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A Department of Medicine infrastructure for patient safety and clinical quality improvement. | PSNet

psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement

July 01, 2017 - Review A Department of Medicine infrastructure for patient safety and clinical quality improvement. Citation Text: Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. …

Selecting indicators for patient safety at the health system level in OECD countries. | PSNet

psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries

June 28, 2011 - Study Selecting indicators for patient safety at the health system level in OECD countries. Citation Text: McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. Cop…

Clinical criteria to screen for inpatient diagnostic errors: a scoping review. | PSNet

psnet.ahrq.gov/issue/clinical-criteria-screen-inpatient-diagnostic-errors-scoping-review

December 12, 2018 - Review Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Citation Text: Shenvi EC, El-Kareh R. Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Diagnosis (Berl). 2015;2(1):3-19. doi:10.1515/dx-2014-0047. Copy Citation Forma…

Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. | PSNet

psnet.ahrq.gov/issue/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication

January 03, 2017 - Study Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. Citation Text: Armstrong GE, Dietrich M, Norman L, et al. Nursesʼ Perceived Skills and Attitudes About Updated Safety Concepts. J Nurs Care Qual. 2016;32(…

Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. | PSNet

psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay

January 23, 2017 - Study Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. Citation Text: Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in …

Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. | PSNet

psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety

June 21, 2016 - Study Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. Citation Text: Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…

Implementation of safety checklists in surgery: a realist synthesis of evidence. | PSNet

psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence

November 20, 2015 - Review Implementation of safety checklists in surgery: a realist synthesis of evidence. Citation Text: Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9. Copy Citation …

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. | PSNet

psnet.ahrq.gov/issue/sages-fundamental-use-surgical-energy-program-fuse-history-development-and-purpose

April 05, 2017 - Commentary The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Citation Text: Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):…

Implementation and evaluation of a laboratory safety process improvement toolkit. | PSNet

psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit

July 12, 2010 - Study Implementation and evaluation of a laboratory safety process improvement toolkit. Citation Text: Kwan BM, Fernald D, Ferrarone P, et al. Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit. J Am Board Fam Med. 2019;32(2):136-145. doi:10.3122/jabfm.2019.…

Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review

October 12, 2022 - Review Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. Citation Text: Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …

Nurses and nursing students as second victims: a scoping review. | PSNet

psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-review

March 08, 2023 - Review Nurses and nursing students as second victims: a scoping review. Citation Text: Sahay A, McKenna L. Nurses and nursing students as second victims: a scoping review. Nurs Outlook. 2023;71(4):101992. doi:10.1016/j.outlook.2023.101992. Copy Citation Format: DOI Google S…

Defining speaking up in the healthcare system: a systematic review. | PSNet

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September 27, 2023 - Review Defining speaking up in the healthcare system: a systematic review. Citation Text: Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. Copy Citation Forma…

Developing a medical emergency team running sheet to improve clinical handoff and documentation. | PSNet

psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation

June 26, 2024 - Study Developing a medical emergency team running sheet to improve clinical handoff and documentation. Citation Text: Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2…

Applying lessons from social psychology to transform the culture of error disclosure. | PSNet

psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure

March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error disclosure. Citation Text: Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. Co…

Patient safety incidents in hospice care: observations from interdisciplinary case conferences. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences

June 15, 2022 - Study Patient safety incidents in hospice care: observations from interdisciplinary case conferences. Citation Text: Oliver DP, Demiris G, Wittenberg-Lyles E, et al. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. J Palliat Med. 2013;16(1…

Measurement as a performance driver: the case for a national measurement system to improve patient safety. | PSNet

psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety

September 01, 2018 - Review Measurement as a performance driver: the case for a national measurement system to improve patient safety. Citation Text: Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. | PSNet

psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients

March 13, 2019 - Study Classic A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Citation Text: Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …

Blink or think: can further reflection improve initial diagnostic impressions? | PSNet

psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions

November 28, 2012 - Study Blink or think: can further reflection improve initial diagnostic impressions? Citation Text: Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. Copy…

IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet

psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system

April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system. Citation Text: Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…

Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet

psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice

February 21, 2015 - Study Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Citation Text: Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …

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