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Falling through the cracks: the invisible hospital cleaning workforce. | PSNet

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June 19, 2013 - Commentary Falling through the cracks: the invisible hospital cleaning workforce. Citation Text: Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. Copy…

Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. | PSNet

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September 23, 2020 - Study Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. Citation Text: Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44…

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. | PSNet

psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems

January 23, 2017 - Study Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. Citation Text: Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …

Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. | PSNet

psnet.ahrq.gov/issue/patient-safety-error-reduction-and-pediatric-nurses-perceptions-smart-pump-technology

February 28, 2024 - Study Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. Citation Text: Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51.…

Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems

January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

Literacy and misunderstanding prescription drug labels. | PSNet

psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels

September 17, 2010 - Study Classic Literacy and misunderstanding prescription drug labels. Citation Text: Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. Copy Citation Format: Google Scho…

Measurement as a performance driver: the case for a national measurement system to improve patient safety. | PSNet

psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety

September 01, 2018 - Review Measurement as a performance driver: the case for a national measurement system to improve patient safety. Citation Text: Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…

Safe Administration of Medication in School: Policy Statement. | PSNet

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May 31, 2023 - Organizational Policy/Guidelines Safe Administration of Medication in School: Policy Statement. Citation Text: Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement. Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839. Copy Cit…

Economic evaluation in patient safety: a literature review of methods. | PSNet

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March 05, 2025 - Review Economic evaluation in patient safety: a literature review of methods. Citation Text: de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191. Copy Citation …

Governing the quality and safety of healthcare: a conceptual framework. | PSNet

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September 03, 2011 - Commentary Governing the quality and safety of healthcare: a conceptual framework. Citation Text: Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020. Copy Citation …

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. | PSNet

psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format

March 10, 2010 - Study Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Citation Text: Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format tha…

The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-implementation-family-initiated-escalation-care-deteriorating-patient-hospital

December 21, 2018 - Review The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. Citation Text: Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in …

Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. | PSNet

psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward

September 24, 2016 - Study Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. Citation Text: Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians. J Pat…

What is safety leadership? A systematic review of definitions. | PSNet

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October 26, 2022 - Review What is safety leadership? A systematic review of definitions. Citation Text: Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. Copy Citation Format: DOI Google…

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet

psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system

June 01, 2019 - Study An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. Citation Text: Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…

Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. | PSNet

psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality

October 23, 2024 - Commentary Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. Citation Text: Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directio…

Stop the line: interventions to prevent retained surgical items. | PSNet

psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items

July 10, 2024 - Commentary Stop the line: interventions to prevent retained surgical items. Citation Text: Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. | PSNet

psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings

November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…

Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. | PSNet

psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study

August 04, 2021 - Study Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. Citation Text: Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…

Communication of preclinical emergency teams in critical situations: a nationwide study. | PSNet

psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study

January 23, 2019 - Study Communication of preclinical emergency teams in critical situations: a nationwide study. Citation Text: Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.…

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