AHRQ Search | Home Page

Standardization in patient safety: the WHO High 5s project. | PSNet

psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project

January 12, 2022 - Commentary Standardization in patient safety: the WHO High 5s project. Citation Text: Leotsakos A, Zheng H, Croteau R, et al. Standardization in patient safety: the WHO High 5s project. Int J Qual Health Care. 2014;26(2):109-16. doi:10.1093/intqhc/mzu010. Copy Citation Format: …

The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. | PSNet

psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units

February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…

Crossing the Global Quality Chasm: Improving Health Care Worldwide. | PSNet

psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide

June 15, 2011 - Book/Report Classic Crossing the Global Quality Chasm: Improving Health Care Worldwide. Citation Text: Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…

Understanding psychological safety in health care and education organizations: a comparative perspective. | PSNet

psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative

July 30, 2014 - Commentary Understanding psychological safety in health care and education organizations: a comparative perspective. Citation Text: Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum…

The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study. | PSNet

psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events

August 18, 2010 - Study The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study. Citation Text: van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preve…

Medical error: the second victim. | PSNet

psnet.ahrq.gov/issue/medical-error-second-victim

March 23, 2011 - Commentary Classic Medical error: the second victim. Citation Text: Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. | PSNet

psnet.ahrq.gov/issue/hardwiring-patient-blood-management-harnessing-information-technology-optimize-transfusion

September 20, 2012 - Review Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Citation Text: Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…

A scoping review of clinical handover mnemonic devices. | PSNet

psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices

July 24, 2019 - Review A scoping review of clinical handover mnemonic devices. Citation Text: Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. Copy Citation Format: DOI Google Scholar…

Long-term sustainability and adaptation of I-PASS handovers. | PSNet

psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers

September 09, 2020 - Study Long-term sustainability and adaptation of I-PASS handovers. Citation Text: Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007. Copy Citation Format: …

Description and factors associated with missed nursing care in an acute care community hospital. | PSNet

psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital

August 15, 2012 - Study Emerging Classic Description and factors associated with missed nursing care in an acute care community hospital. Citation Text: Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J…

An intervention to enhance nursing staff teamwork and engagement. | PSNet

psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement

June 21, 2010 - Study An intervention to enhance nursing staff teamwork and engagement. Citation Text: Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

Operating room briefings and wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery

November 26, 2008 - Study Classic Operating room briefings and wrong-site surgery. Citation Text: Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. Copy Citation Format: Google Scholar PubMe…

Surgical never events in the United States. | PSNet

psnet.ahrq.gov/issue/surgical-never-events-united-states

September 10, 2014 - Study Surgical never events in the United States. Citation Text: Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet

psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department

October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department. Citation Text: Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …

Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? | PSNet

psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement

November 25, 2020 - Commentary Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? Citation Text: Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improveme…

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. | PSNet

psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician

December 02, 2020 - Study Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Citation Text: Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…

Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. | PSNet

psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer

February 03, 2011 - Study Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. Citation Text: Caruso TJ, Marquez JL, Wu DS, et al. Implementation of a standardized postanesthesia care handoff increases information transfer without i…

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration

January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

Diagnostic error in the pediatric hospital: a narrative review. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review

November 16, 2022 - Review Diagnostic error in the pediatric hospital: a narrative review. Citation Text: Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040. Copy Citation …

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety

March 25, 2009 - Study Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. Citation Text: Freeth D, Ayida G, Berridge EJ, et al. Multidisciplinary obstetric simulated emergency scenarios (MOSES): p…

Search AHRQ

Results