-
psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques
September 23, 2020 - Study
Resident participation does not affect surgical outcomes, despite introduction of new techniques.
Citation Text:
Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…
-
psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
March 10, 2021 - Study
The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.
Citation Text:
Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…
-
psnet.ahrq.gov/node/867384/psn-pdf
December 18, 2024 - Involving patients and/or their next of kin in serious
adverse event investigations: a qualitative study on
hospital perspectives.
December 18, 2024
Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious
adverse event investigations: a qualitative study on hospital…
-
psnet.ahrq.gov/node/867752/psn-pdf
March 12, 2025 - Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs.
March 12, 2025
Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…
-
psnet.ahrq.gov/node/849326/psn-pdf
May 24, 2023 - Proactive patient safety: focusing on what goes right in
the perioperative environment.
May 24, 2023
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative
environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.0000000000001113.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/73160/psn-pdf
April 21, 2021 - Compelled disclosure of confidential information in
patient safety research.
April 21, 2021
Du L, Murdoch B, Chiu C, et al. Compelled disclosure of confidential information in patient safety research.
J Patient Saf. 2021;17(3):200-206. doi:10.1097/pts.0000000000000293.
https://psnet.ahrq.gov/issue/compelled-disclo…
-
psnet.ahrq.gov/node/50821/psn-pdf
January 22, 2020 - Communicating with patients about diagnostic errors in
breast cancer care: providers' attitudes, experiences, and
advice
January 22, 2020
Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast
cancer care: Providers’ attitudes, experiences, and advice. Patient Educ Co…
-
psnet.ahrq.gov/node/850917/psn-pdf
June 21, 2023 - Improving safety outcomes through medical error
reduction via virtual reality-based clinical skills training.
June 21, 2023
Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via
virtual reality-based clinical skills training. Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.…
-
psnet.ahrq.gov/node/853618/psn-pdf
September 20, 2023 - Improving patients' intensive care admission through
multidisciplinary simulation-based crisis resource
management: a qualitative study.
September 20, 2023
Jensen JF, Ramos J, Ørom M?L, et al. Improving patients' intensive care admission through
multidisciplinary simulation?based crisis resource management: a qual…
-
psnet.ahrq.gov/node/853969/psn-pdf
September 27, 2023 - Perceptions of chief clinical information officers on the
state of electronic health records systems interoperability
in NHS England: a qualitative interview study.
September 27, 2023
Li E, Lounsbury O, Clarke J, et al. Perceptions of chief clinical information officers on the state of electronic
health records sy…
-
psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
C…
-
psnet.ahrq.gov/node/867089/psn-pdf
November 06, 2024 - Focused team engagements to enhance interprofessional
collaboration and safety behaviors among novice nurses
and medical residents.
November 6, 2024
Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration
and safety behaviors among novice nurses and medical residents.…
-
psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
December 24, 2008 - Measurement Tool/Indicator
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants.
Citation Text:
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Rockville, MD: Agency for Health Quality and Research; June 2022.
Copy Citation
…
-
psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals
October 20, 2021 - Study
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.
Citation Text:
Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…
-
psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
October 27, 2021 - Study
Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.
Citation Text:
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…
-
psnet.ahrq.gov/node/73485/psn-pdf
July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the
interprofessional clinical learning environment.
July 14, 2021
Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the
interprofessional clinical learning environment. Acad Med. 2021;96(7):997-1001.
doi:10.1097/acm.00…
-
psnet.ahrq.gov/node/47242/psn-pdf
January 01, 2021 - "It matters what I think, not what you say": scientific
evidence for a medical error disclosure competence
(MEDC) model.
October 10, 2018
Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical
Error Disclosure Competence (MEDC) Model. J Patient Saf. 2021;17(8):e1130-…
-
psnet.ahrq.gov/node/73910/psn-pdf
October 06, 2021 - Association of hospital public quality reporting with
electronic health record medication safety performance.
October 6, 2021
Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record
medication safety performance. JAMA Netw Open. 2021;4(9):e2125173.
doi:10.1001/jamanetw…
-
psnet.ahrq.gov/node/844545/psn-pdf
February 15, 2023 - Providers' and patients' perspectives on diagnostic errors
in the acute care setting.
February 15, 2023
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the
acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.1016/j.jcjq.2022.11.009.
https://…
-
psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - example, the team facilitates consultation by a specialized geriatric inpatient team whenever a program participant