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  1. TeamSTEPPS Research and Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/evidence-base/research.html
    June 01, 2023 - TeamSTEPPS Research and Tools Agency for Healthcare Research and Quality. (2006).  TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4. Castner, J. (2012). Validity and reliability of the Brief  TeamSTEPPS Teamwork Perceptions Questionnaire.  Jo…

  2. A classification system for incidents and accidents in the health-care system. | PSNet

    psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
    September 28, 2010 - Study Classic A classification system for incidents and accidents in the health-care system. Citation Text: Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. …

  3. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet

    psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
    March 11, 2013 - Study Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Citation Text: Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;…

  4. Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. | PSNet

    psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
    September 23, 2020 - Commentary Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. Citation Text: King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…

  5. Are quality improvement collaboratives effective? A systematic review. | PSNet

    psnet.ahrq.gov/issue/are-quality-improvement-collaboratives-effective-systematic-review
    August 02, 2015 - Review Are quality improvement collaboratives effective? A systematic review. Citation Text: Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926. Copy Citation Format…

  6. Costs associated with surgical site infections in Veterans Affairs hospitals. | PSNet

    psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
    June 18, 2014 - Study Costs associated with surgical site infections in Veterans Affairs hospitals. Citation Text: Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. …

  7. Managing safety in perioperative settings: strategies of meso-level nurse leaders. | PSNet

    psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders
    April 06, 2011 - Study Managing safety in perioperative settings: strategies of meso-level nurse leaders. Citation Text: Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…

  8. Understanding pharmacist decision making for adverse drug event (ADE) detection. | PSNet

    psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
    May 27, 2011 - Study Understanding pharmacist decision making for adverse drug event (ADE) detection. Citation Text: Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…

  9. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. | PSNet

    psnet.ahrq.gov/issue/relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
    April 30, 2014 - Study Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6. Copy…

  10. Automated detection of harm in healthcare with information technology: a systematic review. | PSNet

    psnet.ahrq.gov/issue/automated-detection-harm-healthcare-information-technology-systematic-review
    April 11, 2011 - Review Automated detection of harm in healthcare with information technology: a systematic review. Citation Text: Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information technology: a systematic review. Qual Saf Health Care. 2010;19(5):e…

  11. Cognitive testing of older clinicians prior to recredentialing. | PSNet

    psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
    January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

  12. Impact of intensive care unit discharge time on patient outcome. | PSNet

    psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
    December 14, 2022 - Study Impact of intensive care unit discharge time on patient outcome. Citation Text: Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  13. Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet

    psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application
    March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…

  14. The role of checklists and human factors for improved patient safety in plastic surgery. | PSNet

    psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery
    November 02, 2016 - Commentary The role of checklists and human factors for improved patient safety in plastic surgery. Citation Text: Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097…

  15. Identification and characterization of adverse drug events in primary care. | PSNet

    psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
    July 16, 2015 - Study Identification and characterization of adverse drug events in primary care. Citation Text: Trinkley KE, Weed HG, Beatty SJ, et al. Identification and Characterization of Adverse Drug Events in Primary Care. Am J Med Qual. 2017;32(5):518-525. doi:10.1177/1062860616665695. Copy Cit…

  16. Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
    June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…

  17. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet

    psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
    November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident report analysis. Citation Text: Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…

  18. Managing alarm systems for quality and safety in the hospital setting. | PSNet

    psnet.ahrq.gov/issue/managing-alarm-systems-quality-and-safety-hospital-setting
    August 13, 2014 - Review Managing alarm systems for quality and safety in the hospital setting. Citation Text: Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202. Copy Citation Format: …

  19. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. | PSNet

    psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists
    September 22, 2010 - Commentary Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Citation Text: Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Ameri…

  20. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. | PSNet

    psnet.ahrq.gov/issue/evaluation-preoperative-team-briefing-new-communication-routine-results-improved-clinical
    April 06, 2011 - Study Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. Citation Text: Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BM…
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