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psnet.ahrq.gov/issue/surgical-simulation-curriculum-senior-medical-students-based-teamstepps
December 21, 2014 - Study
A surgical simulation curriculum for senior medical students based on TeamSTEPPS.
Citation Text:
Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.…
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psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
January 12, 2022 - Commentary
In the wake of hospital inquiries: impact on staff and safety.
Citation Text:
Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3.
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psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
October 23, 2024 - Review
Crisis resource management in emergency medicine.
Citation Text:
Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine. Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x.
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psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
September 23, 2020 - Commentary
Taking the blame: appropriate responses to medical error.
Citation Text:
Tigard DW. Taking the blame: appropriate responses to medical error. J Med Ethics. 2019;45(2):101-105. doi:10.1136/medethics-2017-104687.
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psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
September 10, 2009 - Study
Factors influencing preceptors' responses to medical errors: a factorial survey.
Citation Text:
Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92.
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psnet.ahrq.gov/issue/culture-safety-ems-systems-0
February 18, 2011 - Organizational Policy/Guidelines
A culture of safety in EMS systems.
Citation Text:
A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services. Ann Emerg Med. 2021;78(3):e37-e57.
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - Commentary
Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care.
Citation Text:
Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. do…
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psnet.ahrq.gov/issue/nurse-pharmacist-collaboration-medication-reconciliation-prevents-potential-harm
August 08, 2018 - Study
Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.
Citation Text:
Feldman LS, Costa LL, Feroli R, et al. Nurse-pharmacist collaboration on medication reconciliation prevents potential harm. J Hosp Med. 2012;7(5):396-401. doi:10.1002/jhm.1921.
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psnet.ahrq.gov/issue/resident-resident-handoffs-emergency-department-observational-study
September 28, 2022 - Study
Resident to resident handoffs in the emergency department: an observational study.
Citation Text:
Peterson SM, Gurses AP, Regan L. Resident to resident handoffs in the emergency department: an observational study. J Emerg Med. 2014;47(5):573-9. doi:10.1016/j.jemermed.2014.06.027.
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psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empirical-data
September 25, 2024 - Study
Patient expectations of fair complaint handling in hospitals: empirical data.
Citation Text:
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC Health Serv Res. 2006;6:106.
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
July 11, 2018 - Book/Report
Actions Needed to Address Employee Misconduct Process and Ensure Accountability.
Citation Text:
Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …
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psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events
January 23, 2017 - Study
The reliability of AHRQ Common Format Harm Scales in rating patient safety events.
Citation Text:
Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3…
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psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
July 10, 2024 - Commentary
Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home.
Citation Text:
Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…
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psnet.ahrq.gov/issue/surgeons-dont-know-what-they-dont-know-about-safe-use-energy-surgery
April 05, 2017 - Study
Surgeons don't know what they don't know about the safe use of energy in surgery.
Citation Text:
Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe use of energy in surgery. Surg Endosc. 2012;26(10):2735-9.
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Citation Text:
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
April 24, 2018 - Review
The hard talk: dealing with the disruptive physician.
Citation Text:
Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315.
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psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - Study
SBAR: a shared mental model for improving communication between clinicians.
Citation Text:
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75.
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psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
January 09, 2025 - Tools/Toolkit
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide.
Citation Text:
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.
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psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
October 19, 2022 - Study
A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.
Citation Text:
Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…
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psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - Sentinel Event Alerts
Safe use of health information technology.
Citation Text:
Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6.
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