-
psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans
October 14, 2009 - Study
Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.
Citation Text:
Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…
-
psnet.ahrq.gov/issue/effect-patient-centred-bedside-rounds-hospitalised-patients-decision-control-activation-and
March 25, 2015 - Study
Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and satisfaction with care.
Citation Text:
O'Leary KJ, Killarney A, Hansen LO, et al. Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and …
-
psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication-safety-initiative
August 15, 2018 - Newspaper/Magazine Article
Innovation in practice: a multidisciplinary medication safety initiative.
Citation Text:
Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99.
Copy Citation
Fo…
-
www.ahrq.gov/action-alliance/overview/index.html
October 01, 2024 - Overview of the National Action Alliance for Patient and Workforce Safety
What Is the National Action Alliance? The National Action Alliance for Patient and Workforce Safety is a collective effort of federal agencies and private partners to improve the safety of patients and the healthcare workforce. Working to…
-
psnet.ahrq.gov/issue/intersystem-medical-error-discovery-document-analysis-ethical-guidelines
December 14, 2022 - Review
Intersystem medical error discovery: a document analysis of ethical guidelines.
Citation Text:
Duffy B, Miller J, Vitous CA, et al. Intersystem medical error discovery: a document analysis of ethical guidelines. J Patient Saf. 2021;17(8):e1765-e1773. doi:10.1097/pts.00000000000006…
-
psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments
July 26, 2011 - Study
Variation in the rates of adverse events between hospitals and hospital departments.
Citation Text:
Zegers M, de Bruijne M, Spreeuwenberg P, et al. Variation in the rates of adverse events between hospitals and hospital departments. Int J Qual Health Care. 2011;23(2):126-33. doi:10…
-
psnet.ahrq.gov/issue/pharmacist-work-stress-and-learning-quality-related-events
January 07, 2016 - Study
Pharmacist work stress and learning from quality related events.
Citation Text:
Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003.
Copy Citation
Fo…
-
psnet.ahrq.gov/issue/scaffolding-our-systems-patients-and-families-reaching-source-healthcare-resilience
February 23, 2022 - Commentary
Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience.
Citation Text:
O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…
-
psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-harm
December 06, 2017 - Book/Report
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm.
Citation Text:
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Washington, DC: United States Government Accountability Office; October 201…
-
psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
September 28, 2010 - Study
Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.
Citation Text:
Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …
-
psnet.ahrq.gov/issue/thirty-day-outcomes-support-implementation-surgical-safety-checklist
April 10, 2024 - Study
Thirty-day outcomes support implementation of a surgical safety checklist.
Citation Text:
Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012…
-
psnet.ahrq.gov/issue/unacceptable-behaviours-between-healthcare-workers-just-tip-patient-safety-iceberg
February 16, 2022 - Commentary
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg.
Citation Text:
Bamberger E, Bamberger P. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. BMJ Qual Saf. 2022;31(9):638-641. doi:10.11…
-
www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
March 01, 2024 - Patient Safety Awareness Week 2024
As we celebrate Patient Safety Awareness Week 2024, the Agency for Healthcare Research and Quality (AHRQ) also marks its 35th anniversary. This milestone, under the banner "Today's Research, Tomorrow's Healthcare," highlights our dedication to transforming healthcare through…
-
psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy
February 17, 2011 - Commentary
Classic
Disclosure of medical injury to patients: an improbable risk management strategy.
Citation Text:
Studdert DM, Mello MM, Gawande AA, et al. Disclosure of medical injury to patients: an improbable risk management strategy. Health Aff (Millwood).…
-
psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
June 21, 2023 - Commentary
Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.
Citation Text:
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. do…
-
psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
December 22, 2018 - Commentary
The successful anesthesia patient safety officer.
Citation Text:
Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 …
-
psnet.ahrq.gov/issue/nurses-perspectives-intersection-safety-and-informed-decision-making-maternity-care
May 21, 2019 - Study
Nurses' perspectives on the intersection of safety and informed decision making in maternity care.
Citation Text:
Jacobson CH, Zlatnik MG, Kennedy HP, et al. Nurses' perspectives on the intersection of safety and informed decision making in maternity care. J Obstet Gynecol Neonata…
-
psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Commentary
Clinician-directed performance improvement: moving beyond externally mandated metrics.
Citation Text:
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
Copy Cit…
-
psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
June 22, 2011 - Study
Unintended consequences of the electronic health record and cognitive load in emergency department nurses.
Citation Text:
Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …
-
psnet.ahrq.gov/issue/integrating-quality-and-safety-content-clinical-teaching-acute-care-setting
September 05, 2018 - Commentary
Integrating quality and safety content into clinical teaching in the acute care setting.
Citation Text:
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002.
Co…