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  1. Summary of Survey Findings | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Summary of Survey Findings Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introdu…

  2. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal
    July 09, 2008 - Study Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. Citation Text: Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals.…

  3. What does safety commitment mean to leaders? A multi-method investigation. | PSNet

    psnet.ahrq.gov/issue/what-does-safety-commitment-mean-leaders-multi-method-investigation
    September 11, 2024 - Study What does safety commitment mean to leaders? A multi-method investigation. Citation Text: Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011. Copy Citation F…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73874/psn-pdf
    September 29, 2021 - The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis September 29, 2021 Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis. JMIR Med Inform. 2…

  5. Patient harm events and associated cost outcomes reported to a patient safety organization. | PSNet

    psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization
    July 18, 2017 - Study Patient harm events and associated cost outcomes reported to a patient safety organization. Citation Text: Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.00000000…

  6. Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes. | PSNet

    psnet.ahrq.gov/issue/graduating-pediatrics-residents-reports-impact-fatigue-over-past-decade-duty-hour-changes
    July 21, 2010 - Study Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes. Citation Text: Schumacher DJ, Frintner MP, Winn A, et al. Graduating Pediatrics Residents' Reports on the Impact of Fatigue Over the Past Decade of Duty Hour Changes. Acad P…

  7. Patient and Family Engagement in the Emergency Department | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-slides.html
    December 01, 2017 - Patient and Family Engagement in the Emergency Department Slide Presentation Slide 1 Patient and Family Engagement in the ED Sue Collier, RN, MSN, FABC Clinical Content Development Lead Health Research & Education Trust American Hospital Association Image: Photo of Sue Collier, RN. Slide 2 Le…

  8. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
    January 17, 2012 - Study Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Citation Text: Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…

  9. How well do incident reporting systems work on inpatient psychiatric units? | PSNet

    psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
    September 05, 2018 - Study How well do incident reporting systems work on inpatient psychiatric units? Citation Text: Reilly CA, Cullen SW, Watts B, et al. How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? Jt Comm J Qual Patient Saf. 2019;45(1):63-69. doi:10.1016/j.jcjq.2018.05.002.…

  10. Rapidly increasing rapid response team activation rates. | PSNet

    psnet.ahrq.gov/issue/rapidly-increasing-rapid-response-team-activation-rates
    February 18, 2015 - Study Rapidly increasing rapid response team activation rates. Citation Text: Braaten JS, deGunst G, Bilys K. Rapidly Increasing Rapid Response Team Activation Rates. Jt Comm J Qual Patient Saf. 2015;41(9):421-427. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  11. Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet

    psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids
    April 21, 2021 - Commentary Crisis checklists in emergency medicine: another step forward for cognitive aids. Citation Text: Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203. Copy Cit…

  12. Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. | PSNet

    psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care
    December 19, 2018 - Study Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. Citation Text: Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System. JAMA Intern Med. 20…

  13. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. | PSNet

    psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system
    April 13, 2022 - Study Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Citation Text: Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J…

  14. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
    November 16, 2022 - Study Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Citation Text: Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695.…

  15. The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. | PSNet

    psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
    July 01, 2017 - Study The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. Citation Text: Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…

  16. Struggling to invent high-reliability organizations in health care settings: insights from the field. | PSNet

    psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
    October 02, 2019 - Study Struggling to invent high-reliability organizations in health care settings: insights from the field. Citation Text: Dixon NM, Shofer M. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Health Serv Res. 2006;41(4 Pt 2):1618-32.…

  17. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. | PSNet

    psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
    August 02, 2015 - Study BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Citation Text: Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.…

  18. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. | PSNet

    psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences-work-patient
    November 03, 2015 - Study Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Citation Text: Szymczak JE. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med. 2014;120:252-9. doi…

  19. Operational rounds: a practical administrative process to improve safety and clinical services in radiology. | PSNet

    psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services
    May 12, 2010 - Commentary Operational rounds: a practical administrative process to improve safety and clinical services in radiology. Citation Text: Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical s…

  20. Identification of adverse events at an orthopedics department in Sweden. | PSNet

    psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden
    May 08, 2013 - Study Identification of adverse events at an orthopedics department in Sweden. Citation Text: Unbeck M, Muren O, Lillkrona U. Identification of adverse events at an orthopedics department in Sweden. Acta Orthop. 2008;79(3):396-403. doi:10.1080/17453670710015319. Copy Citation For…
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