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Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. | PSNet

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April 24, 2013 - Study Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Citation Text: Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health…

The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. | PSNet

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March 24, 2021 - Study The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Citation Text: Considine J, Rawet J, Currey J. The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Aus…

The effect of a rapid response team on major clinical outcome measures in a community hospital. | PSNet

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October 19, 2022 - Study The effect of a rapid response team on major clinical outcome measures in a community hospital. Citation Text: Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82. …

Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet

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December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Citation Text: Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 202…

Impact of repeated reimbursement penalties on hospital total quality scores. | PSNet

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November 16, 2022 - Study Impact of repeated reimbursement penalties on hospital total quality scores. Citation Text: Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. Copy Citati…

Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. | PSNet

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July 24, 2019 - Study Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. Citation Text: Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 20…

Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. | PSNet

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July 12, 2010 - Study Classic Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. Citation Text: Davenport DL…

Good Practice Guides on Medication Errors: Part 1 and Part 2. | PSNet

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August 03, 2016 - Book/Report Good Practice Guides on Medication Errors: Part 1 and Part 2. Citation Text: Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-016-04…

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. | PSNet

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June 14, 2017 - Study He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Citation Text: Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identifica…

Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet

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July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…

Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

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July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet

psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic

October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Citation Text: Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…

A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. | PSNet

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February 12, 2020 - Study A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. Citation Text: Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Car…

Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. | PSNet

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January 31, 2018 - Study Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. Citation Text: South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…

Office surgery incidents: what seven years of Florida data show us. | PSNet

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August 19, 2009 - Study Office surgery incidents: what seven years of Florida data show us. Citation Text: Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x. Copy C…

Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet

psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes

April 29, 2020 - Study Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). Citation Text: Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…

Exploring approaches to patient safety: the case of spinal manipulation therapy. | PSNet

psnet.ahrq.gov/issue/exploring-approaches-patient-safety-case-spinal-manipulation-therapy

September 11, 2024 - Study Exploring approaches to patient safety: the case of spinal manipulation therapy. Citation Text: Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2. Cop…

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. | PSNet

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September 01, 2021 - Study Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. Citation Text: Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg…

Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. | PSNet

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April 05, 2023 - Study Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. Citation Text: Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of perceived informatio…

Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. | PSNet

psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator

July 19, 2023 - Study Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. Citation Text: Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…

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