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Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet

psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety

October 23, 2013 - Study Classic Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? Citation Text: Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…

Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs

March 24, 2021 - Review Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Citation Text: Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Healt…

Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. | PSNet

psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes

December 15, 2011 - Study Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Citation Text: Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. Copy Citation Format…

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. | PSNet

psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex

November 16, 2022 - Study Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. Citation Text: Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex c…

The influence of hospital physician integration on culture of patient safety. | PSNet

psnet.ahrq.gov/issue/influence-hospital-physician-integration-culture-patient-safety

March 09, 2016 - Study The influence of hospital physician integration on culture of patient safety. Citation Text: Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280. Copy Citation …

What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. | PSNet

psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study

February 26, 2020 - Study What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. Citation Text: Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…

Patients' perspectives of diagnostic error: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study

February 10, 2012 - Study Patients' perspectives of diagnostic error: a qualitative study. Citation Text: Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. Copy Citation Forma…

A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? | PSNet

psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and

January 23, 2019 - Review A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? Citation Text: Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about team…

Comparison of methods to reduce bias from clinical prediction models of postpartum depression. | PSNet

psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression

April 15, 2020 - Study Comparison of methods to reduce bias from clinical prediction models of postpartum depression. Citation Text: Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/…

Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/electronic-trigger-based-intervention-reduce-delays-diagnostic-evaluation-cancer-cluster

April 09, 2013 - Study Classic Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial. Citation Text: Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnosti…

Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet

psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure

July 21, 2021 - Study Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. Citation Text: Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. | PSNet

psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best

March 01, 2023 - Organizational Policy/Guidelines Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. Citation Text: Cicero MX, Adelgais K, Hoyle JD, et al.…

Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. | PSNet

psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve

November 16, 2022 - Study Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. Citation Text: Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Canc…

Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet

psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database

October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Citation Text: Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-4…

Burnout in the NICU setting and its relation to safety culture. | PSNet

psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-relation-safety-culture

February 13, 2019 - Study Burnout in the NICU setting and its relation to safety culture. Citation Text: Profit J, Sharek PJ, Amspoker AB, et al. Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf. 2014;23(10):806-813. doi:10.1136/bmjqs-2014-002831. Copy Citation Format: …

Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet

psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review

June 23, 2015 - Study Classic Incidence and types of preventable adverse events in elderly patients: population based review of medical records. Citation Text: Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based revie…

Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. | PSNet

psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective

September 26, 2012 - Study Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. Citation Text: Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. | PSNet

psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills-crowdsourced-laypeople

August 21, 2024 - Study Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. Citation Text: White AA, King AM, D’Addario AE, et al. Video-based communicat…

Testimonial injustice: linguistic bias in the medical records of black patients and women. | PSNet

psnet.ahrq.gov/issue/testimonial-injustice-linguistic-bias-medical-records-black-patients-and-women

July 28, 2021 - Study Testimonial injustice: linguistic bias in the medical records of black patients and women. Citation Text: Beach MC, Saha S, Park J, et al. Testimonial injustice: linguistic bias in the medical records of black patients and women. J Gen Intern Med. 2021;36(6):1708-1714. doi:10.1007/…

A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study. | PSNet

psnet.ahrq.gov/issue/cluster-randomized-trial-interventions-improve-work-conditions-and-clinician-burnout-primary

January 23, 2017 - Study A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study. Citation Text: Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work Condition…

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