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RISE: exploring volunteer retention and sustainability of a second victim support program. | PSNet

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April 21, 2021 - Study RISE: exploring volunteer retention and sustainability of a second victim support program. Citation Text: Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.10…

Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet

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May 05, 2021 - Commentary Why and how to approach user experience in safety-critical domains: the example of health care. Citation Text: Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…

Challenging authority and speaking up in the operating room environment: a narrative synthesis. | PSNet

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December 13, 2017 - Review Emerging Classic Challenging authority and speaking up in the operating room environment: a narrative synthesis. Citation Text: Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative syn…

The impact of errors on healthcare professionals in the critical care setting. | PSNet

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October 27, 2021 - Study The impact of errors on healthcare professionals in the critical care setting. Citation Text: Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. Copy…

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. | PSNet

psnet.ahrq.gov/issue/development-concept-return-investment-large-scale-quality-improvement-programmes-healthcare

October 27, 2021 - Review The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. Citation Text: Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-invest…

Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. | PSNet

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March 17, 2021 - Study Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. Citation Text: Riman KA, Harrison JM, Sloane DM, et al. Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfac…

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. | PSNet

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December 01, 2021 - Study The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. Citation Text: Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …

The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature. | PSNet

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August 04, 2021 - Review The state of the evidence for computerized provider order entry: a systematic review and analysis of the quality of the literature. Citation Text: Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a systematic review and analysis …

Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. | PSNet

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March 17, 2021 - Study Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. Citation Text: Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am …

Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. | PSNet

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October 06, 2021 - Study Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. Citation Text: Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.…

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication

May 27, 2011 - Review Classic Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Citation Text: Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…

From reporting to improving: how root cause analysis in teams shape patient safety culture. | PSNet

psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture

July 31, 2024 - Study From reporting to improving: how root cause analysis in teams shape patient safety culture. Citation Text: Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-18…

Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet

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February 07, 2018 - Study Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Citation Text: Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…

Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. | PSNet

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January 23, 2017 - Study Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. Citation Text: Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation differences amo…

Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. | PSNet

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March 04, 2015 - Study Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. Citation Text: Chekmeyan M, Baccei SJ, Garwood ER. Cross-Check QA: a quality assurance workflow…

Supporting clinicians after adverse events: development of a clinician peer support program. | PSNet

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April 24, 2018 - Study Emerging Classic Supporting clinicians after adverse events: development of a clinician peer support program. Citation Text: Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. …

Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. | PSNet

psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients

March 01, 2023 - Study Emerging Classic Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. Citation Text: Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Pre…

Adverse events after transition from ICU to hospital ward: a multicenter cohort study. | PSNet

psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study

October 13, 2018 - Study Adverse events after transition from ICU to hospital ward: a multicenter cohort study. Citation Text: Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.00000…

'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns. | PSNet

psnet.ahrq.gov/issue/saying-it-without-words-qualitative-study-oncology-staffs-experiences-speaking-about-safety

November 05, 2014 - Study 'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns. Citation Text: Schwappach DLB, Gehring K. 'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns. BM…

Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital. | PSNet

psnet.ahrq.gov/issue/quality-and-patient-safety-metrics-developing-structured-program-improving-patient-care

April 22, 2011 - Study Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital. Citation Text: Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured program for i…

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