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Mitigating the July effect. | PSNet

psnet.ahrq.gov/issue/mitigating-july-effect

August 05, 2020 - Commentary Mitigating the July effect. Citation Text: Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. | PSNet

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October 06, 2016 - Study Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. Citation Text: Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. …

Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. | PSNet

psnet.ahrq.gov/issue/decreasing-clinically-significant-adverse-events-using-feedback-emergency-physicians

January 21, 2015 - Study Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Citation Text: Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-…

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. | PSNet

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March 01, 2011 - Commentary A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Citation Text: Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…

Influence of perioperative handoffs on complications and outcomes. | PSNet

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October 14, 2020 - Commentary Influence of perioperative handoffs on complications and outcomes. Citation Text: Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. Copy Citation Format: …

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. | PSNet

psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse

September 26, 2016 - Study Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. Citation Text: Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…

Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-comparative-database-report

September 14, 2011 - Book/Report Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, et al. Rockville, MD: Agency for Healthcare Research and Quality; Ap…

Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. | PSNet

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April 03, 2017 - Slideset Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Citation Text: Utter GH, Zrelak PA, Baron R, et al. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Ann Surg. 2009;250(6):1041-5.…

Implicit bias in healthcare professionals: a systematic review. | PSNet

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September 28, 2022 - Review Implicit bias in healthcare professionals: a systematic review. Citation Text: FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8. Copy Citation Format: DOI Google Schola…

On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. | PSNet

psnet.ahrq.gov/issue/cusp-stop-bsi-evaluating-relationship-between-central-line-associated-bloodstream-infection

January 30, 2013 - Study On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. Citation Text: Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…

Rural hospital information technology implementation for safety and quality improvement: lessons learned. | PSNet

psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons

April 24, 2018 - Study Rural hospital information technology implementation for safety and quality improvement: lessons learned. Citation Text: Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform N…

Making use of mortality data to improve quality and safety in general practice: a review of current approaches. | PSNet

psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current

November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice: a review of current approaches. Citation Text: Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…

High-alert medications in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit

December 16, 2015 - Study High-alert medications in the pediatric intensive care unit. Citation Text: Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. Copy Citation Format: DOI…

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. | PSNet

psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention

May 27, 2011 - Study Classic An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Citation Text: Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…

Organisational reporting and learning systems: innovating inside and outside of the box. | PSNet

psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box

July 22, 2020 - Commentary Organisational reporting and learning systems: innovating inside and outside of the box. Citation Text: Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203. Copy…

Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? | PSNet

psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be

August 03, 2022 - Review Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Citation Text: Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…

How unprofessional behaviours between healthcare staff threaten patient care and safety. | PSNet

psnet.ahrq.gov/issue/how-unprofessional-behaviours-between-healthcare-staff-threaten-patient-care-and-safety

July 24, 2024 - Commentary How unprofessional behaviours between healthcare staff threaten patient care and safety. Citation Text: Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan…

The impact of adverse events on clinicians: what's in a name? | PSNet

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March 25, 2020 - Review The impact of adverse events on clinicians: what's in a name? Citation Text: Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256. Copy Citation Format: DO…

Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes

February 14, 2024 - Review Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Citation Text: Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…

Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey | PSNet

psnet.ahrq.gov/issue/factors-affecting-patient-safety-culture-among-dental-healthcare-workers-nationwide-cross

June 16, 2021 - Study Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey Citation Text: Cheng H-C, Yen AM-F, Lee Y-H. Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey. J Dent Sci. 2019…

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