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  1. Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet

    psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement
    August 26, 2011 - Study Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. Citation Text: Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement…

  2. Lost opportunities: how physicians communicate about medical errors. | PSNet

    psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
    July 10, 2008 - Study Lost opportunities: how physicians communicate about medical errors. Citation Text: Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246. Copy Citati…

  3. How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? | PSNet

    psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19
    June 14, 2017 - Commentary How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? Citation Text: Chopra V, Toner E, Waldhorn R, et al. How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)? Ann Intern Med. 2020;172(9):621-622. doi:10.7326/m20-0907. Copy Citation…

  4. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. | PSNet

    psnet.ahrq.gov/issue/supporting-error-management-and-safety-climate-ambulatory-care-practices-cirsforte-study
    September 07, 2022 - Study Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. Citation Text: Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-32…

  5. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0255_06-25-2010.pdf
    January 01, 2010 - Effective Health Care Topic Number(s): 0272 Document Completion Date: 10-12-10 1 Results of Topic Selection Process & Next Steps  Intravascular diagnostic procedures and imaging techniques compared to angiography will go forward for refinement as a systematic review. The scope of this topic, incl…

  6. Implementing standardized operating room briefings and debriefings at a large regional medical center. | PSNet

    psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical
    January 03, 2017 - Study Implementing standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qua…

  7. Healthcare-associated infections: a national patient safety problem and the coordinated response. | PSNet

    psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
    May 20, 2016 - Commentary Healthcare-associated infections: a national patient safety problem and the coordinated response. Citation Text: Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…

  8. Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report
    November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Researc…

  9. Linking patient safety culture to quality ratings in the nursing home setting. | PSNet

    psnet.ahrq.gov/issue/linking-patient-safety-culture-quality-ratings-nursing-home-setting
    June 29, 2022 - Study Linking patient safety culture to quality ratings in the nursing home setting. Citation Text: Yount N, Zebrak KA, Famolaro T, et al. Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. J Appl Gerontol. 2021;41(1):73-81. doi:10.1177/0733464820969283. Cop…

  10. Does Nursing Home Compare reflect patient safety in nursing homes? | PSNet

    psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes
    February 10, 2015 - Study Does Nursing Home Compare reflect patient safety in nursing homes? Citation Text: Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721. Copy Citation…

  11. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. | PSNet

    psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
    January 12, 2022 - Review Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. Citation Text: Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…

  12. Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. | PSNet

    psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
    January 30, 2019 - Study Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. Citation Text: True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and prote…

  13. Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. | PSNet

    psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus
    January 25, 2017 - Commentary Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. Citation Text: Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…

  14. The impact of errors on healthcare professionals in the critical care setting. | PSNet

    psnet.ahrq.gov/issue/impact-errors-healthcare-professionals-critical-care-setting
    October 27, 2021 - Study The impact of errors on healthcare professionals in the critical care setting. Citation Text: Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. Copy…

  15. A narrative review of strategies to increase patient safety event reporting by residents. | PSNet

    psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents
    December 02, 2020 - Review A narrative review of strategies to increase patient safety event reporting by residents. Citation Text: Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…

  16. The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice. | PSNet

    psnet.ahrq.gov/issue/h-pepss-instrument-measure-health-professionals-perceptions-patient-safety-competence-entry
    February 14, 2015 - Study The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice. Citation Text: Ginsburg LR, Castel E, Tregunno D, et al. The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competen…

  17. From reporting to improving: how root cause analysis in teams shape patient safety culture. | PSNet

    psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
    July 31, 2024 - Study From reporting to improving: how root cause analysis in teams shape patient safety culture. Citation Text: Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-18…

  18. Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. | PSNet

    psnet.ahrq.gov/issue/public-reporting-health-care-associated-surveillance-data-recommendations-healthcare
    May 25, 2011 - Commentary Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. Citation Text: Talbot TR, Bratzler DW, Carrico RM, et al. Public Reporting of Health Care–Associated Surveillance Data: Recommen…

  19. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. | PSNet

    psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
    December 15, 2021 - Study The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. Citation Text: Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching…

  20. Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. | PSNet

    psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious
    June 12, 2024 - Study Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. Citation Text: Øyri SF, Søreide K, Søreide E, et al. Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with s…
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