-
psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
August 04, 2021 - Study
Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales.
Citation Text:
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…
-
psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach
March 28, 2018 - Study
Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings.
Citation Text:
Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers and their tr…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization:
Staff Frequently Asked Questions
Safety & Side Effects
This document provides questions and answers to commonly asked questions. Some questions and answers may not be relevant to your unit. You should remove or edit information to match your unit’s protocols.
The…
-
psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
January 29, 2020 - Commentary
Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?
Citation Text:
Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…
-
psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
November 21, 2018 - Study
Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions.
Citation Text:
Goldszmidt M, Aziz N, Lingard LA. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discuss…
-
psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality
December 03, 2014 - Study
Rapid response team implementation and in-hospital mortality.
Citation Text:
Salvatierra G, Bindler RC, Corbett CF, et al. Rapid response team implementation and in-hospital mortality*. Crit Care Med. 2014;42(9):2001-6. doi:10.1097/CCM.0000000000000347.
Copy Citation
Format: …
-
www.ahrq.gov/teamstepps-program/evidence-base/research.html
June 01, 2023 - TeamSTEPPS Research and Tools
Agency for Healthcare Research and Quality. (2006). TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4.
Castner, J. (2012). Validity and reliability of the Brief TeamSTEPPS Teamwork Perceptions Questionnaire. Jo…
-
psnet.ahrq.gov/issue/why-july-matters
October 13, 2018 - Commentary
Why July matters.
Citation Text:
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
-
psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
September 06, 2023 - Study
Algorithmic prediction of failure modes in healthcare.
Citation Text:
Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151.
Copy Citation
Format:
DOI G…
-
psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
October 15, 2016 - Study
Medical error disclosure training: evidence for values-based ethical environments.
Citation Text:
Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3.
Cop…
-
psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
June 18, 2014 - Study
Costs associated with surgical site infections in Veterans Affairs hospitals.
Citation Text:
Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663.
…
-
psnet.ahrq.gov/issue/key-considerations-ensuring-safe-regional-telehealth-care-model-systematic-review
August 25, 2021 - Review
Key considerations in ensuring a safe regional telehealth care model: a systematic review.
Citation Text:
Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.05…
-
psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
June 07, 2018 - Commentary
Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety.
Citation Text:
Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…
-
psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach
January 16, 2010 - Study
Patient safety culture transformation in a children's hospital: an interprofessional approach.
Citation Text:
Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64.…
-
psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
April 24, 2018 - Study
Decoding laboratory test names: a major challenge to appropriate patient care.
Citation Text:
Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…
-
psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
April 03, 2009 - Book/Report
Classic
The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.
Citation Text:
The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…
-
psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
October 06, 2011 - Study
Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting.
Citation Text:
Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory se…
-
psnet.ahrq.gov/issue/educational-interventions-improve-handover-health-care-systematic-review
August 04, 2021 - Review
Educational interventions to improve handover in health care: a systematic review.
Citation Text:
Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x.
Copy Ci…
-
psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
July 14, 2009 - Review
National efforts to improve health information system safety in Canada, the United States of America and England.
Citation Text:
Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …
-
psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
May 20, 2019 - Review
Clinical decision support: a 25 year retrospective and a 25 year vision.
Citation Text:
Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034.
Copy Citation
…