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Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. | PSNet

psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts

February 25, 2015 - Study Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…

Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet

psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large

July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …

Rate of undesirable events at beginning of academic year: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/rate-undesirable-events-beginning-academic-year-retrospective-cohort-study

June 08, 2010 - Study Classic Rate of undesirable events at beginning of academic year: retrospective cohort study. Citation Text: Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. do…

The influence of organizational factors on patient safety: examining successful handoffs in health care. | PSNet

psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care

November 20, 2015 - Study The influence of organizational factors on patient safety: examining successful handoffs in health care. Citation Text: Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage …

Medication safety event reporting: factors that contribute to safety events during times of organizational stress. | PSNet

psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times

June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. | PSNet

psnet.ahrq.gov/issue/analysis-readmissions-mobile-integrated-health-transitional-care-program-using-root-cause

June 08, 2022 - Study Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. Citation Text: Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root …

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. | PSNet

psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication

August 11, 2021 - Study Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. Citation Text: Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. | PSNet

psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality

May 27, 2010 - Study Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…

Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. | PSNet

psnet.ahrq.gov/issue/outpatient-cpoe-orders-discontinued-due-erroneous-entry-prospective-survey-prescribers

October 13, 2018 - Study Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. Citation Text: Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' expla…

Surgical technology and operating-room safety failures: a systematic review of quantitative studies. | PSNet

psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies

May 06, 2015 - Review Surgical technology and operating-room safety failures: a systematic review of quantitative studies. Citation Text: Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;…

A resilience view on health system resilience: a scoping review of empirical studies and reviews. | PSNet

psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews

March 11, 2013 - Review A resilience view on health system resilience: a scoping review of empirical studies and reviews. Citation Text: Copeland S, Hinrichs-Krapels S, Fecondo F, et al. A resilience view on health system resilience: a scoping review of empirical studies and reviews. BMC Health Serv Res.…

Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. | PSNet

psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental

March 18, 2020 - Study Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Citation Text: van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …

Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. | PSNet

psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self-reporting-despite

March 17, 2021 - Commentary Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. Citation Text: Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on sel…

Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/pharmacist-participation-physician-rounds-and-adverse-drug-events-intensive-care-unit

February 10, 2011 - Study Classic Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Citation Text: Leape L, Cullen DJ, Clapp M, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. J…

Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. | PSNet

psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer-reports-safety

July 21, 2016 - Study Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. Citation Text: Smith SA, Yount N, Sorra J. Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Serv Res. 2017;17(1):143. do…

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…

Enhancing safety culture through improved incident reporting: a case study in translational research. | PSNet

psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational

March 10, 2021 - Commentary Enhancing safety culture through improved incident reporting: a case study in translational research. Citation Text: Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwoo…

A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. | PSNet

psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe

August 17, 2016 - Review A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. Citation Text: Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…

Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. | PSNet

psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits

September 23, 2020 - Study Classic Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Citation Text: Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEV…

Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. | PSNet

psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk

June 22, 2016 - Study Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. Citation Text: Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…

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