-
psnet.ahrq.gov/node/840476/psn-pdf
November 30, 2022 - Patient safety culture in assisted living: staff perceptions
and association with state regulations.
November 30, 2022
Temkin-Greener H, Mao Y, McGarry B, et al. Patient safety culture in assisted living: staff perceptions and
association with state regulations. J Am Med Dir Assoc. 2022;23(12):1997-2002.e3.
doi:10…
-
psnet.ahrq.gov/node/844996/psn-pdf
February 22, 2023 - In situ simulation as a tool to longitudinally identify and
track latent safety threats in a structured quality
improvement initiative for SARS-CoV-2 airway
management: a single-center study.
February 22, 2023
Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitudinally identify and track late…
-
psnet.ahrq.gov/node/866246/psn-pdf
July 10, 2024 - "They say they listen. But do they really listen?": A
qualitative study of hospital doctors' experiences of
organisational deafness, disconnect and denial.
July 10, 2024
Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of
hospital doctors’ experiences of …
-
psnet.ahrq.gov/node/44249/psn-pdf
February 12, 2019 - Community Pharmacy Survey on Patient Safety Culture
2015 User Comparative Database Report.
February 12, 2019
Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2015. AHRQ Publication No. 15-0041-EF.
https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-saf…
-
psnet.ahrq.gov/node/39813/psn-pdf
October 11, 2010 - Code debriefing from the Department of Veterans Affairs
(VA) Medical Team Training Program improves the
cardiopulmonary resuscitation code process.
October 11, 2010
Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA)
Medical Team Training program improves the c…
-
psnet.ahrq.gov/node/44683/psn-pdf
June 21, 2016 - Physician spending and subsequent risk of malpractice
claims: observational study.
June 21, 2016
Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice
claims: observational study. BMJ. 2015;351:h5516. doi:10.1136/bmj.h5516.
https://psnet.ahrq.gov/issue/physician-spendi…
-
psnet.ahrq.gov/node/37791/psn-pdf
September 29, 2017 - Controversy and quality improvement: lingering
questions about ethics, oversight, and patient safety
research.
September 29, 2017
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about
ethics, oversight, and patient safety research. Jt Comm J Qual Patient Saf. 2008;3…
-
psnet.ahrq.gov/node/44750/psn-pdf
January 06, 2016 - Simulation in the executive suite: lessons learned for
building patient safety leadership.
January 6, 2016
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building
Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
https://psnet.ahrq.gov/issue/simulation-exe…
-
psnet.ahrq.gov/node/39821/psn-pdf
July 16, 2014 - Performance of a fail-safe system to follow up abnormal
mammograms in primary care.
July 16, 2014
Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal
mammograms in primary care. J Patient Saf. 2010;6(3):172-179.
https://psnet.ahrq.gov/issue/performance-fail-safe-system-fol…
-
psnet.ahrq.gov/node/46578/psn-pdf
April 29, 2018 - Clinical decision support alert malfunctions: analysis and
empirically derived taxonomy.
April 29, 2018
Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived
taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/42068/psn-pdf
April 09, 2013 - Wisdom through adversity: learning and growing in the
wake of an error.
April 9, 2013
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an
error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
-
psnet.ahrq.gov/node/844766/psn-pdf
January 01, 2020 - Validation of new ICD-10-based patient safety indicators
for identification of in-hospital complications in surgical
patients: a study of diagnostic accuracy.
September 11, 2019
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for
identification of in-hospital com…
-
psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes.
November 27, 2012
Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in
nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/41168/psn-pdf
February 29, 2012 - Evaluation of organizational culture among different
levels of healthcare staff participating in the Institute for
Healthcare Improvement's 100,000 Lives Campaign.
February 29, 2012
Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture among
different levels of healthcar…
-
psnet.ahrq.gov/node/45109/psn-pdf
May 11, 2016 - Implementation of the surgical safety checklist in South
Carolina hospitals is associated with improvement in
perceived perioperative safety.
May 11, 2016
Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina
Hospitals Is Associated with Improvement in Perceived P…
-
psnet.ahrq.gov/node/38075/psn-pdf
February 03, 2011 - Association of workload of on-call medical interns with
on-call sleep duration, shift duration, and participation in
educational activities.
February 3, 2011
Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical interns with on-call sleep
duration, shift duration, and participation in…
-
psnet.ahrq.gov/node/41225/psn-pdf
March 29, 2012 - The impact of perioperative catastrophes on
anesthesiologists: results of a national survey.
March 29, 2012
Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists:
results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10.1213/ANE.0b013e318227524e.
https:/…
-
psnet.ahrq.gov/node/37396/psn-pdf
March 28, 2012 - Risk-adjusted morbidity in teaching hospitals correlates
with reported levels of communication and collaboration
on surgical teams but not with scale measures of
teamwork climate, safety climate, or working conditions.
March 28, 2012
Davenport DL, Henderson WG, Mosca CL, et al. Risk-adjusted morbidity in teaching …
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ginsberg-highlights.pdf
June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - Highlights from CAHPS Work
HIGHLIGHTS FROM RECENT
CAHPS WORK
Caren Ginsberg, Ph.D.
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety, AHRQ
29
CAHPS V Accomplishments
• Survey and Item Set Development and Revision:
► Incorporating Teleh…
-
www.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
July 01, 2023 - Section 1: Overview of Key Concepts and Tools
This section provides an overview of the key concepts in the Introduction. More extensive explanations and illustrations are provided in section 2 ; methods for teaching the introduction's concepts are in section 3 . Each of the four modules that follow also inclu…