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psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement
August 26, 2011 - Study
Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment.
Citation Text:
Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement…
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psnet.ahrq.gov/issue/inequities-quality-and-safety-outcomes-hospitalized-children-intellectual-disability
June 15, 2022 - Study
Inequities in quality and safety outcomes for hospitalized children with intellectual disability.
Citation Text:
Mimmo L, Harrison R, Travaglia J, et al. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Dev Med Child Neurol. 2022;64(…
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psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
August 28, 2013 - Study
Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication.
Citation Text:
Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…
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psnet.ahrq.gov/issue/introductions-during-time-outs-do-surgical-team-members-know-one-anothers-names
November 09, 2015 - Study
Introductions during time-outs: do surgical team members know one another's names?
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1…
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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…
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psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders
January 12, 2022 - Study
Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review.
Citation Text:
Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric emergency department medication orders…
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective
February 15, 2023 - Study
Hospital safety climate and safety behavior: a social exchange perspective.
Citation Text:
Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.…
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psnet.ahrq.gov/issue/interhospital-transfer-patients-discharged-academic-hospitalists-and-general-internists
August 01, 2018 - Study
Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes.
Citation Text:
Sokol-Hessner L, White AA, Davis KF, et al. Interhospital transfer patients discharged by academic hospitalists and general internists: Character…
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.
Citation Text:
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
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psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
July 02, 2008 - Study
How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?
Citation Text:
Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…
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psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors
September 29, 2017 - Study
Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot.
Citation Text:
Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability …
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psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
July 10, 2008 - Study
Handoffs causing patient harm: a survey of medical and surgical house staff.
Citation Text:
Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70.
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psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis
September 01, 2018 - Study
Structuring patient and family involvement in medical error event disclosure and analysis.
Citation Text:
Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
May 27, 2011 - Study
Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.
Citation Text:
Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…
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psnet.ahrq.gov/issue/unit-based-care-teams-and-frequency-and-quality-physician-nurse-communications
November 16, 2022 - Study
Unit-based care teams and the frequency and quality of physician–nurse communications.
Citation Text:
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.100…
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Study
Quality improvement for patient safety: project-level versus program-level learning.
Citation Text:
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…
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psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
May 19, 2021 - Study
Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017.
Citation Text:
Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat…
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psnet.ahrq.gov/issue/assessment-fidelity-interventions-improve-hand-hygiene-healthcare-workers-systematic-review
June 02, 2019 - Review
Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review.
Citation Text:
Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Contro…
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psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
April 05, 2023 - Study
Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.
Citation Text:
Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…
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psnet.ahrq.gov/issue/how-useful-are-medication-patient-information-leaflets-older-adults-content-readability-and
November 11, 2020 - Study
How useful are medication patient information leaflets to older adults? A content, readability and layout analysis.
Citation Text:
Liu F, Abdul-Hussain S, Mahboob S, et al. How useful are medication patient information leaflets to older adults? A content, readability and layout ana…