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Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. | PSNet

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November 15, 2023 - Study Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. Citation Text: Battar S, Dickerson KRW, Sedgwick C, et al. Understand…

Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. | PSNet

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September 19, 2016 - Study Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. Citation Text: Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event. J Patient …

Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. | PSNet

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November 02, 2010 - Study Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. Citation Text: Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, f…

Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

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June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. | PSNet

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August 24, 2022 - Study Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. Citation Text: Apathy NC, Howe JL, Krevat S, et al. Electronic health record legal settlements in the US since the 2009 Health Information Technol…

Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. | PSNet

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April 24, 2018 - Study Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. Citation Text: Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-…

Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. | PSNet

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June 28, 2023 - Study Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. Citation Text: Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. do…

Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation. | PSNet

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June 19, 2019 - Study Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation. Citation Text: Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity …

Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. | PSNet

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October 14, 2020 - Study Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. Citation Text: Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a…

How to make medication error reporting systems work—factors associated with their successful development and implementation. | PSNet

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December 05, 2012 - Study How to make medication error reporting systems work—factors associated with their successful development and implementation. Citation Text: Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…

Exploring perinatal shift-to-shift handover communication and process: an observational study. | PSNet

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April 04, 2018 - Study Exploring perinatal shift-to-shift handover communication and process: an observational study. Citation Text: Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…

Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. | PSNet

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March 15, 2016 - Study Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. Citation Text: van Rosse F, Suurmond J, Wagner C, et al. Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. BMJ Open. 2016;6(4)…

A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. | PSNet

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September 02, 2020 - Study A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. Citation Text: Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…

Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

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June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication

March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. | PSNet

psnet.ahrq.gov/issue/automatable-algorithms-identify-nonmedical-opioid-use-using-electronic-data-systematic-review

July 27, 2016 - Review Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. Citation Text: Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc.…

Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet

psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative

December 16, 2015 - Study Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. Citation Text: Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…

Improving care safety by characterizing task interruptions during interactions between healthcare professionals: an observational study. | PSNet

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March 05, 2025 - Study Improving care safety by characterizing task interruptions during interactions between healthcare professionals: an observational study. Citation Text: Teigné D, Cazet L, Birgand G, et al. Improving care safety by characterizing task interruptions during interactions between health…

Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet

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October 11, 2023 - Study Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. Citation Text: Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Pati…

Incident and error reporting systems in intensive care: a systematic review of the literature. | PSNet

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November 10, 2015 - Review Incident and error reporting systems in intensive care: a systematic review of the literature. Citation Text: Brunsveld-Reinders AH, Arbous S, De Vos R, et al. Incident and error reporting systems in intensive care: a systematic review of the literature. Int J Qual Health Care. 20…

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