-
psnet.ahrq.gov/node/865707/psn-pdf
May 01, 2024 - Department of anesthesiology skilled peer support
program outcomes: second victim perceptions.
May 1, 2024
Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes:
second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):442-448.
doi:10.1016/j.jcjq.2024.03.00…
-
psnet.ahrq.gov/node/60209/psn-pdf
April 08, 2020 - The views and experiences of patients and health-care
professionals on the disclosure of adverse events: a
systematic review and qualitative meta-ethnographic
synthesis.
April 8, 2020
Sattar R, Johnson J, Lawton R. The views and experiences of patients and health?care professionals on
the disclosure of adverse ev…
-
psnet.ahrq.gov/node/865519/psn-pdf
April 10, 2024 - Differences in donor heart acceptance by race and gender
of patients on the transplant waiting list.
April 10, 2024
Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of
patients on the transplant waiting list. JAMA. 2024;331(16):1379-1386. doi:10.1001/jama.2024.0065.
…
-
psnet.ahrq.gov/node/837345/psn-pdf
June 08, 2022 - A checklist to address implicit bias in healthcare settings
during the COVID-19 pandemic: The PLACE Strategy.
June 8, 2022
Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during
the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263.
doi:…
-
psnet.ahrq.gov/node/46878/psn-pdf
June 25, 2018 - Patient perceptions of deterioration and patient and
family activated escalation systems—a qualitative study.
June 25, 2018
Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family
activated escalation systems-A qualitative study. J Clin Nurs. 2018;27(7-8):1621-1631.
doi:10…
-
psnet.ahrq.gov/node/866070/psn-pdf
June 05, 2024 - Large language models for preventing medication
direction errors in online pharmacies.
June 5, 2024
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online
pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.
https://psnet.ahrq.gov/issue/large…
-
psnet.ahrq.gov/node/837036/psn-pdf
May 04, 2022 - Engaging patients in the use of real-time electronic
clinical data to improve the safety and reliability of their
own care.
May 4, 2022
Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to
improve the safety and reliability of their own care. J Patient Saf. …
-
psnet.ahrq.gov/node/39387/psn-pdf
July 23, 2014 - Medication errors involving oral chemotherapy.
July 23, 2014
Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer.
2010;116(10):2455-2464. doi:10.1002/cncr.25027.
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
Widely publicized errors associated w…
-
psnet.ahrq.gov/node/837316/psn-pdf
June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient
Safety Culture (SOPS) Diagnostic Safety Supplemental
Items.
June 1, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April
2022. AHRQ Publication No. 22-0027.
https://psnet.ahrq.gov/issue/2022-updated-results-a…
-
psnet.ahrq.gov/node/47191/psn-pdf
December 21, 2018 - Barriers and facilitators to implementing a process to
enable parent escalation of care for the deteriorating child
in hospital.
December 21, 2018
Gill FJ, Leslie GD, Marshall AP. Barriers and facilitators to implementing a process to enable parent
escalation of care for the deteriorating child in hospital. Health…
-
psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance
Performance and Patient Safety.
July 23, 2023
Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of
Defense.
https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
Effective teamwo…
-
psnet.ahrq.gov/node/867598/psn-pdf
January 22, 2025 - Examining patient safety events using the behaviour
change wheel: a cross-sectional analysis.
January 22, 2025
Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change
wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(2):135-143.
doi:10.1016/j.jcjq.…
-
psnet.ahrq.gov/node/867593/psn-pdf
January 22, 2025 - Becoming Hand Hygiene Heroes: implementation of an
infection prevention and control campaign for patient and
family hospital safety.
January 22, 2025
Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection
prevention and control campaign for patient and family hospital s…
-
psnet.ahrq.gov/node/867685/psn-pdf
March 05, 2025 - Understanding factors influencing safety and team
functionality at operative vaginal birth through
multidisciplinary perspectives: a mixed methods study.
March 5, 2025
Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at
operative vaginal birth through multidis…
-
psnet.ahrq.gov/node/45235/psn-pdf
September 19, 2016 - Patient safety culture and the second victim
phenomenon: connecting culture to staff distress in
nurses.
September 19, 2016
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon:
Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42(8):37…
-
psnet.ahrq.gov/node/855434/psn-pdf
January 22, 2022 - A risk science perspective on the discussion concerning
Safety I, Safety II and Safety III.
January 22, 2022
Aven T. A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. Reliability
Eng System Saf. 2022;217:108077. doi:10.1016/j.ress.2021.108077.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/866589/psn-pdf
August 28, 2024 - Developing a process to measure actual harm from
medication errors in paediatric inpatients: from design to
implementation.
August 28, 2024
Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in
paediatric inpatients: from design to implementation. Br J Clin Pharmac…
-
psnet.ahrq.gov/node/60848/psn-pdf
January 01, 2022 - Adverse events related to accidental unintentional
ingestions from cough and cold medications in children.
August 26, 2020
Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions
from cough and cold medications in children. Pediatr Emerg Care. 2022;38(1):e100-e104.
doi:…
-
psnet.ahrq.gov/node/838248/psn-pdf
October 05, 2022 - The relationship between resident physician burnout and
its’ effects on patient care, professionalism, and
academic achievement: a review of the literature.
October 5, 2022
McTaggart LS, Walker JP. The relationship between resident physician burnout and its’ effects on patient
care, professionalism, and academic a…
-
psnet.ahrq.gov/node/74158/psn-pdf
December 08, 2021 - An analysis of the structure and content of dashboards
used to monitor patient safety in the inpatient setting.
December 8, 2021
Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to
monitor patient safety in the inpatient setting. JAMIA Open. 2021;4(4):ooab096.
…