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  1. A study of innovative patient safety education. | PSNet

    psnet.ahrq.gov/issue/study-innovative-patient-safety-education
    April 28, 2021 - Study A study of innovative patient safety education. Citation Text: Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach. 2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x. Copy Citation Format: DOI Google Scholar PubMed BibT…

  2. Postoperative sepsis in the United States. | PSNet

    psnet.ahrq.gov/issue/postoperative-sepsis-united-states
    January 12, 2022 - Study Postoperative sepsis in the United States. Citation Text: Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  3. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. | PSNet

    psnet.ahrq.gov/issue/relationship-between-leapfrog-safe-practices-survey-and-outcomes-trauma
    August 02, 2015 - Study Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Citation Text: Glance LG, Dick AW, Osler T, et al. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Arch Surg. 2011;146(10):1170-7. doi:10.1001/archsurg.2011.247. Copy Citation …

  4. Crew resource management improved perception of patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/crew-resource-management-improved-perception-patient-safety-operating-room
    April 27, 2010 - Study Crew resource management improved perception of patient safety in the operating room. Citation Text: Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual. 2010;25(1):60-3. doi:10.1177/1062860609351…

  5. Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. | PSNet

    psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
    June 04, 2014 - Study Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. Citation Text: Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…

  6. Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study. | PSNet

    psnet.ahrq.gov/issue/drug-errors-and-related-interventions-reported-united-states-clinical-pharmacists-american
    May 29, 2014 - Study Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study. Citation Text: Kuo GM, Touchette DR, Marinac JS. Drug erro…

  7. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. | PSNet

    psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
    November 17, 2014 - Review Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Citation Text: Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…

  8. The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-occupational-safety-climate-healthcare-multi
    January 21, 2015 - Study The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation. Citation Text: Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational safety climate in healthcare – A multi-l…

  9. Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors. | PSNet

    psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
    May 15, 2024 - Review Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors. Citation Text: Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse eve…

  10. Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. | PSNet

    psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
    January 23, 2013 - Study Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. Citation Text: Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a…

  11. A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/randomized-clinical-trial-compare-use-safety-net-enclosures-standard-restraints-agitated
    September 07, 2022 - Study A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. Citation Text: Nawaz H, Abbas A, Sarfraz A, et al. A randomized clinical trial to compare the use of safety net enclosures with standard restrain…

  12. Promoting patient safety using an early warning scoring system. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
    October 16, 2012 - Study Promoting patient safety using an early warning scoring system. Citation Text: Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. Copy Citation Format: Google Scholar PubMed B…

  13. Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
    December 01, 2011 - Study Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes. Citation Text: DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859. Copy …

  14. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. | PSNet

    psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
    February 27, 2009 - Study Classic Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. Citation Text: Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …

  15. An organization-specific and modifiable inpatient safety composite measure. | PSNet

    psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
    June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…

  16. CANDOR Event Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
    August 01, 2022 - CANDOR Event Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool?   The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated. …

  17. Mod4-Event-Checklist (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool? The Communication and Optimal Resolution Toolkit (CANDOR) Response Team or designee, unless otherwise indicated. How to use this tool: Use the checklist to ensure that appropriate action is t…

  18. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. | PSNet

    psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
    June 07, 2023 - Study Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Citation Text: Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013…

  19. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet

    psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
    March 14, 2022 - Study Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? Citation Text: Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…

  20. Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. | PSNet

    psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
    September 24, 2016 - Study Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. Citation Text: Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post St…
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