Skip to main content

The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

Search All Content

Search Tips
Filter By Author(s)
Advanced Filtering Mode
Date Ranges
Published Date
Original Publication Date
Original Publication Date
PSNet Publication Date
Additional Filters
Displaying 1 - 17 of 17 Results
Kalisch BJ, Xie B, Dabney BW. Am J Med Qual. 2014;29:415-22.
The extent to which patient reports capture medical errors versus poor service quality remains controversial. This survey examined hospitalized patient reports and found a substantial burden of missed care. Most frequently missed were mouth care, ambulation, repositioning, bathing, and discussing tests and procedures. The study demonstrated that patients who reported pressure ulcers, medication errors, hospital-acquired infections, and intravenous line problems were more likely to also report missed nursing care. This suggests that significant errors of omission exist in current inpatient nursing practice.
Kalisch BJ, McLaughlin M, Dabney BW. Jt Comm J Qual Patient Saf. 2012;38:161-7.
Missed nursing care (failure to perform required patient care elements) is surprisingly common. This qualitative study found that patients were able to reliably identify episodes of missed nursing care and their perceptions correlated with nurses' opinions.
Kalisch BJ, Aebersold M. Jt Comm J Qual Patient Saf. 2010;36:126-132.
This study observed nurses for 4-hour periods and found that interruptions and multitasking were common. Although nurses managed these discontinuities well, the potential for errors is present and should be a target for prevention strategies.
Kalisch BJ, Landstrom GL, Hinshaw AS. J Adv Nurs. 2009;65:1509-17.
The authors analyze the concept that missed nursing care is an error of omission, identify root causes, and discuss the consequences of failures.
Kalisch BJ, Curley M, Stefanov S. J Nurs Adm. 2007;37:77-84.
J Nurs Adm … J Nurs Adm … The authors describe an initiative to improve … teamwork, and lower staff turnover and vacancies. … Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement.  J Nurs Adm . 2007;37(2):77-84. …
Kalisch BJ, Begeny SM. J Nurs Adm. 2005;35:550-556.
J Nurs Adm … The authors share several strategies for … the work environment to build familiarity and stability. … Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. …