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Accidental deaths, saved lives, and improved quality. | PSNet

psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality

February 04, 2015 - Commentary Classic Accidental deaths, saved lives, and improved quality. Citation Text: Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. C…

Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian

May 11, 2022 - Study Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. Citation Text: Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mix…

Medication regimen complexity and hospital readmission for an adverse drug event. | PSNet

psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event

December 03, 2014 - Study Medication regimen complexity and hospital readmission for an adverse drug event. Citation Text: Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898. C…

Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. | PSNet

psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause

September 01, 2012 - Study Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Citation Text: Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analys…

Incidence and preventability of adverse events requiring intensive care admission: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic

May 16, 2018 - Review Incidence and preventability of adverse events requiring intensive care admission: a systematic review. Citation Text: Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. | PSNet

psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-observational-study-factors

April 24, 2018 - Study Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation. Citation Text: Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-sectional observat…

Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. | PSNet

psnet.ahrq.gov/issue/parent-experiences-process-sharing-inpatient-safety-concerns-children-medical-complexity

July 06, 2022 - Study Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. Citation Text: Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety concerns for children with me…

Can patient safety be measured by surveys of patient experiences? | PSNet

psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-experiences

March 04, 2020 - Study Can patient safety be measured by surveys of patient experiences? Citation Text: Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274. Copy Citation Format: Google Sc…

Patient involvement in medication safety in hospital: an exploratory study. | PSNet

psnet.ahrq.gov/issue/patient-involvement-medication-safety-hospital-exploratory-study

February 21, 2024 - Study Patient involvement in medication safety in hospital: an exploratory study. Citation Text: Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. Cop…

More than 1 million potential second victims: how many could nursing education prevent? | PSNet

psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent

May 30, 2018 - Study More than 1 million potential second victims: how many could nursing education prevent? Citation Text: Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437. Cop…

Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised

August 18, 2010 - Study Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. Citation Text: van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospit…

The association of the nurse work environment and patient safety in pediatric acute care. | PSNet

psnet.ahrq.gov/issue/association-nurse-work-environment-and-patient-safety-pediatric-acute-care

July 12, 2017 - Study The association of the nurse work environment and patient safety in pediatric acute care. Citation Text: Lake ET, Roberts KE, Agosto PD, et al. The Association of the Nurse Work Environment and Patient Safety in Pediatric Acute Care. J Patient Saf. 2021;17(8):e1546-e1552. doi:10.10…

An intervention to decrease patient identification band errors in a children's hospital. | PSNet

psnet.ahrq.gov/issue/intervention-decrease-patient-identification-band-errors-childrens-hospital

October 06, 2016 - Study An intervention to decrease patient identification band errors in a children's hospital. Citation Text: Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qs…

Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. | PSNet

psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement

October 13, 2018 - Study Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Citation Text: Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet

psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use

February 02, 2022 - Commentary What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. Citation Text: Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…

'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. | PSNet

psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report

September 09, 2020 - Commentary 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. Citation Text: Sax H, Allegranzi B, Uçkay I, et al. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and …

Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | PSNet

psnet.ahrq.gov/issue/reasons-repeat-rapid-response-team-calls-and-associations-hospital-mortality

March 03, 2020 - Study Reasons for repeat rapid response team calls, and associations with in-hospital mortality. Citation Text: Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. …

Hospital-wide code rates and mortality before and after implementation of a rapid response team. | PSNet

psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team

October 17, 2011 - Study Classic Hospital-wide code rates and mortality before and after implementation of a rapid response team. Citation Text: Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…

Digital health intervention on patient safety for children and parents: a scoping review. | PSNet

psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review

January 23, 2017 - Review Digital health intervention on patient safety for children and parents: a scoping review. Citation Text: Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954. Co…

Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet

psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and

August 28, 2013 - Study Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Citation Text: Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…

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