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psnet.ahrq.gov/issue/relationship-organizational-culture-stress-satisfaction-and-burnout-physician-reported-error
October 12, 2011 - Study
The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study.
Citation Text:
Williams E, Manwell LB, Konrad TR, et al. The relationship of organizational culture, stress, satis…
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psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
May 02, 2012 - Study
Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety.
Citation Text:
Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08…
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.
Citation Text:
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
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psnet.ahrq.gov/issue/assessing-teamwork-attitudes-healthcare-development-teamstepps-teamwork-attitudes
September 23, 2020 - Study
Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire.
Citation Text:
Baker DP, Amodeo AM, Krokos KJ, et al. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf H…
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psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
March 11, 2011 - Study
Classic
Improving patient safety by identifying side effects from introducing bar coding in medication administration.
Citation Text:
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in me…
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psnet.ahrq.gov/issue/combined-teamwork-training-and-work-standardisation-intervention-operating-theatres
January 20, 2015 - Study
A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study.
Citation Text:
Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: control…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic
February 12, 2020 - Commentary
Patient safety and quality improvement adaptation during the COVID-19 pandemic.
Citation Text:
Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…
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psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-review-ihi-response
March 13, 2013 - Commentary
Classic
Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response].
Citation Text:
Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7.
Copy Cit…
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psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical-unit-based
March 21, 2012 - Study
Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program.
Citation Text:
Lin DM, Carson KA, Lubomski LH, et al. Statewide Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based Safety P…
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psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-adverse-events
August 27, 2012 - Study
Exploring relationships between hospital patient safety culture and adverse events.
Citation Text:
Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1…
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psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care
May 05, 2021 - Commentary
Why and how to approach user experience in safety-critical domains: the example of health care.
Citation Text:
Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…
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psnet.ahrq.gov/issue/listening-women-recommendations-women-color-improve-experiences-pregnancy-and-birth-care
August 12, 2019 - Study
Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care.
Citation Text:
Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwif…
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psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review
March 06, 2013 - Review
Improving patient handovers from hospital to primary care: a systematic review.
Citation Text:
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-…
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psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
July 14, 2010 - Study
Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.
Citation Text:
Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. P…
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psnet.ahrq.gov/issue/improving-safety-evaluating-impact-supply-chain-and-drug-shortages-health-systems
November 04, 2020 - Commentary
Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems.
Citation Text:
Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Hosp Pharm. 2023;58(2):120-124.…
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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…
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
June 09, 2015 - Review
Teaching medical error disclosure to physicians-in-training: a scoping review.
Citation Text:
Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f.
Cop…
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psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man
April 24, 2018 - Study
Classic
Protocol-based computer reminders, the quality of care and the non-perfectability of man.
Citation Text:
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5.
C…
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psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
November 01, 2017 - Study
Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013.
Citation Text:
Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the U…
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - Multi-use Website
The PROMISES Project.
Citation Text:
The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…