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Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. | PSNet

psnet.ahrq.gov/issue/errors-and-error-producing-conditions-during-simulated-prehospital-pediatric-cardiopulmonary

August 25, 2021 - Study Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Citation Text: Lammers RL, Willoughby-Byrwa M, Fales WD. Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Simul Healthc. …

Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals. | PSNet

psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient

January 12, 2022 - Study Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals. Citation Text: Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759. Copy Citation Format: D…

Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet

psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance

November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

Physician task load and the risk of burnout among US physicians in a national survey. | PSNet

psnet.ahrq.gov/issue/physician-task-load-and-risk-burnout-among-us-physicians-national-survey

October 26, 2022 - Study Physician task load and the risk of burnout among US physicians in a national survey. Citation Text: Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.101…

Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet

June 08, 2022 - Study Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. Citation Text: Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the Un…

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. | PSNet

psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items

March 20, 2019 - Study A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Citation Text: Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient…

The value of learning from near misses to improve patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review

April 27, 2022 - Review The value of learning from near misses to improve patient safety: a scoping review. Citation Text: Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…

A critical review: moral injury in nurses in the aftermath of a patient safety incident. | PSNet

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July 22, 2020 - Review Emerging Classic A critical review: moral injury in nurses in the aftermath of a patient safety incident. Citation Text: Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety incident. J Nurs Schola…

The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet

psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error

March 30, 2022 - Study The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Citation Text: Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …

The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. | PSNet

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May 16, 2012 - Book/Report Classic The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Citation Text: The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Edm…

Rapid response systems: a systematic review and meta-analysis. | PSNet

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January 29, 2018 - Review Rapid response systems: a systematic review and meta-analysis. Citation Text: Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. Copy Citation Format: DOI Google Schola…

What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. | PSNet

psnet.ahrq.gov/issue/what-quality-and-safety-care-patients-admitted-clinically-inappropriate-wards-systematic

February 15, 2023 - Review What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. Citation Text: La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review. J Ge…

Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. | PSNet

psnet.ahrq.gov/issue/there-evidence-better-health-care-cancer-patients-after-second-opinion-systematic-review

May 03, 2023 - Review Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. Citation Text: Ruetters D, Keinki C, Schroth S, et al. Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. J Cancer …

Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. | PSNet

psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce

February 01, 2023 - Study Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. Citation Text: Sexton JB, Adair KC, Profit J, et al. Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce Wel…

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: …

Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. | PSNet

psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro

February 09, 2022 - Study Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. Citation Text: Procaccini D, Rapaport R, Petty BG, et al. Design and Impleme…

System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. | PSNet

psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency

August 31, 2022 - Study System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Citation Text: Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):…

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team

February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. | PSNet

psnet.ahrq.gov/issue/keeping-patients-risk-self-harm-safe-emergency-department-protocolized-approach

December 02, 2020 - Study Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Citation Text: Donovan AL, Aaronson EL, Black L, et al. Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Jt Comm J Qual Patient Saf. 20…

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet

psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness

May 26, 2021 - Study Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. Citation Text: Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…

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