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Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. | PSNet

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February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…

Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system. | PSNet

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March 09, 2022 - Study Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system. Citation Text: Bodí M, Samper MA, Sirgo G, et al. Assessing the impact of real-time random safety audits through full propensity scor…

Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. | PSNet

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August 21, 2024 - Study Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. Citation Text: Hedqvist A‐T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability a…

Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. | PSNet

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September 19, 2016 - Study Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. Citation Text: Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.…

The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program. | PSNet

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October 12, 2022 - Study The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program. Citation Text: Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of hospital readmissions reduction program. J Patie…

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. | PSNet

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March 03, 2021 - Review Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. Citation Text: Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…

'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. | PSNet

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October 05, 2022 - Study 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. Citation Text: Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on s…

Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. | PSNet

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December 02, 2020 - Study Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. Citation Text: Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.10…

Implications of electronic health record downtime: an analysis of patient safety event reports. | PSNet

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February 14, 2024 - Study Classic Implications of electronic health record downtime: an analysis of patient safety event reports. Citation Text: Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Me…

A long-term follow-up evaluation of electronic health record prescribing safety. | PSNet

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November 26, 2014 - Study A long-term follow-up evaluation of electronic health record prescribing safety. Citation Text: Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl…

Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet

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July 24, 2024 - Study Patient safety incidents are common in primary care: a national prospective active incident reporting survey. Citation Text: Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national prospective active incident reporting survey. PLoS On…

Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. | PSNet

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November 16, 2022 - Study Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. Citation Text: Scott GPT, Shah P, Wyatt JC, et al. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. J Am Med Inform Ass…

Four states with robust prescription drug monitoring programs reduced opioid dosages. | PSNet

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June 21, 2016 - Study Classic Four states with robust prescription drug monitoring programs reduced opioid dosages. Citation Text: Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs Reduced Opioid Dosages. Health Aff (Millwood).…

Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. | PSNet

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October 07, 2013 - Study Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. Citation Text: Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: trac…

How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. | PSNet

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November 20, 2015 - Study How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. Citation Text: Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality of care for…

Medicines reconciliation using a shared electronic health care record. | PSNet

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March 04, 2015 - Study Medicines reconciliation using a shared electronic health care record. Citation Text: Moore P, Armitage G, Wright J, et al. Medicines reconciliation using a shared electronic health care record. J Patient Saf. 2011;7(3):148-154. doi:10.1097/PTS.0b013e31822c5bf9. Copy Citation …

Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. | PSNet

psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions

July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. | PSNet

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March 28, 2012 - Study The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. Citation Text: Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. J Nurs Adm. 2011;41(…

A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet

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September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…

Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after

March 15, 2017 - Study Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. Citation Text: Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…

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