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  1. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. | PSNet

    psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
    November 14, 2018 - Review Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Citation Text: Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…

  2. The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet

    psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
    January 18, 2023 - Study The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. Citation Text: Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID‐19 infection with Patient Safety Indicator‐12 events in a multisite healthcare …

  3. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
    February 14, 2017 - Review Classic How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. Citation Text: Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…

  4. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. | PSNet

    psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased-utilization-pre
    July 20, 2022 - Study Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. Citation Text: Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a…

  5. Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
    January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). Citation Text: Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…

  6. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. | PSNet

    psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient
    October 01, 2014 - Study The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. Citation Text: Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness …

  7. Medication errors' causes analysis in home care setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
    August 17, 2022 - Review Medication errors' causes analysis in home care setting: a systematic review. Citation Text: Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. Cop…

  8. Randomized trial to improve prescribing safety in ambulatory elderly patients. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-ambulatory-elderly-patients
    March 10, 2011 - Study Randomized trial to improve prescribing safety in ambulatory elderly patients. Citation Text: Raebel MA, Charles J, Dugan J, et al. Randomized trial to improve prescribing safety in ambulatory elderly patients. J Am Geriatr Soc. 2007;55(7):977-85. Copy Citation Format: …

  9. Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet

    psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
    November 16, 2022 - Study Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. Citation Text: Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infe…

  10. Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. | PSNet

    psnet.ahrq.gov/issue/pharmacy-leadership-amid-pandemic-maintaining-patient-safety-during-uncertain-times
    March 29, 2023 - Commentary Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Citation Text: Derrong Lin I, Hertig JB. Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Hosp Pharm. 2022;57(3):323-328. doi:10.1177/001857872110…

  11. A systematic review of the psychological literature on interruption and its patient safety implications. | PSNet

    psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
    September 24, 2016 - Review Classic A systematic review of the psychological literature on interruption and its patient safety implications. Citation Text: Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…

  12. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. | PSNet

    psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation
    May 20, 2019 - Study Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Citation Text: White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med…

  13. The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
    August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

  14. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. | PSNet

    psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality
    August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…

  15. Root cause analysis of adverse events in an outpatient anticoagulation management consortium. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management-consortium
    March 28, 2012 - Study Root cause analysis of adverse events in an outpatient anticoagulation management consortium. Citation Text: Graves CM, Haymart B, Kline-Rogers E, et al. Root Cause Analysis of Adverse Events in an Outpatient Anticoagulation Management Consortium. Jt Comm J Qual Patient Saf. 2017;4…

  16. The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
    July 07, 2021 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…

  17. Sources of nurse-sensitive inpatient safety improvement. | PSNet

    psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
    July 07, 2021 - Study Sources of nurse-sensitive inpatient safety improvement. Citation Text: Dynan L, Smith RB. Sources of nurse‐sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  18. Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums. | PSNet

    psnet.ahrq.gov/issue/trainee-perceptions-resident-duty-hour-restrictions-qualitative-study-online-discussion
    August 10, 2022 - Study Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums. Citation Text: Dehmoobad Sharifabadi A, Clarkin C, Doja A. Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums. BMJ Open. 202…

  19. Impact of medical education on patient safety: finding the signal through the noise. | PSNet

    psnet.ahrq.gov/issue/impact-medical-education-patient-safety-finding-signal-through-noise
    December 31, 2018 - Commentary Impact of medical education on patient safety: finding the signal through the noise. Citation Text: Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. Copy Cita…

  20. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
    December 21, 2017 - Study Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. Citation Text: Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.11…
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