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Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. | PSNet

psnet.ahrq.gov/issue/surgical-team-member-assessment-safety-surgery-practice-38-south-carolina-hospitals

May 11, 2016 - Study Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Citation Text: Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-3…

Missed nursing care in emergency departments: a scoping review. | PSNet

psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review

November 03, 2021 - Review Missed nursing care in emergency departments: a scoping review. Citation Text: Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296. Copy Citation Format: …

Improving patient safety by identifying side effects from introducing bar coding in medication administration. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication

March 11, 2011 - Study Classic Improving patient safety by identifying side effects from introducing bar coding in medication administration. Citation Text: Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in me…

The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. | PSNet

psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication

September 24, 2016 - Study The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. Citation Text: Nguyen C, Côté J, Lebel D, et al. The AMÉLIE project: failure mode, effects and criticality analysis: a model to evalua…

Accidental deaths, saved lives, and improved quality. | PSNet

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February 04, 2015 - Commentary Classic Accidental deaths, saved lives, and improved quality. Citation Text: Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. C…

An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. | PSNet

psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications

November 08, 2012 - Study An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. Citation Text: McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. | PSNet

psnet.ahrq.gov/issue/factors-contributing-medication-errors-made-when-using-computerized-order-entry-pediatrics

May 08, 2017 - Review Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. Citation Text: Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using computerized order entry in pediatrics: a systemat…

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet

psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care

February 18, 2009 - Study Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. Citation Text: Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …

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…

Identifying high-risk medication: a systematic literature review. | PSNet

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June 27, 2011 - Review Identifying high-risk medication: a systematic literature review. Citation Text: Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. Copy Citation Fo…

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing

April 23, 2014 - Study "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. Citation Text: Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…

Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. | PSNet

psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive

April 17, 2019 - Study Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. Citation Text: McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…

Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review

February 23, 2011 - Review Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. Citation Text: Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …

Caregiver fatigue: implications for patient and staff safety—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/caregiver-fatigue-implications-patient-and-staff-safety-part-1-and-part-2

September 23, 2020 - Commentary Caregiver fatigue: implications for patient and staff safety—part 1 and part 2. Citation Text: Blouin AS, Smith-Miller CA, Harden J, et al. Caregiver Fatigue: Implications for Patient and Staff Safety, Part 1. J Nurs Adm. 2016;46(6):329-35. doi:10.1097/NNA.0000000000000353. …

Hospital COVID-19 burden and adverse event rates. | PSNet

psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates

June 22, 2022 - Study Hospital COVID-19 burden and adverse event rates. Citation Text: Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936. Copy Citation Format: DOI Google Scho…

Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

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March 04, 2020 - Study Identifying unintended consequences of quality indicators: a qualitative study. Citation Text: Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. Cop…

Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. | PSNet

psnet.ahrq.gov/issue/swimming-against-tide-primary-care-physicians-views-deprescribing-everyday-practice

March 15, 2023 - Study Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. Citation Text: Wallis KA, Andrews A, Henderson M. Swimming Against the Tide: Primary Care Physicians’ Views on Deprescribing in Everyday Practice. Ann Fam Med. 2017;15(4):341-346. doi:1…

Improving medication-related clinical decision support. | PSNet

psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support

July 01, 2017 - Review Emerging Classic Improving medication-related clinical decision support. Citation Text: Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. …

Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. | PSNet

psnet.ahrq.gov/issue/quality-traditional-surveillance-public-reporting-nosocomial-bloodstream-infection-rates

August 20, 2018 - Study Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. Citation Text: Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:1…

Patient handoffs: standardized and reliable measurement tools remain elusive. | PSNet

psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-measurement-tools-remain-elusive

July 13, 2010 - Review Patient handoffs: standardized and reliable measurement tools remain elusive. Citation Text: Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61. Copy Citation Format: Goog…

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