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Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. | PSNet

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January 15, 2014 - Study Classic Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Citation Text: Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…

Balancing "no blame" with accountability in patient safety. | PSNet

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March 13, 2013 - Commentary Classic Balancing "no blame" with accountability in patient safety. Citation Text: Wachter R, Pronovost P. Balancing "no blame" with accountability in patient safety. New Engl J Med. 2009;361(14):1401-1406. doi:10.1056/NEJMsb0903885. Copy Citation…

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team

February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …

Does error and adverse event reporting by physicians and nurses differ? | PSNet

psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ

February 24, 2011 - Study Does error and adverse event reporting by physicians and nurses differ? Citation Text: Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. Copy Citation Format: G…

Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us-hospitals

October 20, 2021 - Study Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. Citation Text: Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. J Patient Saf. 202…

Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet

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February 12, 2020 - Commentary Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Citation Text: Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(…

Temporal trends in rates of patient harm resulting from medical care. | PSNet

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April 04, 2011 - Study Classic Temporal trends in rates of patient harm resulting from medical care. Citation Text: Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…

Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. | PSNet

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February 24, 2011 - Study Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. Citation Text: Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nu…

Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. | PSNet

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October 20, 2014 - Review Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. Citation Text: Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted …

Explaining Michigan: developing an ex post theory of a quality improvement program. | PSNet

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April 04, 2011 - Study Classic Explaining Michigan: developing an ex post theory of a quality improvement program. Citation Text: Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…

Types of unintended consequences related to computerized provider order entry. | PSNet

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February 18, 2011 - Study Classic Types of unintended consequences related to computerized provider order entry. Citation Text: Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):…

Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. | PSNet

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September 07, 2022 - Study Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture: a cross-national cross-sectional study. Citation Text: Gambashidze N, Hammer A, Wagner A, et al. Influence of gender, profession, and managerial function on clinicians' pe…

Measuring psychological safety and local learning to enable high reliability organisational change. | PSNet

psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational

May 05, 2021 - Study Measuring psychological safety and local learning to enable high reliability organisational change. Citation Text: Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high reliability organisational change. BMJ Open Qual. 2022;11(4):e0017…

AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. | PSNet

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May 11, 2016 - Book/Report AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for…

Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. | PSNet

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June 14, 2017 - Study Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. Citation Text: Al-Qahtani S, Al-Dorzi HM, Tamim HM, et al. Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-w…

Patient safety in inpatient mental health settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review

November 13, 2019 - Review Emerging Classic Patient safety in inpatient mental health settings: a systematic review. Citation Text: Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.…

Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet

psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed

January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. Citation Text: Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…

Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/compliance-and-barriers-implementing-surgical-safety-checklist-mixed-methods-study

October 06, 2021 - Study Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. Citation Text: Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:…

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. | PSNet

psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse

March 17, 2021 - Study Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. Citation Text: Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. | PSNet

psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics

April 08, 2008 - Study To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Citation Text: Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…

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