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In Conversation with…Jennifer Daley, MD | PSNet

psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md

January 01, 2008 - In Conversation with…Jennifer Daley, MD January 1, 2008 Also Read an Essay Citation Text: In Conversation with…Jennifer Daley, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Co…

Implementing a Patient Safety Program at a Large National Health System | PSNet

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January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008 Also Read a Conversation View more articles from the same authors. Citation Text: Hauck LD, Jacob J. Implementing a Patient Safety …

A Painful Medication Reconciliation Mishap | PSNet

psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap

May 01, 2008 - SPOTLIGHT CASE A Painful Medication Reconciliation Mishap Citation Text: Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google S…

Silence, power and communication in the operating room. | PSNet

psnet.ahrq.gov/issue/silence-power-and-communication-operating-room

June 08, 2011 - Study Silence, power and communication in the operating room. Citation Text: Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x. Copy Citation Format: DOI Go…

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. | PSNet

psnet.ahrq.gov/issue/understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews

September 11, 2018 - Book/Report Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. Citation Text: Understanding the knowledge gaps in whistleblowing and speaking up…

Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet

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November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Researc…

Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

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April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

Challenging authority and speaking up in the operating room environment: a narrative synthesis. | PSNet

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December 13, 2017 - Review Emerging Classic Challenging authority and speaking up in the operating room environment: a narrative synthesis. Citation Text: Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative syn…

Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. | PSNet

psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system

January 15, 2009 - Study Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Citation Text: Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):…

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet

psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff

April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…

Procedural timeout compliance is improved with real-time clinical decision support. | PSNet

psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support

October 11, 2017 - Study Procedural timeout compliance is improved with real-time clinical decision support. Citation Text: Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.000000000000…

Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet

psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting

January 19, 2016 - Review Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. Citation Text: Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a…

Communication failure in the operating room. | PSNet

psnet.ahrq.gov/issue/communication-failure-operating-room

February 25, 2009 - Study Communication failure in the operating room. Citation Text: Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Preventing medical injury. | PSNet

psnet.ahrq.gov/issue/preventing-medical-injury

February 18, 2011 - Study Classic Preventing medical injury. Citation Text: Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. Copy Citation Format: DOI Google Scholar BibTeX…

The effect of work hours on adverse events and errors in health care. | PSNet

psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care

August 20, 2014 - Study The effect of work hours on adverse events and errors in health care. Citation Text: Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002. Copy Citation Format: DOI Go…

Handoff strategies in settings with high consequences for failure: lessons for health care operations. | PSNet

psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations

March 14, 2018 - Study Classic Handoff strategies in settings with high consequences for failure: lessons for health care operations. Citation Text: Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual …

From box ticking to the black box: the evolution of operating room safety. | PSNet

psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety

October 29, 2017 - Commentary From box ticking to the black box: the evolution of operating room safety. Citation Text: Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. Copy Citation …

The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. | PSNet

psnet.ahrq.gov/issue/impact-critical-event-checklists-medical-management-and-teamwork-during-simulated-crises

November 04, 2009 - Study The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. Citation Text: Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management and teamwork during simulated cri…

Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. | PSNet

psnet.ahrq.gov/issue/relationship-between-leapfrog-safe-practices-survey-and-outcomes-trauma

August 02, 2015 - Study Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Citation Text: Glance LG, Dick AW, Osler T, et al. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Arch Surg. 2011;146(10):1170-7. doi:10.1001/archsurg.2011.247. Copy Citation …

Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey. | PSNet

psnet.ahrq.gov/issue/nurses-perspectives-medication-errors-and-prevention-strategies-residential-aged-care

July 13, 2010 - Study Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey. Citation Text: Kuppadakkath SC, Bhowmik J, Olasoji M, et al. Nurses' perspectives on medication errors and prevention strategies in residential aged ca…

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