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8441. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. | PSNet
      psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations
      July 21, 2021 - Review Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Citation Text: Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…

8442. Adverse drug events caused by serious medication administration errors. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors
      December 19, 2009 - Study Adverse drug events caused by serious medication administration errors. Citation Text: Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. Copy Citation …

8443. Nursing bedside clinical handover—an integrated review of issues and tools. | PSNet
      psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
      July 07, 2021 - Review Nursing bedside clinical handover—an integrated review of issues and tools. Citation Text: Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706. Copy Citat…

8444. Information handoff and outcomes of critically ill patients transferred between hospitals. | PSNet
      psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between-hospitals
      July 18, 2016 - Study Information handoff and outcomes of critically ill patients transferred between hospitals. Citation Text: Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.20…

8445. Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts. | PSNet
      psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports
      October 27, 2021 - Study Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts. Citation Text: Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random variation in organisational performa…

8446. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. | PSNet
      psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
      March 13, 2024 - Study Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. Citation Text: Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant revi…

8447. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. | PSNet
      psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
      September 21, 2022 - Study Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. Citation Text: Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…

8448. Digital health intervention on patient safety for children and parents: a scoping review. | PSNet
      psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review
      January 23, 2017 - Review Digital health intervention on patient safety for children and parents: a scoping review. Citation Text: Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954. Co…

8449. The link between clinically validated patient safety indicators and clinical outcomes. | PSNet
      psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
      November 16, 2016 - Study The link between clinically validated patient safety indicators and clinical outcomes. Citation Text: Gray DM, Hefner JL, Nguyen MC, et al. The Link Between Clinically Validated Patient Safety Indicators and Clinical Outcomes. Am J Med Qual. 2017;32(6):583-590. doi:10.1177/10628606…

8450. Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. | PSNet
      psnet.ahrq.gov/issue/improving-hospital-infant-safe-sleep-compliance-using-safety-prevention-bundle-methodology
      March 09, 2022 - Study Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Citation Text: Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. d…

8451. Suicide attempts and completions on medical-surgical and intensive care units. | PSNet
      psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
      June 21, 2017 - Study Suicide attempts and completions on medical-surgical and intensive care units. Citation Text: Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. Copy Citation Format…

8452. Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. | PSNet
      psnet.ahrq.gov/issue/executive-summary-american-college-obstetricians-and-gynecologists-presidential-task-force
      September 23, 2020 - Commentary Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. Citation Text: Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…

8453. Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills-randomized-clinical
      May 18, 2022 - Study Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. Citation Text: White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. JAMA Netw Open.…

8454. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=17
      October 01, 2011 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 171 - 180 of 191 Publications displayed Find Publications by Keyword or To…

8455. Better medical office safety culture is not associated with better scores on quality measures. | PSNet
      psnet.ahrq.gov/issue/better-medical-office-safety-culture-not-associated-better-scores-quality-measures
      April 12, 2011 - Study Better medical office safety culture is not associated with better scores on quality measures. Citation Text: Hagopian B, Singer ME, Curry-Smith AC, et al. Better medical office safety culture is not associated with better scores on quality measures. J Patient Saf. 2012;8(1):15-2…

8456. Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. | PSNet
      psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
      March 12, 2014 - Study Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. Citation Text: Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…

8457. Distractions in the operating room: a survey of the healthcare team. | PSNet
      psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
      November 16, 2022 - Study Distractions in the operating room: a survey of the healthcare team. Citation Text: Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. Copy Citation …

8458. Physician spending and subsequent risk of malpractice claims: observational study. | PSNet
      psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
      May 01, 2015 - Study Classic Physician spending and subsequent risk of malpractice claims: observational study. Citation Text: Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. …

8459. Serious incidents after death: content analysis of incidents reported to a national database. | PSNet
      psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
      October 03, 2018 - Study Serious incidents after death: content analysis of incidents reported to a national database. Citation Text: Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 2017;111(2):57-64. doi…

8460. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. | PSNet
      psnet.ahrq.gov/issue/policy-and-practice-use-root-cause-analysis-investigate-clinical-adverse-events-mind-gap
      December 09, 2020 - Study Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Citation Text: Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011…