AHRQ Search | Home Page

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. | PSNet

psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command

August 12, 2020 - Commentary Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Citation Text: Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patie…

Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. | PSNet

psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation-trainee-well

January 26, 2022 - Study Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. Citation Text: Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being…

Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet

psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient

February 14, 2024 - Study Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. Citation Text: Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…

Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. | PSNet

psnet.ahrq.gov/issue/proficiency-based-virtual-reality-training-significantly-reduces-error-rate-residents-during

November 13, 2009 - Study Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Citation Text: Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the err…

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort

December 03, 2014 - Study Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. Citation Text: Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):21…

Association of safety culture with surgical site infection outcomes. | PSNet

psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes

October 23, 2024 - Study Classic Association of safety culture with surgical site infection outcomes. Citation Text: Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet

psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study

August 26, 2020 - Study Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. Citation Text: Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…

Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. | PSNet

psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety

April 01, 2020 - Commentary Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. Citation Text: Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…

Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. | PSNet

psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative

June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…

Caregiver fatigue: implications for patient and staff safety—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/caregiver-fatigue-implications-patient-and-staff-safety-part-1-and-part-2

September 23, 2020 - Commentary Caregiver fatigue: implications for patient and staff safety—part 1 and part 2. Citation Text: Blouin AS, Smith-Miller CA, Harden J, et al. Caregiver Fatigue: Implications for Patient and Staff Safety, Part 1. J Nurs Adm. 2016;46(6):329-35. doi:10.1097/NNA.0000000000000353. …

Adverse events after transition from ICU to hospital ward: a multicenter cohort study. | PSNet

psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study

October 13, 2018 - Study Adverse events after transition from ICU to hospital ward: a multicenter cohort study. Citation Text: Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.00000…

Fast tracking in cardiac surgery: is it safe? | PSNet

psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe

October 05, 2022 - Study Fast tracking in cardiac surgery: is it safe? Citation Text: MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. | PSNet

psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second

September 19, 2016 - Study The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. Citation Text: Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an …

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive

August 12, 2014 - Study Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Citation Text: Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. | PSNet

psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey

August 04, 2021 - Study Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. Citation Text: Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):…

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient

September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

Building a learning organization. | PSNet

psnet.ahrq.gov/issue/building-learning-organization

June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Learning Health Systems | PSNet

psnet.ahrq.gov/issue/learning-health-systems

December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

Shifting the learning curve. | PSNet

psnet.ahrq.gov/issue/shifting-learning-curve

March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Learning from Investigations. | PSNet

psnet.ahrq.gov/issue/learning-investigations

July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…

Search AHRQ

Results