U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Sinnott M, Eley R, Winch S. AORN J. 2014;100:91-95.
Sinnott M ; Eley R ; Winch S.Introducing the safety score audit for staff member and patient safety. AORN J. 2014; 100: 91-95
This commentary describes a program designed to enhance safety culture in hospitals for patients and health care workers. The author illustrates examples of tools to determine areas for improvement and augment safety behaviors.
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Khan A, Spector ND, Baird JD, et al. BMJ. 2018;363:k4764.
Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children.
Stockwell DC, Landrigan CP, Toomey SL, et al; GAPPS Study Group. Hosp Pediatr. 2019;9:1-5.
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2018. Report No. OEI-06-14-00530.
Fatal flaws in clinical decision making.
Davis SS, Babidge WJ, McCulloch GAJ, Maddern GJ. ANZ J Surg. 2018 Nov 29; [Epub ahead of print].
Using good catches to promote a just culture and perioperative patient safety.
Monahan JJ. AORN J. 2018;108:548-552.
Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.
Feinstein MM, Pannunzio AE, Castro P. Paediatr Anaesth. 2018;28:1071-1077.
Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.
Jeffries M, Keers RN, Phipps DL, et al. PLoS One. 2018;13:e0205419.
"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.
Louch G, Mohammed MA, Hughes L, O'Hara J. Health Expect. 2018 Oct 21; [Epub ahead of print].
Important factors for effective patient safety governance auditing: a questionnaire survey.
van Gelderen SC, Zegers M, Robben PB, Boeijen W, Westert GP, Wollersheim HC. BMC Health Serv Res. 2018;18:798.
Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals.
Vermeulen JM, Doedens P, Cullen SW, et al. Psychiatr Serv. 2018;69:1087-1094.
Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.
Cecil E, Bottle A, Esmail A, Wilkinson S, Vincent C, Aylin PP. BMJ Qual Saf. 2018;27:965-973.
Senior staff safety rounds: a commitment to ensure safety is the top priority.
O'Connell RT, Ivy ME. NEJM Catalyst. May 1, 2018.
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.
Stockwell DC, Landrigan CP, Schuster MA, et al. Pediatr Qual Saf. 2018;3:e081.
Adverse events in hospitalized pediatric patients.
Stockwell DC, Landrigan CP, Toomey SL, et al; GAPPS Study Group. Pediatrics. 2018;142;e20173360.
Time out—charting a path for improving performance measurement.
MacLean CH, Kerr EA, Qaseem A. N Engl J Med. 2018;378:1757-1761.
Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.
Sims S, Leamy M, Davies N, et al. BMJ Qual Saf. 2018;27:743-757.
Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology.
Schildmeijer KGI, Unbeck M, Ekstedt M, Lindblad M, Nilsson L. BMJ Open. 2018;8:e019267.
Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.
Lindblad M, Schildmeijer K, Nilsson L, Ekstedt M, Unbeck M. BMJ Qual Saf. 2018;27:502-511.
ISMP Survey on Drug Shortages.
Horsham, PA: Institute for Safe Medication Practices; August 24, 2017.
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.
Sexton JB, Adair KC, Leonard MW, et al. BMJ Qual Saf. 2018;27:261-270.
Performance of a trigger tool for identifying adverse events in oncology.
Lipitz-Snyderman A, Classen D, Pfister D, et al. J Oncol Pract. 2017;13:e223-e230.
Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity.
Toscano Guzmán MD, Galván Banqueri M, Otero MJ, Alfaro Lara ER, Casajus Lagranja P, Santos Ramos B. J Patient Saf. 2017 Jun 14; [Epub ahead of print].
A systematic review of measurement tools for the proactive assessment of patient safety in general practice.
Lydon S, Cupples ME, Murphy AW, Hart N, O'Connor P. J Patient Saf. 2017 Apr 4; [Epub ahead of print].
Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands.
Eindhoven DC, Borleffs CJW, Dietz MF, Schalij MJ, Brouwers C, de Bruijne MC. BMJ Open. 2017;7:e014360.
'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective.
Ferguson J, Keyworth C, Tully MP. Res Social Adm Pharm. 2018;14:241-247.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364