AHRQ Search | Home Page

Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. | PSNet

psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process

June 25, 2018 - Study Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. Citation Text: Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10…

Rooting an error review process in just culture: lessons learned. | PSNet

psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned

April 20, 2022 - Commentary Rooting an error review process in just culture: lessons learned. Citation Text: Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5. Copy Citati…

Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-fatigue-and-insufficient-sleep-physician-and-patient-outcomes-systematic-review

October 19, 2022 - Review Emerging Classic Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. Citation Text: Gates M, Wingert A, Featherstone R, et al. Impact of fatigue and insufficient sleep on physician and patient outcomes: a syste…

The Quality in Australian Health Care Study. | PSNet

psnet.ahrq.gov/issue/quality-australian-health-care-study

February 02, 2022 - Study Classic The Quality in Australian Health Care Study. Citation Text: Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x. Copy Citation Forma…

Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. | PSNet

psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer

February 24, 2011 - Study Classic Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. Citation Text: Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4)…

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. | PSNet

psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients

February 09, 2012 - Study Classic How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. Citation Text: Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…

An examination of opportunities for the active patient in improving patient safety. | PSNet

psnet.ahrq.gov/issue/examination-opportunities-active-patient-improving-patient-safety

October 04, 2011 - Review An examination of opportunities for the active patient in improving patient safety. Citation Text: Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e318…

How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. | PSNet

psnet.ahrq.gov/issue/how-does-context-affect-interventions-improve-patient-safety-assessment-evidence-studies-five

September 20, 2011 - Review How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. Citation Text: Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient s…

Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. | PSNet

psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians

September 20, 2011 - Review Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. Citation Text: Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists…

Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/comparison-intensive-care-unit-medication-errors-reported-united-states-medmarx-and-united

December 29, 2014 - Study Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study. Citation Text: Wahr JA, Shore AD, Harris LH, et al. Comparison of intensive care unit medication er…

Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. | PSNet

psnet.ahrq.gov/issue/widespread-misinterpretation-advance-directives-and-portable-orders-life-sustaining

December 18, 2019 - Commentary Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. Citation Text: Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orde…

Information transfer in multidisciplinary operating room teams: a simulation-based observational study. | PSNet

psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational

November 17, 2014 - Study Information transfer in multidisciplinary operating room teams: a simulation-based observational study. Citation Text: Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Qual Saf. 2017;26(3):209-…

An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. | PSNet

psnet.ahrq.gov/issue/anesthesia-preinduction-checklist-improve-information-exchange-knowledge-critical-information

July 10, 2013 - Study An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. Citation Text: Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improv…

Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. | PSNet

psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency

April 24, 2018 - Review Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Citation Text: Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. A…

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. | PSNet

psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care

March 01, 2011 - Study Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. Citation Text: de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…

How useful are medication patient information leaflets to older adults? A content, readability and layout analysis. | PSNet

psnet.ahrq.gov/issue/how-useful-are-medication-patient-information-leaflets-older-adults-content-readability-and

November 11, 2020 - Study How useful are medication patient information leaflets to older adults? A content, readability and layout analysis. Citation Text: Liu F, Abdul-Hussain S, Mahboob S, et al. How useful are medication patient information leaflets to older adults? A content, readability and layout ana…

The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. | PSNet

psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety

October 06, 2021 - Study The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. Citation Text: Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 20…

Medication reconciliation in ambulatory care: attempts at improvement. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-care-attempts-improvement

March 28, 2011 - Study Medication reconciliation in ambulatory care: attempts at improvement. Citation Text: Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. Copy Ci…

Adverse events in healthcare: learning from mistakes. | PSNet

psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes

February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. | PSNet

psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital-patients-canada

July 07, 2021 - Study Classic The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Citation Text: Baker R, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients…

Search AHRQ

Results