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
Ryan S, Ward M, Vaughan D, et al. J Adv Nurs. 2019 Feb 28; [Epub ahead of print].
Ryan S ; Ward M ; Vaughan D; et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019 Feb 28; [Epub ahead of print]
Safety briefings increase clinical team awareness of activities. In this systematic review, the authors found that safety briefings have the potential to improve safety culture and may have a positive impact on a variety of patient outcomes.
Overcoming human barriers to safety event reporting in radiology.
Siewert B, Brook OR, Swedeen S, Eisenberg RL, Hochman M. Radiographics. 2019;39:251-263.
A qualitative study of speaking out about patient safety concerns in intensive care units.
Tarrant C, Leslie M, Bion J, Dixon-Woods M. Soc Sci Med. 2017;193:8-15.
Changing operating room culture: implementation of a postoperative debrief and improved safety culture.
Magill ST, Wang DD, Rutledge WC, et al. World Neurosurg. 2017;107:597-603.
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.
Dykes PC, Rozenblum R, Dalal A, et al. Crit Care Med. 2017;45:e806-e813.
Peer support for clinicians: a programmatic approach.
Shapiro J, Galowitz P. Acad Med. 2016;91:1200-1204.
Junior doctors' views on reporting concerns about patient safety: a qualitative study.
Hooper P, Kocman D, Carr S, Tarrant C. Postgrad Med J. 2015;91:251-256.
Patient safety strategies: a call for physician leadership.
Shine KI. Ann Intern Med. 2013;158(5 pt 1):353-354.
Raising the index of suspicion: red flags that represent credible threats to patient safety.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.
He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.
Phipps E, Turkel M, Mackenzie ER, Urrea C. Jt Comm J Qual Patient Saf. 2012;38:127-134.
Professionalism: a necessary ingredient in a culture of safety.
DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.
Developing and testing a tool to measure nurse/physician communication in the intensive care unit.
Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. J Patient Saf. 2011;7:72-76.
Hospital do-not-resuscitate orders: why they have failed and how to fix them.
Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.
ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2009;114:1424-1427.
Don't underestimate the impact of change on risk potential.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
Behaviors that undermine a culture of safety.
Sentinel Event Alert. July 9, 2008;(40):1-3.
The silent treatment: 'just be quiet about it'.
Smerd J. Workforce Management. November 19, 2007;1, 16-20.
Department of Defense (DoD) Patient Safety Program.
United States Department of Defense.
The Nurse's Role in Promoting a Culture of Patient Safety.
Friesen MA, Farquhar MB, Hughes R. American Nurses Association (ANA) Continuing Education, Center for American Nurses; 2005.
Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary.
Weick KE, Sutcliffe KM. Calif Manage Rev. Winter 2003;45:73-84.
Patient Safety Leadership WalkRounds.
Frankel A, Graydon-Baker E, Neppl C, Simmonds T, Gustafson M, Gandhi TK. Jt Comm J Qual Improv. 2003;29:16-26.
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.
London, England: The Stationery Office; July 2001.
The collapse of sensemaking in organizations: the Mann Gulch disaster.
Weick KE. Adm Sci Q. 1993;38:628-652.
TeamSTEPPS Master Training Course.
Johns Hopkins Armstrong Institute for Patient Safety and Quality. June 25–26, 2019; Constellation Energy Building, Baltimore, MD.
Failure to report poor care as a breach of moral and professional expectation.
Ion R, Olivier S, Darbyshire P. Nurs Inq. 2019 Jun 4; [Epub ahead of print].
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