-
psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
January 23, 2019 - Study
Medication administration errors in nursing homes using an automated medication dispensing system.
Citation Text:
van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…
-
psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
September 18, 2009 - Study
Medicare payment for selected adverse events: building the business case for investing in patient safety.
Citation Text:
Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millw…
-
psnet.ahrq.gov/issue/are-opioid-infusions-used-inappropriately-end-life-results-qualitysafety-project
November 16, 2022 - Study
Are opioid infusions used inappropriately at end of life? Results from a quality/safety project.
Citation Text:
Yeh JC, Chae SG, Kennedy PJ, et al. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. J Pain Symptom Manage. 2022;64(3):e13…
-
psnet.ahrq.gov/issue/quality-safety-and-content-telephone-and-face-face-consultations-comparative-study
August 04, 2021 - Study
The quality, safety and content of telephone and face-to-face consultations: a comparative study.
Citation Text:
McKinstry B, Hammersley V, Burton C, et al. The quality, safety and content of telephone and face-to-face consultations: a comparative study. Qual Saf Health Care. 201…
-
psnet.ahrq.gov/issue/patient-perspective-errors-cancer-care-results-cross-sectional-survey
August 18, 2021 - Study
The patient perspective on errors in cancer care: results of a cross-sectional survey.
Citation Text:
Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross-sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.000000…
-
psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged
February 04, 2009 - Study
Medication report reduces number of medication errors when elderly patients are discharged from hospital.
Citation Text:
Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…
-
psnet.ahrq.gov/issue/thank-you-listening-exploratory-study-regarding-lived-experience-and-perception-medical
January 29, 2020 - Study
"Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care.
Citation Text:
Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived Experience and Perce…
-
psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
December 14, 2016 - Study
Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions.
Citation Text:
Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Gl…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-facilitator-fundamentals.pdf
June 02, 2025 - Job Aid: Facilitator Fundamentals
Primary Care Practice Facilitator
Training Series
1
Job Aid: Facilitator Fundamentals
Adopt a strengths-based not deficit-based mindset
Check yourself by asking:
Am I treating the individual as an "expert" on their own life and work?
Am I starting encounters and meeti…
-
psnet.ahrq.gov/issue/patient-perceptions-hospital-experiences-implications-innovations-patient-safety
May 04, 2022 - Study
Patient perceptions of hospital experiences: implications for innovations in patient safety.
Citation Text:
Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:…
-
psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
September 29, 2021 - Study
Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service
Citation Text:
Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role…
-
psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority
June 01, 2016 - Commentary
Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report.
Citation Text:
Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a prio…
-
psnet.ahrq.gov/issue/improving-safety-during-transitions-care-through-use-electronic-referral-loops-receive-and
October 19, 2022 - Study
Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information.
Citation Text:
Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic referral loops to receiv…
-
psnet.ahrq.gov/issue/developing-conceptual-framework-patient-safety-culture-emergency-department-review-literature
March 02, 2011 - Review
Developing a conceptual framework for patient safety culture in emergency department: a review of the literature.
Citation Text:
Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…
-
psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
November 17, 2014 - Review
Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.
Citation Text:
Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
June 02, 2025 - TeamSTEPPS Teamwork Attitudes Questionnaire
TeamSTEPPS Teamwork Attitudes Questionnaire
The TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) is designed to assess attitudes
related to team structure and the four essential skills taught in TeamSTEPPS. The 30-item self-
report tool uses 5…
-
psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology
June 28, 2023 - Commentary
Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit.
Citation Text:
Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and P…
-
psnet.ahrq.gov/issue/role-quality-improvement-and-patient-safety-academic-promotion-results-survey-chairs
July 13, 2016 - Study
The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America.
Citation Text:
Staiger TO, Wong EY, Schleyer AM, et al. The role of quality improvement and patient safety in academic prom…
-
psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
May 15, 2024 - Review
Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors.
Citation Text:
Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse eve…
-
psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and
March 14, 2016 - Commentary
A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.
Citation Text:
Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient…