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Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. | PSNet

psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological

July 20, 2022 - Study Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Citation Text: Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. | PSNet

psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics

April 08, 2008 - Study To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Citation Text: Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…

What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study

August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. | PSNet

psnet.ahrq.gov/issue/association-pediatric-resident-physician-depression-and-burnout-harmful-medical-errors

April 24, 2018 - Study Emerging Classic Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Citation Text: Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and B…

Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet

psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning

June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. Citation Text: Rowland P, Lan MF, Wan C, et al. Why is learning from patient safety incidents (still) so hard? A sociocultural perspect…

Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. | PSNet

psnet.ahrq.gov/issue/simulation-debriefing-enhanced-needs-assessment-address-quality-markers-health-care

June 22, 2022 - Study Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. Citation Text: Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in hea…

Communication-and-resolution programs: the challenges and lessons learned from six early adopters. | PSNet

psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

September 29, 2017 - Study Classic Communication-and-resolution programs: the challenges and lessons learned from six early adopters. Citation Text: Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early ad…

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. | PSNet

psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user

February 16, 2022 - Study How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. Citation Text: Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user…

A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. | PSNet

psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans

April 24, 2018 - Study A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. Citation Text: Phillips KK, Mecca MC, Baim‐Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Vete…

Disclosure of medical errors: what factors influence how patients respond? | PSNet

psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influence-how-patients-respond

December 23, 2008 - Study Classic Disclosure of medical errors: what factors influence how patients respond? Citation Text: Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006;21(7):704-10. Copy Cit…

Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). | PSNet

psnet.ahrq.gov/issue/decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom

May 18, 2022 - Study Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). Citation Text: Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573.…

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. | PSNet

psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously

February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…

An intervention to decrease catheter-related bloodstream infections in the ICU. | PSNet

psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu

June 16, 2011 - Study Classic An intervention to decrease catheter-related bloodstream infections in the ICU. Citation Text: Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…

The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. | PSNet

psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey

May 08, 2024 - Study The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Citation Text: Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesi…

The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. | PSNet

psnet.ahrq.gov/issue/go-between-study-simulation-study-comparing-traffic-lights-and-sbar-tools-means-communication

March 01, 2023 - Study The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. Citation Text: MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'S…

Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-caregiver-perspectives-causes-and-prevention-ambulatory-adverse-events

November 24, 2021 - Study Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. Citation Text: Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitati…

Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective with clinician review: a population-level survey in Great Britain. | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients

June 30, 2021 - Study Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective with clinician review: a population-level survey in Great Britain. Citation Text: Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful prev…

Changes in medical errors after implementation of a handoff program. | PSNet

psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program

April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. | PSNet

psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing

February 23, 2022 - Study Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. Citation Text: Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…

Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. | PSNet

psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach

June 27, 2012 - Study Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. Citation Text: Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9)…

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