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Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. | PSNet

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April 21, 2016 - Study Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. Citation Text: Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…

It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. | PSNet

psnet.ahrq.gov/issue/it-depends-who-you-ask-divergences-staff-and-external-stakeholder-narratives-about-causes

August 05, 2020 - Study It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. Citation Text: Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthca…

Associations between patient safety culture and workplace safety culture in hospital settings. | PSNet

psnet.ahrq.gov/issue/associations-between-patient-safety-culture-and-workplace-safety-culture-hospital-settings

December 09, 2020 - Study Associations between patient safety culture and workplace safety culture in hospital settings. Citation Text: Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. do…

National and local medication error reporting systems—a survey of practices in 16 countries. | PSNet

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September 09, 2015 - Study National and local medication error reporting systems—a survey of practices in 16 countries. Citation Text: Holmström A-R, Airaksinen M, Weiss M, et al. National and local medication error reporting systems: a survey of practices in 16 countries. J Patient Saf. 2012;8(4):165-76. …

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. | PSNet

psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve

October 03, 2011 - Study Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Citation Text: Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …

Exploration of factors associated with reported medication administration errors in North Carolina public school districts. | PSNet

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September 20, 2012 - Study Exploration of factors associated with reported medication administration errors in North Carolina public school districts. Citation Text: Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina …

Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. | PSNet

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July 11, 2018 - Review Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. Citation Text: Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement proj…

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery

February 17, 2021 - Commentary Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Citation Text: Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…

Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. | PSNet

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July 09, 2008 - Review Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Citation Text: Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Public Health. 2023;223…

Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. | PSNet

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August 20, 2018 - Study Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. Citation Text: Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patie…

It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. | PSNet

psnet.ahrq.gov/issue/its-sending-message-bottle-qualitative-study-consequences-one-way-communication-technologies

December 02, 2020 - Study It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. Citation Text: Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…

Disaster ergonomics: human factors in COVID-19 pandemic emergency management. | PSNet

psnet.ahrq.gov/issue/disaster-ergonomics-human-factors-covid-19-pandemic-emergency-management

September 30, 2020 - Commentary Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Citation Text: Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. …

Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. | PSNet

psnet.ahrq.gov/issue/patients-negative-experiences-health-care-settings-brought-light-formal-complaints

July 21, 2021 - Review Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. Citation Text: Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…

Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. | PSNet

psnet.ahrq.gov/issue/patient-observer-approach-alternative-method-hand-hygiene-auditing-ambulatory-care-setting

September 13, 2023 - Study Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. Citation Text: Le-Abuyen S, Ng J, Kim S, et al. Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting. Am J Infect Cont…

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. | PSNet

psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary-paradigm-mitigating

January 02, 2017 - Study A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. Citation Text: Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidiscipli…

Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. | PSNet

psnet.ahrq.gov/issue/toward-patient-centered-cancer-care-patient-perceptions-problematic-events-impact-and

March 11, 2013 - Study Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. Citation Text: Mazor KM, Roblin DW, Greene SM, et al. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. J Clin Oncol. 2012;30(…

Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. | PSNet

psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury

August 26, 2011 - Study Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Citation Text: Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…

The frequency and significance of discrepancies in the surgical count. | PSNet

psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count

March 02, 2011 - Study The frequency and significance of discrepancies in the surgical count. Citation Text: Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. Copy Citation …

Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. | PSNet

psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional

October 19, 2022 - Study Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. Citation Text: Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…

Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/role-relatives-ethnic-minority-patients-patient-safety-hospital-care-qualitative-study

March 15, 2016 - Study Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. Citation Text: van Rosse F, Suurmond J, Wagner C, et al. Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. BMJ Open. 2016;6(4)…

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