-
psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
April 08, 2011 - Study
Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations.
Citation Text:
Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix B
Gap Analysis Structured Interview Questions
The Gap Analysis Structured Interview Questions allow the facilitator to lead participants through a set of questions designed to elicit participant views on a variety of key policies and practices.
Leadership and Cul…
-
psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information
May 31, 2017 - Study
Emerging Classic
Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians.
Citation Text:
Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure …
-
psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary
September 01, 2018 - Study
Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback.
Citation Text:
Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…
-
psnet.ahrq.gov/issue/didactic-and-simulation-nontechnical-skills-team-training-improve-perinatal-patient-outcomes
October 21, 2011 - Study
Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.
Citation Text:
Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a commun…
-
digital.ahrq.gov/health-care-theme/patient-education
January 01, 2023 - Patient Education
Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Description
This research examines whether remote therapeutic monitoring can improve ph…
-
digital.ahrq.gov/health-care-theme/technology-usability
January 01, 2023 - Technology Usability
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation…
-
psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
November 03, 2015 - Commentary
Classic
Toward a safer health care system: the critical need to improve measurement.
Citation Text:
Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…
-
psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
April 30, 2014 - Study
Classic
Medical team training: applying crew resource management in the Veterans Health Administration.
Citation Text:
Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…
-
psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
April 05, 2023 - Study
Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.
Citation Text:
Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…
-
psnet.ahrq.gov/issue/assessment-fidelity-interventions-improve-hand-hygiene-healthcare-workers-systematic-review
June 02, 2019 - Review
Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review.
Citation Text:
Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Contro…
-
psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
February 01, 2013 - Study
Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department.
Citation Text:
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…
-
psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
January 23, 2012 - Commentary
Classic
Accountability measures—using measurement to promote quality improvement.
Citation Text:
Chassin MR, Loeb JM, Schmaltz SP, et al. Accountability measures--using measurement to promote quality improvement. N Engl J Med. 2010;363(7):683-8. doi…
-
psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate
August 12, 2020 - Study
Classic
Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up.
Citation Text:
Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concern…
-
psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Study
Care transition of trauma patients: processes with articulation work before and after handoff.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…
-
psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality
February 14, 2018 - Review
Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care.
Citation Text:
Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…
-
psnet.ahrq.gov/issue/influence-electronic-health-record-design-usability-and-medication-safety-systematic-review
July 19, 2023 - Review
The influence of electronic health record design on usability and medication safety: systematic review.
Citation Text:
Cahill M, Cleary BJ, Cullinan S. The influence of electronic health record design on usability and medication safety: systematic review. BMC Health Serv Res. 2025…
-
psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens
January 22, 2025 - Study
Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study.
Citation Text:
Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient saf…
-
psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
November 18, 2020 - Review
A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.
Citation Text:
St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 20…
-
psnet.ahrq.gov/issue/implicit-bias-healthcare-clinical-practice-research-and-decision-making
May 25, 2022 - Review
Classic
Implicit bias in healthcare: clinical practice, research and decision making.
Citation Text:
Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. d…