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psnet.ahrq.gov/issue/examination-opportunities-active-patient-improving-patient-safety
October 04, 2011 - Review
An examination of opportunities for the active patient in improving patient safety.
Citation Text:
Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e318…
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psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting
January 19, 2016 - Review
Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature.
Citation Text:
Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a…
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psnet.ahrq.gov/issue/widespread-misinterpretation-advance-directives-and-portable-orders-life-sustaining
December 18, 2019 - Commentary
Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment.
Citation Text:
Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orde…
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psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
August 25, 2015 - Commentary
Toward improving patient safety through voluntary peer-to-peer assessment.
Citation Text:
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …
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psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
July 01, 2017 - Commentary
Classic
Paying the piper: investing in infrastructure for patient safety.
Citation Text:
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
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psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
March 09, 2022 - Study
Transforming team performance through reimplementation of the surgical safety checklist.
Citation Text:
Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…
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psnet.ahrq.gov/issue/interventions-improve-safe-and-effective-medicines-use-consumers-overview-systematic-reviews
July 19, 2023 - Review
Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews.
Citation Text:
Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database…
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psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute
May 30, 2016 - Study
Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting.
Citation Text:
Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospita…
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psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
January 04, 2017 - Study
Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.
Citation Text:
Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…
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psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee
November 24, 2021 - Study
'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety.
Citation Text:
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing t…
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psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care-facilities
June 09, 2021 - Study
The relationship between culture of safety and rate of adverse events in long-term care facilities.
Citation Text:
Abusalem S, Polivka B, Coty M-B, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021;17(4):2…
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psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa
April 24, 2018 - Study
Autopsy as a quality control measure for radiology, and vice versa.
Citation Text:
Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386.
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psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
September 27, 2017 - Commentary
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward.
Citation Text:
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…
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psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-patient-safety-program
January 04, 2017 - Study
Closing the loop: follow-up and feedback in a patient safety program.
Citation Text:
Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21.
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psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
August 20, 2018 - Study
Errors in nurse-led triage: an observational study.
Citation Text:
Ausserhofer D, Zaboli A, Pfeifer N, et al. Errors in nurse-led triage: an observational study. Int J Nurs Stud. 2020;113:103788. doi:10.1016/j.ijnurstu.2020.103788.
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psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
October 21, 2020 - Study
Exploring nurses' attitudes, skills, and beliefs of medication safety practices.
Citation Text:
Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000…
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psnet.ahrq.gov/issue/integrating-teamwork-clinician-occupational-well-being-and-patient-safety-development
February 14, 2017 - Review
Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review.
Citation Text:
Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual …
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psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care
August 20, 2014 - Study
The effect of work hours on adverse events and errors in health care.
Citation Text:
Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002.
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psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives
April 13, 2011 - Study
Classic
Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.
Citation Text:
Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…
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psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
April 05, 2017 - Study
Cause and effect analysis of closed claims in obstetrics and gynecology.
Citation Text:
White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038.
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