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Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." | PSNet

psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical

August 05, 2020 - Study Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." Citation Text: Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review …

Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. | PSNet

psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety

February 22, 2011 - Study Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. Citation Text: Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…

Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. | PSNet

psnet.ahrq.gov/issue/delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement-anticoagulation

March 04, 2020 - Commentary Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Citation Text: Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…

Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. | PSNet

psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative

June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…

Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. | PSNet

psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national-survey-denmark

December 01, 2011 - Study Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. Citation Text: Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-up: Results from a national survey in Denmark. Ca…

Leading successful rapid response teams: a multisite implementation evaluation. | PSNet

psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation

August 04, 2010 - Image/Poster Leading successful rapid response teams: a multisite implementation evaluation. Citation Text: Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…

Effect of using the same vs different order for second readings of screening mammograms on rates of breast cancer detection: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-using-same-vs-different-order-second-readings-screening-mammograms-rates-breast-cancer

August 29, 2018 - Study Effect of using the same vs different order for second readings of screening mammograms on rates of breast cancer detection: a randomized clinical trial. Citation Text: Taylor-Phillips S, Wallis MG, Jenkinson D, et al. Effect of Using the Same vs Different Order for Second Readings…

Health literacy and systemic racism—using clear communication to reduce health care inequities. | PSNet

psnet.ahrq.gov/issue/health-literacy-and-systemic-racism-using-clear-communication-reduce-health-care-inequities

July 19, 2023 - Commentary Health literacy and systemic racism—using clear communication to reduce health care inequities. Citation Text: Coleman C, Birk S, DeVoe J. Health literacy and systemic racism—using clear communication to reduce health care inequities. JAMA Intern Med. 2023;183(8):753-754. doi:…

Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. | PSNet

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April 24, 2019 - Study Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Citation Text: Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with conc…

Missed nursing care in emergency departments: a scoping review. | PSNet

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November 03, 2021 - Review Missed nursing care in emergency departments: a scoping review. Citation Text: Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296. Copy Citation Format: …

Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. | PSNet

psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand

April 27, 2015 - Study Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. Citation Text: Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative St…

The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. | PSNet

psnet.ahrq.gov/issue/effect-clinical-pharmacist-led-training-programme-intravenous-medication-errors-controlled

March 04, 2011 - Study The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. Citation Text: Nguyen H-T, Pham H-T, Vo D-K, et al. The effect of a clinical pharmacist-led training programme on intravenous medication errors: a cont…

Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action

March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. | PSNet

psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient-nurse-and-event

May 13, 2020 - Study Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. Citation Text: Groves PS, Farag A, Perkhounkova Y, et al. Nurse judgements of hospitalized patients' safety concerns are affected by p…

Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. | PSNet

psnet.ahrq.gov/issue/validation-primary-care-patient-measure-safety-pc-pmos-questionnaire

June 25, 2014 - Study Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. Citation Text: Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. Copy…

Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet

psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability

March 01, 2023 - Study Race differences in reported "near miss" patient safety events in health care system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. J …

The dilemma of patient safety work: perceptions of hospital middle managers. | PSNet

psnet.ahrq.gov/issue/dilemma-patient-safety-work-perceptions-hospital-middle-managers

February 03, 2015 - Study The dilemma of patient safety work: perceptions of hospital middle managers. Citation Text: Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325. Copy Ci…

Examining the relationship between nurse fatigue, alertness, and medication errors. | PSNet

psnet.ahrq.gov/issue/examining-relationship-between-nurse-fatigue-alertness-and-medication-errors

October 10, 2015 - Study Examining the relationship between nurse fatigue, alertness, and medication errors. Citation Text: Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631. …

Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review

February 23, 2011 - Review Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. Citation Text: Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …

Evaluation of a patient safety programme on Surgical Safety Checklist compliance: a prospective longitudinal study. | PSNet

psnet.ahrq.gov/issue/evaluation-patient-safety-programme-surgical-safety-checklist-compliance-prospective

March 23, 2016 - Study Evaluation of a patient safety programme on Surgical Safety Checklist compliance: a prospective longitudinal study. Citation Text: Gillespie BM, Harbeck EL, Lavin J, et al. Evaluation of a patient safety programme on Surgical Safety Checklist Compliance: a prospective longitudinal …

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