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psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
March 30, 2022 - Commentary
Five reasons for optimism on World Patient Safety Day.
Citation Text:
Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8.
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Study
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.
Citation Text:
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety
December 16, 2009 - Study
The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety.
Citation Text:
Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety. Pediatr Crit Car…
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psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
March 01, 2011 - Study
Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.
Citation Text:
de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…
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psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections
January 09, 2018 - Review
A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections.
Citation Text:
Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…
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psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing
July 19, 2023 - Study
Does health care role and experience influence perception of safety culture related to preventing infections?
Citation Text:
Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …
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psnet.ahrq.gov/issue/impact-rounding-checklists-outcomes-patients-admitted-icus-systematic-review-and-meta
July 03, 2016 - Review
Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis.
Citation Text:
MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-a…
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psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
December 18, 2017 - Review
Classic
Systems thinking and incivility in nursing practice: an integrative review.
Citation Text:
Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An integrative review. Nurs Forum. 2018;2018(3):286-298.…
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psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations
April 11, 2009 - Review
Interventions to improve employee health and well-being within health care organizations: a systematic review.
Citation Text:
Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within health care organizations: A systematic review. J …
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psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
June 21, 2017 - Study
Suicide attempts and completions on medical-surgical and intensive care units.
Citation Text:
Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141.
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psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports
October 27, 2021 - Study
Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts.
Citation Text:
Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random variation in organisational performa…
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psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory
December 24, 2008 - Study
A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital.
Citation Text:
Seferian EG, Jamal S, Clark K, et al. A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laborator…
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psnet.ahrq.gov/issue/parent-engagement-perinatal-mortality-reviews-online-survey-clinicians-six-high-income
April 13, 2022 - Study
Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries.
Citation Text:
Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high‐income countries. BJ…
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psnet.ahrq.gov/issue/anesthesia-preinduction-checklist-improve-information-exchange-knowledge-critical-information
July 10, 2013 - Study
An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams.
Citation Text:
Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improv…
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psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
September 09, 2020 - Commentary
'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene.
Citation Text:
Sax H, Allegranzi B, Uçkay I, et al. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and …
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric
November 16, 2015 - Study
Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge.
Citation Text:
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediat…
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psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review
January 12, 2022 - Review
Emerging Classic
Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice.
Citation Text:
Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Impr…
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psnet.ahrq.gov/issue/emotional-harm-radiology-department-analysis-underrecognized-preventable-error
March 06, 2019 - Study
Emotional harm in the radiology department: analysis of an underrecognized preventable error.
Citation Text:
Siewert B, Swedeen S, Brook OR, et al. Emotional harm in the radiology department: analysis of an underrecognized preventable error. Radiology. 2022;302(3):613-619. doi:10.1…
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psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
October 19, 2022 - Study
Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center.
Citation Text:
Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si…
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psnet.ahrq.gov/issue/racial-implicit-bias-and-communication-among-physicians-simulated-environment
October 19, 2022 - Study
Racial implicit bias and communication among physicians in a simulated environment.
Citation Text:
Gonzalez CM, Ark TK, Fisher MR, et al. Racial implicit bias and communication among physicians in a simulated environment. JAMA Netw Open. 2024;7(3):e242181. doi:10.1001/jamanetworkop…