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4881. Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes. | PSNet
      psnet.ahrq.gov/issue/training-health-care-professionals-root-cause-analysis-cross-sectional-study-post-training
      February 29, 2012 - Study Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes. Citation Text: Bowie P, Skinner J, de Wet C. Training health care professionals in root cause analysis: a cross-sectional study of post-training…

4882. Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. | PSNet
      psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician-collaboration-medication
      February 23, 2009 - Study Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. Citation Text: Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medi…

4883. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care
      September 02, 2020 - Study Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Citation Text: Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25. Copy Citation …

4884. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. | PSNet
      psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic
      March 08, 2023 - Review Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Citation Text: Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A syste…

4885. How payers can help hospitals become safer through value-based programs. | PSNet
      psnet.ahrq.gov/issue/how-payers-can-help-hospitals-become-safer-through-value-based-programs
      December 21, 2022 - Commentary How payers can help hospitals become safer through value-based programs. Citation Text: Hsu E, Ma S, Winn B, et al. How payers can help hospitals become safer through value-based programs. NEJM Catalyst. 2024;5(7):CAT.24.0049. doi:10.1056/cat.24.0049. Copy Citation Forma…

4886. Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet
      psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
      June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

4887. Medicare's decision to withhold payment for hospital errors: the devil is in the details. | PSNet
      psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
      March 13, 2013 - Commentary Classic Medicare's decision to withhold payment for hospital errors: the devil is in the details. Citation Text: Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patie…

4888. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet
      psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
      August 03, 2017 - Study Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. Citation Text: Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting syste…

4889. Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial. | PSNet
      psnet.ahrq.gov/issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice-cluster
      September 07, 2016 - Study Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial. Citation Text: Verbakel NJ, Langelaan M, Verheij TJM, et al. Effects of patient safety culture interventions on incident reporting in general practice: a cluster r…

4890. Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/levels-agreement-grading-analysis-and-reporting-significant-events-general-practitioners
      April 06, 2011 - Study Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. Citation Text: McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practit…

4891. Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/fry-administering.pdf
      June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101 CAHPS 101 Stephanie Fry Senior Study Director Westat 12 What is Patient Experience? Patient experience refers to what happened in a health care setting. It encompasses the range of interactions that patients have with the health care system, inc…

4892. Does the perception of severity of medical error differ between varying levels of clinical seniority? | PSNet
      psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority
      August 31, 2022 - Study Does the perception of severity of medical error differ between varying levels of clinical seniority? Citation Text: Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10…

4893. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
      January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Strategy 4: IDEAL Discharge Planning (Tool 3) Improving Discharge Outcomes with Patients and Families Strategy 1: Working with Patients & Families as Advisors [Type text] [Type text] [Type text] Strategy 4: IDEAL Discharge Planning (Tool 3) O Guide to Patient and Family …

4894. Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. | PSNet
      psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify-medication-errors
      January 23, 2017 - Study Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. Citation Text: Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Err…

4895. 038-What-Mrsa-Info-Sheet (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/038-what-mrsa-info-sheet.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Patient Handout: What Is MRSA? ICU & Non-ICU What Is Methicillin-Resistant Staphylococcus aureus (MRSA)? Staphylococcus aureus is a germ that lives on skin that can sometimes cause infections. Most strains of Staphylococcus aureus bacteria are easily treated using regular antibi…

4896. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
      July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building the Project Founda…

4897. Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
      January 08, 2020 - Study Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. Citation Text: Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and va…

4898. Strategy 1: Working with Patients & Families as Advisors (Tool 1) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_1_Brochure_508.docx
      June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 1) (Brochure Back) Is being a patient and family advisor right for you? Being a patient and family advisor may be a good match with your skills and experiences if you can: Speak up and share suggestions and potential solutions to help improve hospital car…

4899. Strategy 1: Working with Patients & Families as Advisors (Tool 1) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_1_Brochure_508.pdf
      June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 1) Become a Patient and Family Advisor Working Together to Help Improve Our Hospital Is being a patient and family advisor right for you? Being a patient and family advisor may be a good match with your skills and experiences if…

4900. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
      July 21, 2011 - Review Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. Citation Text: Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…