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Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. | PSNet

psnet.ahrq.gov/issue/rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-safety

February 27, 2008 - Study Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. Citation Text: West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as…

Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet

psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients

May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…

Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health

August 02, 2015 - Study Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Citation Text: Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…

A framework for evaluating the appropriateness of clinical decision support alerts and responses. | PSNet

psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and-responses

March 21, 2017 - Study A framework for evaluating the appropriateness of clinical decision support alerts and responses. Citation Text: McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19…

Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet

psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change

December 15, 2011 - Study Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? Citation Text: Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling…

What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. | PSNet

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January 25, 2023 - Study What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. Citation Text: Isbell LM, Boudreaux ED, Chimowitz H, et al. What do emergency department physicians and nurses feel? A qualitative…

Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic. | PSNet

psnet.ahrq.gov/issue/risk-delayed-or-missed-care-and-non-covid-19-outcomes-older-patients-chronic-conditions

December 16, 2020 - Study Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic. Citation Text: Smith M, Vaughan Sarrazin M, Wang X, et al. Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic condition…

Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. | PSNet

psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity

December 16, 2020 - Study Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. Citation Text: Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…

A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. | PSNet

psnet.ahrq.gov/issue/qualitative-analysis-impact-electronic-health-records-ehr-healthcare-quality-and-safety

October 05, 2022 - Study A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians' lived experiences. Citation Text: Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: …

Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. | PSNet

psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness

September 04, 2013 - Study Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. Citation Text: Jha V, Buckley H, Gabe R, et al. Patients as teachers: a randomised controlled trial on the use of personal storie…

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet

psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication

March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. | PSNet

psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews

August 24, 2016 - Study Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. Citation Text: Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a syst…

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. | PSNet

psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept

February 16, 2022 - Study Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. Citation Text: Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…

Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet

psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific

April 08, 2018 - Study Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. Citation Text: Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…

Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. | PSNet

psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial

September 11, 2024 - Study Classic Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. Citation Text: Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety performance on hospi…

Sitters as a patient safety strategy to reduce hospital falls: a systematic review. | PSNet

psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review

March 08, 2023 - Review Sitters as a patient safety strategy to reduce hospital falls: a systematic review. Citation Text: Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. Copy Citation For…

Safety hazards in cancer care: findings using three different methods. | PSNet

psnet.ahrq.gov/issue/safety-hazards-cancer-care-findings-using-three-different-methods

September 27, 2017 - Study Safety hazards in cancer care: findings using three different methods. Citation Text: Lipczak H, Knudsen JL, Nissen A. Safety hazards in cancer care: findings using three different methods. BMJ Qual Saf. 2011;20(12):1052-6. doi:10.1136/bmjqs.2010.050856. Copy Citation Forma…

A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet

psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting

November 16, 2022 - Study A mixed methods evaluation of medication reconciliation in the primary care setting. Citation Text: Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journ…

Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-units-during

June 02, 2021 - Study Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. Citation Text: Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19…

Mortality trends after a voluntary checklist-based surgical safety collaborative. | PSNet

psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative

September 24, 2017 - Study Classic Mortality trends after a voluntary checklist-based surgical safety collaborative. Citation Text: Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…

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