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Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program. | PSNet

psnet.ahrq.gov/issue/changes-hospital-acquired-conditions-and-mortality-associated-hospital-acquired-condition

July 24, 2019 - Study Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program. Citation Text: Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition red…

Hierarchy and medical error: speaking up when witnessing an error. | PSNet

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April 14, 2011 - Review Emerging Classic Hierarchy and medical error: speaking up when witnessing an error. Citation Text: Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…

The top patient safety strategies that can be encouraged for adoption now. | PSNet

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September 20, 2011 - Commentary The top patient safety strategies that can be encouraged for adoption now. Citation Text: Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…

Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. | PSNet

psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful

September 15, 2021 - Study Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. Citation Text: Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…

Measurement and monitoring patient safety in prehospital care: a systematic review. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-patient-safety-prehospital-care-systematic-review

November 17, 2021 - Review Measurement and monitoring patient safety in prehospital care: a systematic review. Citation Text: O’Connor P, O’malley R, Oglesby A-M, et al. Measurement and monitoring patient safety in prehospital care: a systematic review. Int J Health Care Qual. 2021;33(1):mzab013. doi:10.109…

Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet

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January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. Citation Text: Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…

Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory

August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…

Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet

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September 22, 2021 - Study Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. Citation Text: Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cr…

Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet

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July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. Citation Text: Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. Copy Citation Format: …

Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet

psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans

June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Citation Text: Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …

Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. | PSNet

psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events

July 20, 2022 - Review Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. Citation Text: Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and eva…

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. | PSNet

psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through

August 21, 2019 - Study Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. Citation Text: Riblet NB, Soncrant C, Mills PD, et al. Analysis of reported suicide safety events among veterans who received treatment…

Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. | PSNet

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July 21, 2021 - Study Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. Citation Text: Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staf…

Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. | PSNet

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March 11, 2020 - Study Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. Citation Text: Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at Out-of-Hours Primary Care. J Patient Saf. 2022…

Technology-based closed-loop tracking for improving communication and follow-up of pathology results. | PSNet

psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results

May 25, 2022 - Study Technology-based closed-loop tracking for improving communication and follow-up of pathology results. Citation Text: Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18…

Computerized triggers of big data to detect delays in follow-up of chest imaging results. | PSNet

psnet.ahrq.gov/issue/computerized-triggers-big-data-detect-delays-follow-chest-imaging-results

March 19, 2018 - Study Computerized triggers of big data to detect delays in follow-up of chest imaging results. Citation Text: Murphy DR, Meyer AND, Bhise V, et al. Computerized Triggers of Big Data to Detect Delays in Follow-up of Chest Imaging Results. Chest. 2016;150(3):613-20. doi:10.1016/j.chest.20…

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised

September 28, 2016 - Study Classic An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Citation Text: Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. | PSNet

psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps

June 22, 2022 - Study Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. Citation Text: Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…

Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. | PSNet

psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big-data-health-care

September 28, 2016 - Study Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. Citation Text: Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health…

Incident reporting system does not detect adverse drug events: a problem for quality improvement. | PSNet

psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement

February 10, 2011 - Study Classic Incident reporting system does not detect adverse drug events: a problem for quality improvement. Citation Text: Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvem…

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