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  1. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. | PSNet

    psnet.ahrq.gov/issue/discrepant-perceptions-communication-teamwork-and-situation-awareness-among-surgical-team
    August 12, 2020 - Study Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. Citation Text: Wauben LSGL, van Doorn CMD-, van Wijngaarden JDH, et al. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. In…

  2. Impact of including readmissions for qualifying events in the Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/impact-including-readmissions-qualifying-events-patient-safety-indicators
    January 26, 2022 - Study Impact of including readmissions for qualifying events in the Patient Safety Indicators. Citation Text: Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…

  3. Care at the point of impact: insights into the second-victim experience. | PSNet

    psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience
    January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

  4. Factors that influence the expected length of operation: results of a prospective study. | PSNet

    psnet.ahrq.gov/issue/factors-influence-expected-length-operation-results-prospective-study
    August 11, 2021 - Study Factors that influence the expected length of operation: results of a prospective study. Citation Text: Gillespie BM, Chaboyer W, Fairweather N. Factors that influence the expected length of operation: results of a prospective study. BMJ Qual Saf. 2012;21(1):3-12. doi:10.1136/bmjqs…

  5. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. | PSNet

    psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-and-postoperative-outcomes-prospective-randomized
    October 10, 2018 - Study Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. Citation Text: Chaudhary N, Varma V, Kapoor S, et al. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled s…

  6. Communication and shared understanding between parents and resident-physicians at night. | PSNet

    psnet.ahrq.gov/issue/communication-and-shared-understanding-between-parents-and-resident-physicians-night
    May 08, 2017 - Study Communication and shared understanding between parents and resident-physicians at night. Citation Text: Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2…

  7. Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. | PSNet

    psnet.ahrq.gov/issue/workforce-perceptions-hospital-safety-culture-development-and-validation-patient-safety
    November 18, 2009 - Study Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. Citation Text: Singer SJ, Meterko M, Baker LC, et al. Workforce perceptions of hospital safety culture: development and validation of the…

  8. Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet

    psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety
    August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

  9. Introducing the patient safety professional: why, what, who, how, and where? | PSNet

    psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
    July 03, 2014 - Commentary Introducing the patient safety professional: why, what, who, how, and where? Citation Text: Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…

  10. Speaking up about the dangers of the hidden curriculum. | PSNet

    psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
    September 30, 2020 - Commentary Speaking up about the dangers of the hidden curriculum. Citation Text: Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073. Copy Citation Format: DOI Google…

  11. Online medication error graphic reports: a pilot in North Carolina nursing homes. | PSNet

    psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes
    March 24, 2011 - Study Online medication error graphic reports: a pilot in North Carolina nursing homes. Citation Text: Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4…

  12. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. | PSNet

    psnet.ahrq.gov/issue/incidence-potentially-avoidable-urgent-readmissions-and-their-relation-all-cause-urgent
    April 22, 2011 - Study Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Citation Text: van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…

  13. Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. | PSNet

    psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams
    December 21, 2016 - Study Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. Citation Text: Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.11…

  14. Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. | PSNet

    psnet.ahrq.gov/issue/discrepancies-between-prescribed-and-actual-pediatric-home-parenteral-nutrition-solutions
    November 11, 2009 - Study Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. Citation Text: Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.117…

  15. Safety culture and care: a program to prevent surgical errors. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
    March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

  16. Considering human factors and developing systems-thinking behaviours to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
    March 01, 2023 - Newspaper/Magazine Article Considering human factors and developing systems-thinking behaviours to ensure patient safety. Citation Text: Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…

  17. final Fibromyalgia CER protocol_3-31-14 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/fibromyalgia_research-protocol.pdf
    April 03, 2014 - Typical treatments may be less effective31 or not feasible in this group of individuals and treatments … • Women and men • Individuals with coexisting mental health conditions • Individuals with high fibromyalgia … ) • Individuals with longer duration of fibromyalgia symptoms Question 2: What are the harms of … • Women and men • Individuals with coexisting mental health conditions • Individuals with high fibromyalgia … ) • Individuals with longer duration of fibromyalgia symptoms The subgroups in key questions

  18. AHRQ-Funded Research Improves Care of Patients and Their Engagement in Care | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-summary/improves-care-patients
    January 01, 2018 - Since usability is key to ensuring that health technology meets the needs of the individuals who use … s research concluded that patient-facing technology must be redesigned or enhanced to better allow individuals … with disabilities to fully engage with technology and demonstrated the importance of partnering with individuals

  19. Disparities-Quality-Improvement Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_executive.pdf
    August 01, 2012 - Inclusion and exclusion criteria Category Criteria Population Individuals receiving health care in … A minimum sample size of 50 individuals per study and intervention group or subgroup. … • The intervention was more effective in White and Black individuals relative to those of other or … speaking English as their primary language and individuals speaking a language other than English. … with limited health literacy (55.7 percent vs. 30 percent) but not among individuals with adequate

  20. Health IT Hazard Manager. | PSNet

    psnet.ahrq.gov/issue/health-it-hazard-manager
    August 01, 2012 - October 6, 2016 Findings and Lessons From the Improving Management of Individuals With … August 13, 2014 Findings and Lessons From the Improving Management of Individuals With
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