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Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet

June 08, 2022 - Study Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. Citation Text: Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the Un…

The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation

October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

Interventions to improve team effectiveness: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-systematic-review

September 29, 2021 - Review Interventions to improve team effectiveness: a systematic review. Citation Text: Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95. doi:10.1016/j.healthpol…

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. | PSNet

psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items

March 20, 2019 - Study A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Citation Text: Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient…

The potential of artificial intelligence to improve patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/potential-artificial-intelligence-improve-patient-safety-scoping-review

March 09, 2022 - Review Classic The potential of artificial intelligence to improve patient safety: a scoping review. Citation Text: Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a scoping review. NPJ Digit Med. 2021…

Parents' understanding of medication at discharge and potential harm in children with medical complexity. | PSNet

psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity

April 22, 2020 - Study Parents' understanding of medication at discharge and potential harm in children with medical complexity. Citation Text: Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…

Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/implementation-ed-i-pass-standardized-handoff-tool-pediatric-emergency-department

November 16, 2022 - Study Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. Citation Text: Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. J Healthc Qual. 2023;45(3):140-147…

Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. | PSNet

psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient

October 05, 2022 - Commentary Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Citation Text: Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient …

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. | PSNet

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January 12, 2022 - Review Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. Citation Text: Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid sc…

Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. | PSNet

psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety

October 06, 2021 - Study Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. Citation Text: Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety i…

To expand the evidence base about harms from tests and treatments. | PSNet

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May 19, 2021 - Commentary To expand the evidence base about harms from tests and treatments. Citation Text: Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. Copy Citat…

The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet

psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error

March 30, 2022 - Study The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Citation Text: Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …

Should patients have a role in patient safety? A safety engineering view. | PSNet

psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view

June 10, 2009 - Commentary Should patients have a role in patient safety? A safety engineering view. Citation Text: Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2. Copy Citation Format: Google Scholar PubMed BibTe…

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. | PSNet

psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric

April 13, 2011 - Study Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. Citation Text: Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…

Voluntarily reported emergency department errors. | PSNet

psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors

June 20, 2011 - Study Voluntarily reported emergency department errors. Citation Text: Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12. Copy Citation Format: DOI Google…

Effective perioperative communication to enhance patient care. | PSNet

psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care

March 17, 2015 - Commentary Effective perioperative communication to enhance patient care. Citation Text: Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001. Copy Citation Format: DOI Google Scholar PubMed Bib…

Reducing diagnostic error through medical home-based primary care reform. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-error-through-medical-home-based-primary-care-reform

July 15, 2015 - Commentary Reducing diagnostic error through medical home-based primary care reform. Citation Text: Singh H, Graber ML. Reducing diagnostic error through medical home-based primary care reform. JAMA. 2010;304(4):463-4. doi:10.1001/jama.2010.1035. Copy Citation Format: DOI G…

An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet

psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study

December 21, 2014 - Study An evaluation of information transfer through the continuum of surgical care: a feasibility study. Citation Text: Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:1…

The effects of stress and coping on surgical performance during simulations. | PSNet

psnet.ahrq.gov/issue/effects-stress-and-coping-surgical-performance-during-simulations

February 16, 2011 - Study The effects of stress and coping on surgical performance during simulations. Citation Text: Wetzel CM, Black SA, Hanna GB, et al. The effects of stress and coping on surgical performance during simulations. Ann Surg. 2010;251(1):171-6. doi:10.1097/SLA.0b013e3181b3b2be. Copy Cita…

The impact of organisational and individual factors on team communication in surgery: a qualitative study. | PSNet

psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study

March 23, 2011 - Study The impact of organisational and individual factors on team communication in surgery: a qualitative study. Citation Text: Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int …

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