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  1. What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. | PSNet

    psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
    November 30, 2005 - Study Classic What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. Citation Text: Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-rep…

  2. Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. | PSNet

    psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans
    February 20, 2008 - Study Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. Citation Text: Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patie…

  3. Patient-reported service quality on a medicine unit. | PSNet

    psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
    August 17, 2005 - Study Patient-reported service quality on a medicine unit. Citation Text: Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  4. Communication failures in the operating room: an observational classification of recurrent types and effects. | PSNet

    psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
    October 19, 2005 - Study Classic Communication failures in the operating room: an observational classification of recurrent types and effects. Citation Text: Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recu…

  5. The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study. | PSNet

    psnet.ahrq.gov/issue/impact-rapid-response-team-outcome-patients-transferred-ward-icu-single-center-study
    July 19, 2006 - Study The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study. Citation Text: Karpman C, Keegan MT, Jensen J, et al. The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-cent…

  6. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. | PSNet

    psnet.ahrq.gov/issue/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and
    December 06, 2006 - Study A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. Citation Text: Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…

  7. Medication regimen complexity and hospital readmission for an adverse drug event. | PSNet

    psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
    December 03, 2014 - Study Medication regimen complexity and hospital readmission for an adverse drug event. Citation Text: Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898. C…

  8. What did the doctor say? Health literacy and recall of medical instructions. | PSNet

    psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions
    March 16, 2011 - Study What did the doctor say? Health literacy and recall of medical instructions. Citation Text: McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. Copy C…

  9. Silence, power and communication in the operating room. | PSNet

    psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
    June 08, 2011 - Study Silence, power and communication in the operating room. Citation Text: Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x. Copy Citation Format: DOI Go…

  10. Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
    March 06, 2005 - Study Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. Citation Text: Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizati…

  11. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? | PSNet

    psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities
    December 06, 2006 - Review Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Citation Text: Taub N, Baker R, Khunti K, et al. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Diabet Med. 2010;27(11):1322-6. Copy C…

  12. Awareness and use of a cognitive aid for anesthesiology. | PSNet

    psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
    May 30, 2007 - Study Awareness and use of a cognitive aid for anesthesiology. Citation Text: Neily J, DeRosier JM, Mills PD, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-11. Copy Citation Format: Google Scholar PubMed BibTeX En…

  13. Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. | PSNet

    psnet.ahrq.gov/issue/comparing-measures-patient-safety-inpatient-care-provided-veterans-within-and-outside-va
    February 06, 2008 - Study Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. Citation Text: Weeks WB, West AN, Rosen AK, et al. Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA sys…

  14. The effectiveness of root cause analysis: what does the literature tell us? | PSNet

    psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
    January 09, 2013 - Review The effectiveness of root cause analysis: what does the literature tell us? Citation Text: Percarpio KB, Watts V, Weeks WB. The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J Qual Patient Saf. 2008;34(7):391-8. Copy Citation Format: …

  15. Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. | PSNet

    psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand
    April 01, 2015 - Study Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. Citation Text: Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative St…

  16. Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. | PSNet

    psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment
    June 06, 2012 - Study Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. Citation Text: Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Abil…

  17. Making the business case for patient safety. | PSNet

    psnet.ahrq.gov/issue/making-business-case-patient-safety
    September 19, 2007 - Commentary Making the business case for patient safety. Citation Text: Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  18. Practices to prevent venous thromboembolism: a brief review. | PSNet

    psnet.ahrq.gov/issue/practices-prevent-venous-thromboembolism-brief-review
    August 19, 2015 - Review Practices to prevent venous thromboembolism: a brief review. Citation Text: Lau BD, Haut ER. Practices to prevent venous thromboembolism: a brief review. BMJ Qual Saf. 2014;23(3):187-95. doi:10.1136/bmjqs-2012-001782. Copy Citation Format: DOI Google Scholar PubMed …

  19. Table of Contents: Volume 1. Assessment (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
    December 22, 2008 - Table of Contents: Volume 1. Assessment Contents Volume 1. Assessment Prologue: Laying the Foundation Kerm Henriksen Looking Forward, Benefiting from the Past Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, Caitlin Oppenheimer, Lucian Leape, et al. What Exactly Is Patien…

  20. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
    December 22, 2008 - Table of Contents: Volume 4. Technology and Medication Safety Contents Volume 4. Technology and Medication Safety Prologue: Technology and Medication Safety Mary L. Grady Health Information Technology “Safeware”: Safety-Critical Computing and Health Care Information Technology Robert L. Wears, Nancy G. Lev…
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