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Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet

psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large

July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …

Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. | PSNet

psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts

February 25, 2015 - Study Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…

Mixed results in the safety performance of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry

May 04, 2022 - Study Classic Mixed results in the safety performance of computerized physician order entry. Citation Text: Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. | PSNet

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May 27, 2010 - Study Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. | PSNet

psnet.ahrq.gov/issue/analysis-readmissions-mobile-integrated-health-transitional-care-program-using-root-cause

June 08, 2022 - Study Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. Citation Text: Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root …

Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. | PSNet

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October 13, 2018 - Study Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. Citation Text: Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' expla…

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. | PSNet

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August 11, 2021 - Study Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. Citation Text: Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…

Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. | PSNet

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February 10, 2011 - Study Classic Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Citation Text: Leape L, Cullen DJ, Clapp M, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. J…

Enhancing safety culture through improved incident reporting: a case study in translational research. | PSNet

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March 10, 2021 - Commentary Enhancing safety culture through improved incident reporting: a case study in translational research. Citation Text: Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwoo…

Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. | PSNet

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December 18, 2017 - Study Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. Citation Text: Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-revi…

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. | PSNet

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January 04, 2010 - Study A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. Citation Text: Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of communication…

Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. | PSNet

psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national

November 01, 2023 - Study Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. Citation Text: O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…

Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. | PSNet

psnet.ahrq.gov/issue/impact-2011-acgme-resident-duty-hour-reform-hospital-patient-experience-and-processes-care

September 07, 2016 - Study Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. Citation Text: Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;…

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. | PSNet

psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality

July 14, 2009 - Study Classic Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. Citation Text: Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. | PSNet

psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture

September 01, 2021 - Study Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. Citation Text: Mohr DC, Eaton JL, McPhaul KM, et al. Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. J P…

Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet

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November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse events. Citation Text: King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…

Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023. | PSNet

psnet.ahrq.gov/issue/quality-and-reporting-large-scale-improvement-programmes-review-maternity-initiatives-english

February 07, 2024 - Review Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023. Citation Text: McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the En…

Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. | PSNet

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April 22, 2017 - Study Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. Citation Text: Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident investigations in secondary care: a qu…

Is patient safety improving? National trends in patient safety indicators: 1998–2007. | PSNet

psnet.ahrq.gov/issue/patient-safety-improving-national-trends-patient-safety-indicators-1998-2007

March 21, 2012 - Study Is patient safety improving? National trends in patient safety indicators: 1998–2007. Citation Text: Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi…

Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. | PSNet

psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-canadian-regional

March 18, 2020 - Study Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. Citation Text: Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic…

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