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Making surgery as safe as it should be: a qualitative study. | PSNet

psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study

July 02, 2014 - Study Making surgery as safe as it should be: a qualitative study. Citation Text: Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual. 2023;38(5):238-244. doi:10.1097/jmq.0000000000000139. Copy Citation Format: DOI Google Scho…

Communication about harm reduction with patients who have opioid use disorder. | PSNet

psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder

January 02, 2017 - Commentary Communication about harm reduction with patients who have opioid use disorder. Citation Text: Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307. Copy Citation Form…

Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. | PSNet

psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and

January 22, 2017 - Study Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Citation Text: Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…

Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. | PSNet

psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors

May 16, 2012 - Study Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. Citation Text: Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …

How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. | PSNet

psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative

September 02, 2009 - Study How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Citation Text: Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf …

Human factors–focused reporting system for improving care quality and safety in hospital wards. | PSNet

psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards

February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …

Pain as the neglected patient safety concern: five years on. | PSNet

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July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

Sleep and errors in a group of Australian hospital nurses at work and during the commute. | PSNet

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February 14, 2024 - Study Sleep and errors in a group of Australian hospital nurses at work and during the commute. Citation Text: Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/…

Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training. | PSNet

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March 26, 2015 - Study Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training. Citation Text: Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.10…

Association between organisational and workplace cultures, and patient outcomes: systematic review. | PSNet

psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic

February 03, 2011 - Review Association between organisational and workplace cultures, and patient outcomes: systematic review. Citation Text: Braithwaite J, Herkes J, Ludlow K, et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open. 2017;7(11). do…

Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and

March 06, 2019 - Commentary Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals. Citation Text: Fleisher LA, Economou-Zavlanos NJ. Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.…

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. | PSNet

psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative

November 16, 2022 - Study Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. Citation Text: Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…

AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. | PSNet

psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and-opioid-stewardship

December 10, 2024 - Webinar AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. Citation Text: Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:0…

AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. | PSNet

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November 12, 2008 - Press Release/Announcement AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Citation Text: AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. Agency for Healt…

Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. | PSNet

psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators

January 13, 2010 - Commentary Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. Citation Text: Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Q…

Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. | PSNet

psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care

March 03, 2021 - Review Emerging Classic Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. Citation Text: Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for…

Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet

psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety

April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

The elephant of patient safety: what you see depends on how you look. | PSNet

psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look

June 22, 2022 - Commentary Classic The elephant of patient safety: what you see depends on how you look. Citation Text: Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401. Copy Citation Format:…

Understanding complexity in a safety critical setting: a systems approach to medication administration. | PSNet

psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration

February 01, 2023 - Study Understanding complexity in a safety critical setting: a systems approach to medication administration. Citation Text: Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…

Complexity science: the challenge of complexity in health care. | PSNet

psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care

March 13, 2013 - Commentary Classic Complexity science: the challenge of complexity in health care. Citation Text: Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628. Copy Citation Format: Google Scho…

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