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Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement

June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Citation Text: Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…

What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. | PSNet

psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care

March 16, 2022 - Study What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. Citation Text: Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…

Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016-18. | PSNet

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September 13, 2023 - Study Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016-18. Citation Text: Van Wilder A, Bruyneel L, Cox B, et al. Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 20…

General practitioners' risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/general-practitioners-risk-literacy-and-real-world-prescribing-potentially-hazardous-drugs

December 21, 2014 - Study General practitioners' risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study. Citation Text: Wegwarth O, Hoffmann TC, Goldacre B, et al. General practitioners’ risk literacy and real-world prescribing of potentially hazardous drugs: a cros…

Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties. | PSNet

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May 23, 2018 - Study Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties. Citation Text: Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in Colorado: A pro…

Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet

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March 24, 2021 - Commentary Two fatal cases of accidental intrathecal vincristine administration: learning from death events. Citation Text: Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…

Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. | PSNet

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March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. | PSNet

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August 19, 2020 - Review ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. Citation Text: Tarnutzer AA, Lee S-H, Robinson K, et al. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. Neurology. 2017;88(15):1468-1477. do…

How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. | PSNet

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February 20, 2019 - Study How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. Citation Text: Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf…

Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. | PSNet

psnet.ahrq.gov/issue/consumer-involvement-design-and-development-medication-safety-interventions-or-services

August 30, 2023 - Review Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. Citation Text: DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication safety interventions or services i…

Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. | PSNet

psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce

February 01, 2023 - Study Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. Citation Text: Sexton JB, Adair KC, Profit J, et al. Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce Wel…

Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. | PSNet

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October 16, 2024 - Study Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. Citation Text: Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well-being during the COVID-19 pandemi…

Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet

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June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…

Potentially preventable 30-day hospital readmissions at a children's hospital. | PSNet

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July 11, 2017 - Study Potentially preventable 30-day hospital readmissions at a children's hospital. Citation Text: Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. Copy Citation …

Measuring safety in older adult care homes: a scoping review of the international literature. | PSNet

psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature

June 30, 2021 - Review Measuring safety in older adult care homes: a scoping review of the international literature. Citation Text: Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…

High reliability in a safety net hospital leading to operational excellence. | PSNet

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March 01, 2011 - Study High reliability in a safety net hospital leading to operational excellence. Citation Text: Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236. Co…

Housestaff and medical student attitudes toward medical errors and adverse events. | PSNet

psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events

March 06, 2013 - Study Housestaff and medical student attitudes toward medical errors and adverse events. Citation Text: Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. Copy Cita…

Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. | PSNet

psnet.ahrq.gov/issue/improving-quality-and-safety-care-using-technovigilance-ethnographic-case-study-secondary-use

March 05, 2014 - Study Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. Citation Text: Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "techno…

Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. | PSNet

psnet.ahrq.gov/issue/differing-perceptions-safety-culture-across-job-roles-ambulatory-setting-analysis-ahrq

March 15, 2017 - Study Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. Citation Text: Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory s…

Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. | PSNet

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December 02, 2014 - Study Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. Citation Text: Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…

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