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An analysis of electronic health record–related patient safety incidents. | PSNet

psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents

August 19, 2020 - Study An analysis of electronic health record–related patient safety incidents. Citation Text: Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. Copy…

Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet

psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement

August 26, 2011 - Study Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. Citation Text: Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement…

Implementation of an emergency department sign-out checklist improves transfer of information at shift change. | PSNet

psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift

October 30, 2019 - Study Implementation of an emergency department sign-out checklist improves transfer of information at shift change. Citation Text: Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…

The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-checklist-quality-patient-handover-operating-room-intensive-care-unit-randomized

April 03, 2013 - Study The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. Citation Text: Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the operating room t…

Communication failure in the operating room. | PSNet

psnet.ahrq.gov/issue/communication-failure-operating-room

February 25, 2009 - Study Communication failure in the operating room. Citation Text: Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. | PSNet

psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients

June 26, 2019 - Review Emerging Classic A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. Citation Text: Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the …

Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff

July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet

psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis

September 01, 2018 - Study Structuring patient and family involvement in medical error event disclosure and analysis. Citation Text: Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…

Unit-based care teams and the frequency and quality of physician–nurse communications. | PSNet

psnet.ahrq.gov/issue/unit-based-care-teams-and-frequency-and-quality-physician-nurse-communications

November 16, 2022 - Study Unit-based care teams and the frequency and quality of physician–nurse communications. Citation Text: Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.100…

Recruitment of hospitals for a safety climate study: facilitators and barriers. | PSNet

psnet.ahrq.gov/issue/recruitment-hospitals-safety-climate-study-facilitators-and-barriers

June 16, 2011 - Study Recruitment of hospitals for a safety climate study: facilitators and barriers. Citation Text: Rosen AK, Gaba DM, Meterko M, et al. Recruitment of hospitals for a safety climate study: facilitators and barriers. Jt Comm J Qual Patient Saf. 2008;34(5):275-84. Copy Citation For…

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team. | PSNet

psnet.ahrq.gov/issue/relationship-emotional-climate-work-and-threat-patient-outcome-high-volume-thoracic-surgery

July 05, 2013 - Study The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team. Citation Text: Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient outcome in a high-vo…

Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy. | PSNet

psnet.ahrq.gov/issue/patient-and-visitor-aggression-healthcare-survey-exploring-organisational-safety-culture-and

September 20, 2011 - Study Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy. Citation Text: Heckemann B, Hahn S, Halfens RJG, et al. Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy…

Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah

October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …

A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care

October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. | PSNet

psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical

May 08, 2017 - Commentary Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. Citation Text: Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. | PSNet

psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration

May 27, 2011 - Study The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Citation Text: Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med…

A usability and safety analysis of electronic health records: a multi-center study. | PSNet

psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study

October 13, 2018 - Study Emerging Classic A usability and safety analysis of electronic health records: a multi-center study. Citation Text: Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-center study. J Am Med Inform Ass…

Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study

December 12, 2014 - June 22, 2022 Factors associated with missed nursing care and nurse-assessed quality

The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. | PSNet

psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging

June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet

psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary

January 18, 2013 - January 18, 2013 The effect of hospital electronic health record adoption on nurse-assessed

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