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  1. Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
    February 02, 2022 - Review Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. Citation Text: Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-1…

  2. Hospital infection prevention: how much can we prevent and how hard should we try? | PSNet

    psnet.ahrq.gov/issue/hospital-infection-prevention-how-much-can-we-prevent-and-how-hard-should-we-try
    November 16, 2022 - Review Hospital infection prevention: how much can we prevent and how hard should we try? Citation Text: Bearman G, Doll M, Cooper K, et al. Hospital Infection Prevention: How Much Can We Prevent and How Hard Should We Try? Curr Infect Dis Rep. 2019;21(1):2. doi:10.1007/s11908-019-0660-2…

  3. Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients | PSNet

    psnet.ahrq.gov/issue/systematic-review-interventions-improve-safety-and-quality-anticoagulant-prescribing
    January 12, 2022 - Review Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients Citation Text: Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indication…

  4. Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach. | PSNet

    psnet.ahrq.gov/issue/psychological-intervention-improve-communication-and-patient-safety-obstetrics-examination
    April 21, 2021 - Study Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach. Citation Text: Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient safety in obstetrics: exam…

  5. Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. | PSNet

    psnet.ahrq.gov/issue/analysis-academic-medical-centers-corrective-action-plan-response-fatal-medication-error
    February 21, 2018 - Commentary Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. Citation Text: Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s co…

  6. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet

    psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
    June 22, 2009 - Study Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Citation Text: Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …

  7. Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. | PSNet

    psnet.ahrq.gov/issue/relationship-between-job-burnout-psychosocial-factors-and-health-care-associated-infections
    January 12, 2022 - Study Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. Citation Text: Galletta M, Portoghese I, D'Aloja E, et al. Relationship between job burnout, psychosocial factors and health care-associated infections in critical c…

  8. The problem with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/problem-root-cause-analysis
    August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  9. Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

    psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
    March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

  10. Effect of noise on auditory processing in the operating room. | PSNet

    psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room
    November 16, 2022 - Study Effect of noise on auditory processing in the operating room. Citation Text: Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. Copy Citation Format: …

  11. Seniors managing multiple medications: using mixed methods to view the home care safety lens. | PSNet

    psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
    June 23, 2021 - Study Seniors managing multiple medications: using mixed methods to view the home care safety lens. Citation Text: 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:10.1…

  12. Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. | PSNet

    psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions
    September 27, 2023 - Study Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. Citation Text: Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…

  13. Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. | PSNet

    psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality-improvement
    November 16, 2022 - Commentary Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. Citation Text: Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…

  14. What we can do about maternal mortality—and how to do it quickly. | PSNet

    psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly
    September 01, 2016 - Commentary Emerging Classic What we can do about maternal mortality—and how to do it quickly. Citation Text: Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…

  15. AHRQ Conference Grant Program (R13) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/ahrq-conference-grant-program-r13
    January 01, 2023 - AHRQ Conference Grant Program (R13) Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the…

  16. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

    psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
    July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

  17. What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. | PSNet

    psnet.ahrq.gov/issue/what-became-eyes-and-ears-exploring-challenges-reporting-poor-quality-care-among-trainee
    June 24, 2020 - Commentary What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. Citation Text: Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical st…

  18. Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

    psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net
    September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

  19. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. | PSNet

    psnet.ahrq.gov/issue/didactic-and-simulation-nontechnical-skills-team-training-improve-perinatal-patient-outcomes
    October 21, 2011 - Study Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Citation Text: Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a commun…

  20. Common general surgical never events: analysis of NHS England never event data. | PSNet

    psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
    April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…
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