-
psnet.ahrq.gov/node/74175/psn-pdf
December 15, 2021 - The reduction of race and gender bias in clinical
treatment recommendations using clinician peer
networks in an experimental setting.
December 15, 2021
Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment
recommendations using clinician peer networks in an experimen…
-
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/73663/psn-pdf
September 01, 2021 - Racial disparities in preventable adverse events attributed
to poor care coordination reported in a national study of
older US adults.
September 1, 2021
Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to
poor care coordination reported in a national study o…
-
psnet.ahrq.gov/node/60055/psn-pdf
March 18, 2020 - A smartphone app designed to empower patients to
contribute toward safer surgical care: community-based
evaluation using a participatory approach.
March 18, 2020
Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward
Safer Surgical Care: Community-Based Evaluation Usi…
-
psnet.ahrq.gov/node/74201/psn-pdf
December 22, 2021 - Next of kin involvement in regulatory investigations of
adverse events that caused patient death: a process
evaluation.
December 22, 2021
Wiig S, Haraldseid-Driftland C, Tvete Zachrisen R, et al. J Patient Saf. 2021;17(8):e1707-
e1718.
https://psnet.ahrq.gov/issue/next-kin-involvement-regulatory-inves…
-
psnet.ahrq.gov/node/844544/psn-pdf
February 15, 2023 - Involving patients and carers in patient safety in primary
care: a qualitative study of a co-designed patient safety
guide.
February 15, 2023
Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a
qualitative study of a co?designed patient safety guide. Health Expect. 2…
-
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/847720/psn-pdf
April 19, 2023 - In situ simulation-based team training and its significance
for transfer of learning to clinical practice--a qualitative
focus group interview study of anaesthesia personnel.
April 19, 2023
Finstad AS, Aase I, Bjørshol CA, et al. In situ simulation-based team training and its significance for
transfer of learning …
-
psnet.ahrq.gov/node/50573/psn-pdf
October 23, 2019 - Preventing patient harm via adverse event review: An
APSA survey regarding the role of morbidity and mortality
(M&M) conference.
October 23, 2019
Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey
regarding the role of morbidity and mortality (M&M) conference. J …
-
psnet.ahrq.gov/node/61004/psn-pdf
October 07, 2020 - National Nursing Home COVID Action Network.
October 7, 2020
Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living
condition…
-
psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act.
April 10, 2024
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf.
2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identi…
-
psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - Study
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Citation Text:
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…
-
psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role
March 28, 2012 - Study
Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.
Citation Text:
Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of f…
-
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…
-
psnet.ahrq.gov/node/837141/psn-pdf
May 18, 2022 - The effects of leadership curricula with and without
implicit bias training on graduate medical education: a
multicenter randomized trial.
May 18, 2022
Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training
on graduate medical education: a multicenter randomi…
-
psnet.ahrq.gov/node/39783/psn-pdf
August 25, 2010 - Ethics, oversight and quality improvement initiatives.
August 25, 2010
Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and
Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034.
https://psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initia…
-
psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
June 16, 2011 - Study
Identifying organizational cultures that promote patient safety.
Citation Text:
Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c.
Copy Citation
…
-
psnet.ahrq.gov/issue/patient-and-family-contributions-improve-diagnostic-process-through-ourdx-electronic-health
October 27, 2021 - Study
Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis.
Citation Text:
Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process through the OurDX elect…
-
psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and
Reduce Unnecessary Cesarean Deliveries
July 8, 2022
https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-
cesarean-deliveries
Summary
Started in response to rising maternal morbidity and mortality rates in …
-
psnet.ahrq.gov/node/846160/psn-pdf
March 15, 2023 - Critical care teamwork in the future: the role of
TeamSTEPPS in the COVID-19 pandemic and implications
for the future.
March 15, 2023
Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care
teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and …