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  1. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. | PSNet

    psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality
    April 06, 2022 - Commentary Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Citation Text: Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…

  2. Long-term impacts faced by patients and families after harmful healthcare events. | PSNet

    psnet.ahrq.gov/issue/long-term-impacts-faced-patients-and-families-after-harmful-healthcare-events
    December 01, 2021 - Study Long-term impacts faced by patients and families after harmful healthcare events. Citation Text: Ottosen MJ, Sedlock E, Aigbe AO, et al. Long-term impacts faced by patients and families after harmful healthcare events. J Patient Saf. 2021;17(8):e1145-e1151. doi:10.1097/pts.00000000…

  3. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
    March 16, 2022 - Study Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. Citation Text: Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliabilit…

  4. Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
    February 22, 2011 - Study Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. Citation Text: Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…

  5. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. | PSNet

    psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
    November 13, 2009 - Study Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6)…

  6. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet

    psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006
    April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

  7. Economic impact of medication error: a systematic review. | PSNet

    psnet.ahrq.gov/issue/economic-impact-medication-error-systematic-review
    November 04, 2020 - Review Economic impact of medication error: a systematic review. Citation Text: Walsh EK, Hansen CR, Sahm LJ, et al. Economic impact of medication error: a systematic review. Pharmacoepidemiol Drug Saf. 2017;26(5):481-497. doi:10.1002/pds.4188. Copy Citation Format: DOI Goo…

  8. Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. | PSNet

    psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify
    August 07, 2013 - Study Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. Citation Text: Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method…

  9. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. | PSNet

    psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
    March 03, 2019 - Study Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. Citation Text: Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…

  10. A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. | PSNet

    psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
    January 03, 2017 - Study A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. Citation Text: Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…

  11. Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. | PSNet

    psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical
    April 19, 2023 - Study Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. Citation Text: Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing med…

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

    psnet.ahrq.gov/issue/work-environment-and-operational-failures-associated-nurse-outcomes-patient-safety-and
    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…

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

    psnet.ahrq.gov/issue/rise-exploring-volunteer-retention-and-sustainability-second-victim-support-program
    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…

  14. Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/abusive-supervision-and-its-relationship-nursing-workforce-and-patient-safety-outcomes
    October 25, 2023 - Review Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review. Citation Text: Labrague LJ. Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review. West J Nurs Res. 2023;46(…

  15. Educational levels of hospital nurses and surgical patient mortality. | PSNet

    psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-mortality
    February 09, 2011 - Study Classic Educational levels of hospital nurses and surgical patient mortality. Citation Text: Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623. Copy Citation For…

  16. Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. | PSNet

    psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug
    August 23, 2017 - Study Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. Citation Text: Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mo…

  17. PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. | PSNet

    psnet.ahrq.gov/issue/pipc-study-development-indicators-potentially-inappropriate-prescribing-children-pipc-primary
    December 05, 2018 - Study PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. Citation Text: Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate prescribing …

  18. Responding to health information technology reported safety events: insights from patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event
    June 30, 2019 - Study Responding to health information technology reported safety events: insights from patient safety event reports. Citation Text: Responding to health information technology reported safety events: insights from patient safety event reports. Adams KT, Kim TC, Fong A, et al. J Patient …

  19. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. | PSNet

    psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
    February 24, 2011 - Study Classic Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. Citation Text: Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4)…

  20. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. | PSNet

    psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
    August 05, 2020 - Study Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. Citation Text: Gillespie A, Reader TW. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. Ris…
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