AHRQ Search | Home Page

People, systems and safety: resilience and excellence in healthcare practice. | PSNet

psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice

March 04, 2020 - Review Emerging Classic People, systems and safety: resilience and excellence in healthcare practice. Citation Text: Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…

Using HFMEA to assess potential for patient harm from tubing misconnections. | PSNet

psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections

April 19, 2013 - Commentary Using HFMEA to assess potential for patient harm from tubing misconnections. Citation Text: Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381. Copy Citation Format: …

Operational failures detected by frontline acute care nurses. | PSNet

psnet.ahrq.gov/issue/operational-failures-detected-frontline-acute-care-nurses

July 19, 2023 - Study Operational failures detected by frontline acute care nurses. Citation Text: Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791. Copy Citation Format: DO…

Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu

August 15, 2016 - Study Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. Citation Text: Pelieu I, Djadi-Prat J, Consoli SM, et al. Impact of organizational culture on preventability assessment of selec…

Assessing system failures in operating rooms and intensive care units. | PSNet

psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units

June 15, 2011 - Study Assessing system failures in operating rooms and intensive care units. Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google Sch…

Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement. | PSNet

psnet.ahrq.gov/issue/positioning-continuing-education-boundaries-and-intersections-between-domains-continuing

July 03, 2016 - Review Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement. Citation Text: Kitto S, Bell M, Peller J, et al. Positioning continuing education: boundaries and intersections …

Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. | PSNet

psnet.ahrq.gov/issue/reducing-avoidable-readmissions-effectively-rare-campaign

January 31, 2018 - Award Recipient Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. Citation Text: McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204,…

Using nurses and office staff to report prescribing errors in primary care. | PSNet

psnet.ahrq.gov/issue/using-nurses-and-office-staff-report-prescribing-errors-primary-care

May 04, 2010 - Study Using nurses and office staff to report prescribing errors in primary care. Citation Text: Kennedy AG, Littenberg B, Senders JW. Using nurses and office staff to report prescribing errors in primary care. Int J Qual Health Care. 2008;20(4):238-45. doi:10.1093/intqhc/mzn015. Cop…

Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. | PSNet

psnet.ahrq.gov/issue/organisational-conditions-safety-management-practice-homecare-and-nursing-homes-pre-pandemic

August 03, 2022 - Study Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Citation Text: Dellve L, Skagert K. Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Safety Sci…

Physicians-in-training attitudes on patient safety: 2003 to 2008. | PSNet

psnet.ahrq.gov/issue/physicians-training-attitudes-patient-safety-2003-2008

May 04, 2022 - Study Physicians-in-training attitudes on patient safety: 2003 to 2008. Citation Text: Sorokin R, Riggio JM, Moleski S, et al. Physicians-in-training attitudes on patient safety: 2003 to 2008. J Patient Saf. 2011;7(3):133-138. doi:10.1097/PTS.0b013e31822a9c5e. Copy Citation Forma…

Improving patient safety—five years after the IOM report. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report

February 18, 2011 - Commentary Classic Improving patient safety—five years after the IOM report. Citation Text: Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243. Copy Ci…

Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. | PSNet

psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric

November 02, 2022 - Commentary Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. Citation Text: McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric units. Aust N Z J Obstet Gyna…

Proactive patient safety: focusing on what goes right in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment

April 26, 2023 - Study Proactive patient safety: focusing on what goes right in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…

Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet

psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient

November 18, 2016 - Commentary Curriculum development and implementation of a national interprofessional fellowship in patient safety. Citation Text: Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…

Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. | PSNet

psnet.ahrq.gov/issue/outcomes-michigan-medicines-integrated-patient-safety-and-communication-and-resolution

April 24, 2018 - Study Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. Citation Text: Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Pati…

Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. | PSNet

psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread

September 05, 2018 - Commentary Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. Citation Text: Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. A…

Understanding risk factors for complaints against pharmacists: a content analysis. | PSNet

psnet.ahrq.gov/issue/understanding-risk-factors-complaints-against-pharmacists-content-analysis

February 07, 2024 - Study Understanding risk factors for complaints against pharmacists: a content analysis. Citation Text: Wang Y, Ram S (S), Scahill S. Understanding risk factors for complaints against pharmacists: a content analysis. J Patient Saf. 2024;20(4):e18-e28. doi:10.1097/pts.0000000000001217. …

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. | PSNet

psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional

April 06, 2011 - Study Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Citation Text: Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessio…

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. | PSNet

psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap-stroke-treatment-and

July 13, 2010 - Study Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. Citation Text: McKinney JS, Deng Y, Kasner SE, et al. Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. Stroke. 2011;42(9)…

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions

March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Search AHRQ

Results