-
psnet.ahrq.gov/node/46351/psn-pdf
December 19, 2017 - Intraoperative surgical performance measurement and
outcomes: choose your tools carefully.
December 19, 2017
Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools
Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837.
https://psnet.ahrq.gov/issue/intraoper…
-
psnet.ahrq.gov/node/47121/psn-pdf
August 08, 2018 - Assessment of programs aimed to decrease or prevent
mistreatment of medical trainees.
August 8, 2018
Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent
Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870.
doi:10.1001/jamanetworkopen.2018.0870.
https…
-
psnet.ahrq.gov/node/42287/psn-pdf
November 26, 2014 - What do patients think about year-end resident continuity
clinic handoffs?: a qualitative study.
November 26, 2014
Pincavage A, Lee WW, Beiting KJ, et al. What do patients think about year-end resident continuity clinic
handoffs? A qualitative study. J Gen Intern Med. 2013;28(8):999-1007. doi:10.1007/s11606-013-239…
-
psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/46093/psn-pdf
April 26, 2017 - Inpatient Notes: human factors engineering and inpatient
care—new ways to solve old problems.
April 26, 2017
Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and
Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2017;166(8):HO2-HO3.
doi:10.7326/M17-05…
-
psnet.ahrq.gov/node/46121/psn-pdf
January 01, 2021 - Quality of handoffs in community pharmacies.
May 10, 2017
Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf.
2021;17(6):405-411. doi:10.1097/PTS.0000000000000382.
https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
Handoffs present a significant patient …
-
psnet.ahrq.gov/node/44038/psn-pdf
May 06, 2015 - Engineering Patient Safety in Radiation Oncology:
University of North Carolina's Pursuit for High Reliability
and Value Creation.
May 6, 2015
Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643.
https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…
-
psnet.ahrq.gov/node/44809/psn-pdf
March 02, 2016 - Seniors managing multiple medications: using mixed
methods to view the home care safety lens.
March 2, 2016
Lang A, Macdonald M, Marck P, et al. Seniors managing multiple medications: using mixed methods to
view the home care safety lens. BMC Health Serv Res. 2015;15:548. doi:10.1186/s12913-015-1193-5.
https://psn…
-
psnet.ahrq.gov/node/46606/psn-pdf
July 10, 2019 - Implementation of a mock root cause analysis to provide
simulated patient safety training.
July 10, 2019
Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated
patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/45145/psn-pdf
January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to
promote patient and family involvement in care in a
pediatric emergency department.
January 8, 2018
Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote
Patient and Family Involvement in Care in a Pediatric…
-
psnet.ahrq.gov/node/866738/psn-pdf
September 18, 2024 - 'Safer, not safe': service users' experiences of
psychological safety in inpatient mental health wards in
the United Kingdom.
September 18, 2024
Vogt K S, Baker J, Kendal S, et al. 'Safer, not safe': service users' experiences of psychological safety in
inpatient mental health wards in the United Kingdom. Int J Me…
-
psnet.ahrq.gov/node/854385/psn-pdf
October 11, 2023 - Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature.
October 11, 2023
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321.
doi:10.1097/as9.…
-
psnet.ahrq.gov/node/44930/psn-pdf
June 01, 2016 - How well is quality improvement described in the
perioperative care literature? A systematic review.
June 1, 2016
Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care
Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2016;42(5):196-206.
https://psnet.ahr…
-
psnet.ahrq.gov/node/47216/psn-pdf
July 11, 2018 - Progress Made Towards Improving Opioid Safety, But
Further Efforts to Assess Progress and Reduce Risk Are
Needed.
July 11, 2018
Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380.
https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…
-
psnet.ahrq.gov/node/867083/psn-pdf
November 06, 2024 - Patient-clinician diagnostic concordance upon hospital
admission.
November 6, 2024
Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl
Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330.
https://psnet.ahrq.gov/issue/patient-clinician-diagnostic-concord…
-
psnet.ahrq.gov/node/45365/psn-pdf
August 03, 2016 - Workarounds and test results follow-up in electronic
health record–based primary care.
August 3, 2016
Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health
Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/73133/psn-pdf
April 14, 2021 - A human factors intervention in a hospital--evaluating the
outcome of a TeamSTEPPS program in a surgical ward.
April 14, 2021
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the
outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11…
-
psnet.ahrq.gov/node/866202/psn-pdf
July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools
Can Support Providers and Improve Patient Safety.
June 26, 2024
Agency for Healthcare Research and Quality. July 24, 2024.
https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-
and-improve
Medication errors a…
-
psnet.ahrq.gov/node/46065/psn-pdf
January 01, 2021 - Measurement as a performance driver: the case for a
national measurement system to improve patient safety.
April 26, 2017
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National
Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134.
doi:10.10…
-
psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - Realist synthesis of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances and why.
August 17, 2018
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumst…