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  1. For children admitted to hospital, what interventions improve medication safety on ward rounds? | PSNet

    psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
    July 29, 2020 - Review For children admitted to hospital, what interventions improve medication safety on ward rounds? Citation Text: King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;…

  2. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet

    psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
    November 30, 2022 - Study Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Citation Text: Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…

  3. Diagnostic errors in pediatric critical care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-pediatric-critical-care-systematic-review
    April 06, 2016 - Review Diagnostic errors in pediatric critical care: a systematic review. Citation Text: Cifra CL, Custer J, Singh H, et al. Diagnostic errors in pediatric critical care: a systematic review. Pediatr Crit Care Med. 2021;22(8):701-712. doi:10.1097/pcc.0000000000002735. Copy Citation …

  4. From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program. | PSNet

    psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience
    July 19, 2023 - Commentary From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program. Citation Text: Wiig S, Lyng HB, Guise V, et al. From theory to policy in resilient health care: policy recommendations and lessons lear…

  5. Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. | PSNet

    psnet.ahrq.gov/issue/managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
    September 13, 2023 - Study Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. Citation Text: Magerøy MR, Macrae C, Braut GS, et al. Managing patient safety and staff safety in nursing homes: exploring how lead…

  6. Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
    June 18, 2013 - Study Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. Citation Text: Mattsson TO, Lipczak H, Pottegård A. Patient Involvement in Evaluation of Safety in Oral Antineoplastic Treatm…

  7. Healthcare team resilience during COVID-19: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/healthcare-team-resilience-during-covid-19-qualitative-study
    February 20, 2019 - Study Healthcare team resilience during COVID-19: a qualitative study. Citation Text: Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. Copy Citation Format…

  8. The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/ask-me-explain-campaign-90-day-intervention-promote-patient-and-family-involvement-care
    November 16, 2022 - Study The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. Citation Text: Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family In…

  9. Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

    psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
    August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

  10. Medication-prescribing errors in a teaching hospital: a 9-year experience. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
    February 10, 2011 - Study Classic Medication-prescribing errors in a teaching hospital: a 9-year experience. Citation Text: Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. Copy Cit…

  11. Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. | PSNet

    psnet.ahrq.gov/issue/evaluating-implementation-project-re-engineered-discharge-red-five-veterans-health
    June 26, 2024 - Study Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. Citation Text: Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Admini…

  12. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. | PSNet

    psnet.ahrq.gov/issue/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
    June 27, 2018 - Study An effective program to reduce malpractice claims and payments in a large orthopaedic practice. Citation Text: Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):12…

  13. Risk factors for patient-reported medical errors in eleven countries. | PSNet

    psnet.ahrq.gov/issue/risk-factors-patient-reported-medical-errors-eleven-countries
    December 04, 2024 - Study Risk factors for patient-reported medical errors in eleven countries. Citation Text: Schwappach DLB. Risk factors for patient-reported medical errors in eleven countries. Health Expect. 2014;17(3):321-31. doi:10.1111/j.1369-7625.2011.00755.x. Copy Citation Format: DOI…

  14. Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
    February 02, 2022 - Review Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. Citation Text: Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-1…

  15. The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet

    psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
    September 15, 2011 - Study The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. Citation Text: Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…

  16. Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

    psnet.ahrq.gov/issue/often-overlooked-problems-handoffs-intensive-care-unit-operating-room
    May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

  17. One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. | PSNet

    psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse
    May 16, 2018 - Study One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. Citation Text: Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…

  18. Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. | PSNet

    psnet.ahrq.gov/issue/provider-bias-prescribing-opioid-analgesics-study-electronic-medical-records-hospital
    September 30, 2020 - Study Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. Citation Text: Keister LA, Stecher C, Aronson B, et al. Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emer…

  19. The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet

    psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
    October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …

  20. A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet

    psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers
    October 08, 2013 - Study A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Citation Text: Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…
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