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Nurse–patient ratios as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review

March 20, 2013 - Review Nurse–patient ratios as a patient safety strategy: a systematic review. Citation Text: Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. Copy Citation F…

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. | PSNet

psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study

May 19, 2018 - Study Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. Citation Text: Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric

September 28, 2010 - Study Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. Citation Text: Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …

Surgical team behaviors and patient outcomes. | PSNet

psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes

April 08, 2011 - Study Classic Surgical team behaviors and patient outcomes. Citation Text: Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002. Copy Citation Format: …

Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. | PSNet

psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment

June 15, 2012 - Study Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. Citation Text: Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Abil…

Work overload is related to increased risk of error during chemotherapy preparation. | PSNet

psnet.ahrq.gov/issue/work-overload-related-increased-risk-error-during-chemotherapy-preparation

June 30, 2011 - Study Work overload is related to increased risk of error during chemotherapy preparation. Citation Text: Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/107…

Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet

psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes

May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

Seasoned surgeons assessed in a laparoscopic surgical crisis. | PSNet

psnet.ahrq.gov/issue/seasoned-surgeons-assessed-laparoscopic-surgical-crisis

July 02, 2008 - Study Seasoned surgeons assessed in a laparoscopic surgical crisis. Citation Text: Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. Copy Citation For…

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. | PSNet

psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use

September 01, 2016 - Study Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. Citation Text: Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …

Mapping changes in surgical mortality over 9 years by peer review audit. | PSNet

psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit

March 04, 2011 - Study Mapping changes in surgical mortality over 9 years by peer review audit. Citation Text: Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. Copy Citation Format: Google Schol…

Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. | PSNet

psnet.ahrq.gov/issue/surgical-site-infections-colon-surgery-patient-procedure-hospital-and-surgeon

February 19, 2020 - Study Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Citation Text: Hübner M, Diana M, Zanetti G, et al. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Arch Surg. 2011;146(11):…

Quality gaps identified through mortality review. | PSNet

psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review

November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Using prospective clinical surveillance to identify adverse events in hospital. | PSNet

psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital

November 11, 2015 - Study Using prospective clinical surveillance to identify adverse events in hospital. Citation Text: Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…

'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. | PSNet

psnet.ahrq.gov/issue/safe-enough-here-patients-expectations-and-experiences-feeling-safe-acute-psychiatric

January 23, 2017 - Study 'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. Citation Text: Stenhouse RC. 'Safe enough in here?': patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. J Clin Nurs. 20…

Rapid learning of adverse medical event disclosure and apology. | PSNet

psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology

November 04, 2014 - Study Rapid learning of adverse medical event disclosure and apology. Citation Text: Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. Copy Citation Format: …

Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet

psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience

April 27, 2019 - Commentary Emerging Classic Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. Citation Text: Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…

Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth

September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…

Perspective: ten thousand hours to patient safety, sooner or later. | PSNet

psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-later

June 23, 2009 - Commentary Perspective: ten thousand hours to patient safety, sooner or later. Citation Text: Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202. Copy Citation Format: DOI Google…

The emotional impact of medical errors on practicing physicians in the United States and Canada. | PSNet

psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada

January 23, 2008 - Study Classic The emotional impact of medical errors on practicing physicians in the United States and Canada. Citation Text: Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada.…

Opioid prescribing and potential overdose errors among children 0 to 36 months old. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old

March 23, 2016 - Study Opioid prescribing and potential overdose errors among children 0 to 36 months old. Citation Text: Basco WT, Ebeling M, Garner SS, et al. Opioid Prescribing and Potential Overdose Errors Among Children 0 to 36 Months Old. Clin Pediatr (Phila). 2015;54(8):738-44. doi:10.1177/0009922…

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