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Patient and family engagement as a potential approach for improving patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review

February 17, 2021 - Review Emerging Classic Patient and family engagement as a potential approach for improving patient safety: a systematic review. Citation Text: Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A systematic r…

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. | PSNet

psnet.ahrq.gov/issue/impact-hospital-wide-hand-hygiene-initiative-healthcare-associated-infections-results

September 20, 2011 - Study Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. Citation Text: Kirkland KB, Homa KA, Lasky RA, et al. Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an i…

Patient Safety Leadership WalkRounds. | PSNet

psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds

January 02, 2017 - Study Classic Patient Safety Leadership WalkRounds. Citation Text: Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. Copy Citation Format: DOI Google…

An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. | PSNet

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June 16, 2021 - Study An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Citation Text: Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…

A scoping review of clinical handover mnemonic devices. | PSNet

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July 24, 2019 - Review A scoping review of clinical handover mnemonic devices. Citation Text: Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. Copy Citation Format: DOI Google Scholar…

Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. | PSNet

psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world

March 17, 2021 - Study Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. Citation Text: Molina RL, Benski A-C, Bobanski L, et al. Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. Implement Sci Commun. 2021;2(1):76. doi:10.1186/s43058-…

Stop the line: interventions to prevent retained surgical items. | PSNet

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July 10, 2024 - Commentary Stop the line: interventions to prevent retained surgical items. Citation Text: Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. | PSNet

psnet.ahrq.gov/issue/engaging-frontline-staff-performance-improvement-american-organization-nurse-executives

February 13, 2008 - Study Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. Citation Text: Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The A…

Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. | PSNet

psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention

May 14, 2008 - Study Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Citation Text: Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785-91. Copy Citation Fo…

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration

January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

Reducing health care hazards: lessons from the Commercial Aviation Safety Team. | PSNet

psnet.ahrq.gov/issue/reducing-health-care-hazards-lessons-commercial-aviation-safety-team

September 17, 2010 - Commentary Reducing health care hazards: lessons from the Commercial Aviation Safety Team. Citation Text: Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hl…

A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet

psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient

April 03, 2005 - Commentary A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. Citation Text: Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…

Evaluation of a nurse-led safety program in a critical care unit. | PSNet

psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit

June 03, 2013 - Study Evaluation of a nurse-led safety program in a critical care unit. Citation Text: Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3. Copy Citation F…

Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. | PSNet

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February 14, 2017 - Study Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. Citation Text: Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Qual…

As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet

psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom

December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…

Development of a modified early warning score using the electronic medical record. | PSNet

psnet.ahrq.gov/issue/development-modified-early-warning-score-using-electronic-medical-record

April 28, 2021 - Commentary Development of a modified early warning score using the electronic medical record. Citation Text: Albert BL, Huesman L. Development of a modified early warning score using the electronic medical record. Dimens Crit Care Nurs. 2011;30(5):283-292. doi:10.1097/DCC.0b013e3182277…

Improving responses to safety incidents: we need to talk about justice. | PSNet

psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice

February 02, 2022 - Commentary Improving responses to safety incidents: we need to talk about justice. Citation Text: Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333. Copy Citation For…

Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study. | PSNet

psnet.ahrq.gov/issue/development-and-early-experience-intervention-facilitate-teamwork-between-general-practices

June 29, 2011 - Study Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study. Citation Text: Harris MF, Chan BC, Daniel C, et al. Development and early experience from an intervention to facilitate teamwor…

Advances in Patient Safety and Medical Liability. | PSNet

psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability

May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical Liability. Citation Text: Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…

Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement

March 24, 2011 - Study Medication error reporting in nursing homes: identifying targets for patient safety improvement. Citation Text: Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…

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