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psnet.ahrq.gov/node/41559/psn-pdf
August 01, 2012 - Design and trial of a new ambulance-to-emergency
department handover protocol: 'IMIST-AMBO.'
August 1, 2012
Iedema R, Ball C, Daly B, et al. Design and trial of a new ambulance-to-emergency department handover
protocol: 'IMIST-AMBO'. BMJ Qual Saf. 2012;21(8):627-33. doi:10.1136/bmjqs-2011-000766.
https://psnet.ahr…
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psnet.ahrq.gov/node/837077/psn-pdf
May 11, 2022 - At US hospitals, a drug mix-up is just a few keystrokes
away.
May 11, 2022
Kelman B. Kaiser Health News. April 29, 2022.
https://psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
Technological solutions harbor unique risks that can result in patient harm. This article shares a response
to report…
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psnet.ahrq.gov/node/39060/psn-pdf
October 28, 2009 - Impact of duty-hour restriction on resident inpatient
teaching.
October 28, 2009
Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching.
J Hosp Med. 2009;4(8). doi:10.1002/jhm.448.
https://psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teac…
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psnet.ahrq.gov/node/44574/psn-pdf
October 21, 2015 - Patient safety and quality improvement: reducing risk of
harm.
October 21, 2015
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev.
2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
T…
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psnet.ahrq.gov/node/42468/psn-pdf
August 07, 2013 - A comprehensive quality assurance program for
personnel and procedures in radiation oncology: value of
voluntary error reporting and checklists.
August 7, 2013
Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and
procedures in radiation oncology: value of volunt…
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psnet.ahrq.gov/node/42545/psn-pdf
September 04, 2013 - Residency schedule, burnout and patient care among
first-year residents.
September 4, 2013
Block L, Wu AW, Feldman LS, et al. Residency schedule, burnout and patient care among first-year
residents. Postgrad Med J. 2013;89(1055):495-500. doi:10.1136/postgradmedj-2012-131743.
https://psnet.ahrq.gov/issue/residency-…
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psnet.ahrq.gov/node/839814/psn-pdf
January 01, 2023 - Influencing a culture of quality and safety through
huddles.
November 9, 2022
McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles.
J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642.
https://psnet.ahrq.gov/issue/influencing-culture-quality-a…
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psnet.ahrq.gov/node/48104/psn-pdf
August 28, 2019 - The computer will see you now.
August 28, 2019
Whitaker P. New Statesman. August 2, 2019;148:38-43.
https://psnet.ahrq.gov/issue/computer-will-see-you-now
Artificial intelligence (AI) and advanced computing technologies can enhance clinical decision-making.
Exploring the strengths and weaknesses of artificial inte…
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psnet.ahrq.gov/node/72535/psn-pdf
December 02, 2020 - Learning from influenza vaccine errors to prepare for
COVID-19 vaccination campaigns.
December 2, 2020
ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6.
https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
Safety professionals enco…
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psnet.ahrq.gov/node/42844/psn-pdf
May 29, 2014 - Does the concept of safety culture help or hinder systems
thinking in safety?
May 29, 2014
Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety?
Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033.
https://psnet.ahrq.gov/issue/does-concept-safety-cult…
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psnet.ahrq.gov/node/46483/psn-pdf
October 04, 2017 - Fall Prevention in Hospitals Training Program.
October 4, 2017
Rockville, MD: Agency for Healthcare Research and Quality; 2017.
https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training
program pro…
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psnet.ahrq.gov/node/42540/psn-pdf
September 04, 2013 - A qualitative study comparing experiences of the surgical
safety checklist in hospitals in high-income and low-
income countries.
September 4, 2013
Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical
safety checklist in hospitals in high-income and low-income countrie…
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psnet.ahrq.gov/node/46586/psn-pdf
January 01, 2020 - Adverse event reporting: harnessing residents to improve
patient safety.
November 8, 2017
Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298.
doi:10.1097/pts.0000000000000333.
https://psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-sa…
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psnet.ahrq.gov/node/46244/psn-pdf
June 28, 2017 - Changing the narratives for patient safety.
June 28, 2017
Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ.
2017;95(6):478-480. doi:10.2471/BLT.16.178392.
https://psnet.ahrq.gov/issue/changing-narratives-patient-safety
Mental models represent established …
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psnet.ahrq.gov/node/44251/psn-pdf
January 13, 2016 - Early impact of the 2011 ACGME duty hour regulations on
surgical outcomes.
January 13, 2016
Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical
outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002.
https://psnet.ahrq.gov/issue/early-impact-2011-a…
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psnet.ahrq.gov/node/47131/psn-pdf
July 18, 2018 - Good Catch Campaign: improving the perioperative
culture of safety.
July 18, 2018
Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative
Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148.
https://psnet.ahrq.gov/issue/good-catch-campaign-improving-peri…
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psnet.ahrq.gov/node/47433/psn-pdf
February 22, 2019 - Impact of nurse peer review on a culture of safety.
February 22, 2019
Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual.
2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361.
https://psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
This commentary describes an…
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psnet.ahrq.gov/node/47324/psn-pdf
November 07, 2018 - Engaging patients to improve quality of care: a
systematic review.
November 7, 2018
Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review.
Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.
https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…
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psnet.ahrq.gov/node/846762/psn-pdf
March 29, 2023 - Hospital ‘black boxes’ put surgical practices under the
microscope.
March 29, 2023
Sadick B. Wall Street Journal. March 19, 2023.
https://psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope
Safety information systems that track action in real time can reveal a trove of data about how …
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psnet.ahrq.gov/node/37846/psn-pdf
April 11, 2011 - Clinical profile of hospitalized children provided with
urgent assistance from a medical emergency team.
April 11, 2011
Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent
assistance from a medical emergency team. Pediatrics. 2008;121(6):e1577-e1584. doi:10.1542/p…