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Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. | PSNet

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November 23, 2016 - Study Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. Citation Text: France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient Saf. 2008;1(3):145-15…

Physician attitudes toward family-activated medical emergency teams for hospitalized children. | PSNet

psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children

April 06, 2012 - Study Physician attitudes toward family-activated medical emergency teams for hospitalized children. Citation Text: Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…

What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. | PSNet

psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care

March 16, 2022 - Study What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. Citation Text: Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…

Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. | PSNet

psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles

July 31, 2019 - Study Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Citation Text: Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. | PSNet

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April 03, 2019 - Review Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. Citation Text: Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…

Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve

March 01, 2011 - Study Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. Citation Text: Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. | PSNet

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February 03, 2021 - Review National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. Citation Text: Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…

Patient-clinician diagnostic concordance upon hospital admission. | PSNet

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October 16, 2024 - Study Patient-clinician diagnostic concordance upon hospital admission. Citation Text: Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. Copy Citation Format: …

Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. | PSNet

psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide

April 14, 2021 - Study Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. Citation Text: Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…

When safety event reporting is seen as punitive: "I've been PSN-ed!" | PSNet

psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed

September 02, 2020 - Study When safety event reporting is seen as punitive: "I've been PSN-ed!" Citation Text: Feeser VR, Jackson AK, Savage NM, et al. When safety event reporting is seen as punitive: "I've been PSN-ed!". Ann Emerg Med. 2021;77(4):449-458. doi:10.1016/j.annemergmed.2020.06.048. Copy Citati…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared

March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. | PSNet

psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care

June 14, 2023 - Study Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. Citation Text: Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect…

Classifying and predicting errors of inpatient medication reconciliation. | PSNet

psnet.ahrq.gov/issue/classifying-and-predicting-errors-inpatient-medication-reconciliation

February 15, 2011 - Study Classifying and predicting errors of inpatient medication reconciliation. Citation Text: Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9. Copy C…

Transparent and open discussion of errors does not increase malpractice risk in trauma patients. | PSNet

psnet.ahrq.gov/issue/transparent-and-open-discussion-errors-does-not-increase-malpractice-risk-trauma-patients

October 19, 2022 - Study Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Citation Text: Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9;…

Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. | PSNet

psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain

November 16, 2022 - Review Classic Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. Citation Text: Klimas J, Gorfinkel L, Fairbairn N, et al. Strategies to Identify Patient Risks of Prescription Opioid Addi…

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training

June 08, 2022 - Review The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. Citation Text: Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based t…

Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. | PSNet

psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited

July 29, 2020 - Review Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. Citation Text: Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limi…

Turning off frequently overridden drug alerts: limited opportunities for doing it safely. | PSNet

psnet.ahrq.gov/issue/turning-frequently-overridden-drug-alerts-limited-opportunities-doing-it-safely

March 04, 2011 - Study Turning off frequently overridden drug alerts: limited opportunities for doing it safely. Citation Text: van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-4…

Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. | PSNet

psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning

May 22, 2024 - Commentary Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. Citation Text: McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…

National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet

psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors

January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

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