Review
Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare.
Citation Text:
Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systemati…
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psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-perceptions
January 14, 2011 - Study
Classic
Hand hygiene among physicians: performance, beliefs, and perceptions.
Citation Text:
Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8.
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psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
February 09, 2022 - Study
Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU.
Citation Text:
Procaccini D, Rapaport R, Petty BG, et al. Design and Impleme…
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psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review
November 13, 2019 - Review
Emerging Classic
Patient safety in inpatient mental health settings: a systematic review.
Citation Text:
Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.…
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psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
January 29, 2018 - Study
Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy.
Citation Text:
Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…
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psnet.ahrq.gov/issue/compliance-and-barriers-implementing-surgical-safety-checklist-mixed-methods-study
October 06, 2021 - Study
Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study.
Citation Text:
Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:…
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - Study
To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.
Citation Text:
Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…
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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.…
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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…
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psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
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…
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psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change
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.
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psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four-retrospective
May 18, 2022 - Study
Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies.
Citation Text:
Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective reco…
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psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
February 26, 2020 - Study
What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers.
Citation Text:
Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…
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psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals
October 20, 2021 - Study
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.
Citation Text:
Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…
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psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
July 06, 2022 - Study
Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising.
Citation Text:
Young RA, Gurses AP, Fulda KG, et al. Primary care teams’ reported actions to improve medication safety: a qualitative study with insi…