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  1. Patient perspectives on adverse event investigations in health care. | PSNet

    psnet.ahrq.gov/issue/patient-perspectives-adverse-event-investigations-health-care
    December 18, 2024 - Study Patient perspectives on adverse event investigations in health care. Citation Text: Dijkstra-Eijkemans RI, Knap LJ, Elbers NA, et al. Patient perspectives on adverse event investigations in health care. BMC Health Serv Res. 2024;24(1):1044. doi:10.1186/s12913-024-11522-x. Copy Ci…

  2. Patients use an internet technology to report when things go wrong. | PSNet

    psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
    July 21, 2009 - Study Patients use an internet technology to report when things go wrong. Citation Text: Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. Copy Citation Format: Google Scholar PubMe…

  3. Patient perceptions of hospital experiences: implications for innovations in patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-hospital-experiences-implications-innovations-patient-safety
    May 04, 2022 - Study Patient perceptions of hospital experiences: implications for innovations in patient safety. Citation Text: Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:…

  4. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/use-technology-urgent-clinician-clinician-communications-systematic-review-literature
    September 09, 2015 - Review The use of technology for urgent clinician to clinician communications: a systematic review of the literature. Citation Text: Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. I…

  5. The husband's story: from tragedy to learning and action. | PSNet

    psnet.ahrq.gov/issue/husbands-story-tragedy-learning-and-action
    February 02, 2022 - Commentary The husband's story: from tragedy to learning and action. Citation Text: Bromiley M. The husband's story: from tragedy to learning and action. BMJ Qual Saf. 2015;24(7):425-427. doi:10.1136/bmjqs-2015-004129. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  6. Closing the loop with ambulatory staff on safety reports. | PSNet

    psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
    April 22, 2016 - Study Closing the loop with ambulatory staff on safety reports. Citation Text: Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. Copy Citation Format: DOI…

  7. Adverse events associated with home blood transfusion: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-home-blood-transfusion-retrospective-cohort-study
    October 20, 2021 - Study Adverse events associated with home blood transfusion: a retrospective cohort study. Citation Text: Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.…

  8. Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. | PSNet

    psnet.ahrq.gov/issue/standardizing-opioid-prescriptions-patients-after-ambulatory-oncologic-surgery-reduces
    October 19, 2022 - Study Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. Citation Text: Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory Oncologic Surgery Reduces Overprescription. Jt Comm J Qu…

  9. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. | PSNet

    psnet.ahrq.gov/issue/reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order
    June 19, 2024 - Study Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. Citation Text: Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet.…

  10. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. | PSNet

    psnet.ahrq.gov/issue/decreasing-mislabeled-laboratory-specimens-using-barcode-technology-and-bedside-printers
    October 05, 2022 - Study Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. Citation Text: Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b0…

  11. TeamSTEPPS Research/Evidence Base: Inter-Professional Education | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/evidence-base/education.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Inter-Professional Education Andersen P, Coverdale S, Kelly M, Forster S. Interprofessional simulation: Developing teamwork using a two-tiered debriefing approach. Clin Simul Nurs. 2018;20:15-23. doi: 10.1016/j.ecns.2018.04.003. PMID: 130262697. Baker, M. J., & Durham, C. …

  12. System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet

    psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
    July 19, 2023 - Commentary System planning for modern-day Just Culture to mitigate worker distress and second victim response. Citation Text: Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…

  13. Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
    July 03, 2016 - Study Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. Citation Text: Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Repo…

  14. The epidemiology of malpractice claims in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/epidemiology-malpractice-claims-primary-care-systematic-review
    June 13, 2011 - Review The epidemiology of malpractice claims in primary care: a systematic review. Citation Text: Wallace E, Lowry J, Smith SM, et al. The epidemiology of malpractice claims in primary care: a systematic review. BMJ Open. 2013;3(7). doi:10.1136/bmjopen-2013-002929. Copy Citation …

  15. CANDOR Event Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
    August 01, 2022 - CANDOR Event Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool?   The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated. …

  16. Mod4-Event-Checklist (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool? The Communication and Optimal Resolution Toolkit (CANDOR) Response Team or designee, unless otherwise indicated. How to use this tool: Use the checklist to ensure that appropriate action is t…

  17. Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-regarding-utilization-emergency-severity-index-among-emergency-nurses
    December 21, 2016 - Study Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses. Citation Text: Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.…

  18. Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. | PSNet

    psnet.ahrq.gov/issue/quantitative-analysis-content-ems-handoff-critically-ill-and-injured-patients-emergency
    August 04, 2021 - Study Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. Citation Text: Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergen…

  19. Active surveillance of vaccine safety: a system to detect early signs of adverse events. | PSNet

    psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events
    March 29, 2010 - Study Active surveillance of vaccine safety: a system to detect early signs of adverse events. Citation Text: Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41. Copy Citation …

  20. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. | PSNet

    psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
    December 17, 2014 - Study Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. Citation Text: De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric an…
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