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Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19

October 29, 2017 - Study Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. Citation Text: Edmonds JK, George EK, Iobst SE, et al. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. J Obstet Gynecol Neon…

Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net

September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. | PSNet

psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist-10-years

March 17, 2021 - Study Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. Citation Text: Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational s…

Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. | PSNet

psnet.ahrq.gov/issue/helping-healthcare-teams-save-lives-during-covid-19-insights-and-countermeasures-team-science

June 24, 2020 - Commentary Emerging Classic Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. Citation Text: Traylor AM. Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. Am Ps…

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours. | PSNet

psnet.ahrq.gov/issue/safety-leadership-meta-analytic-review-transformational-and-transactional-leadership-styles

June 10, 2020 - Study Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours. Citation Text: Clarke S. Safety leadership: A meta-analytic review of transformational and transactional leadership styles as antecedents of safet…

Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-unacceptable-behaviour-between-healthcare-workers-clinical-performance-and-patient

April 27, 2022 - Review Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. Citation Text: Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcom…

"We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. | PSNet

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August 26, 2020 - Study "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. Citation Text: Washington A, Randall J. "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. …

Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. | PSNet

psnet.ahrq.gov/issue/bridging-gap-between-culture-and-safety-critical-care-context-role-work-debate-spaces

July 15, 2020 - Study Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Citation Text: Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci…

Measuring errors and adverse events in health care. | PSNet

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December 30, 2014 - Study Classic Measuring errors and adverse events in health care. Citation Text: Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x. Copy Citation Format: …

Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. | PSNet

psnet.ahrq.gov/issue/human-factors-and-ergonomics-time-crises-italian-experience-coping-covid19

December 09, 2020 - Commentary Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. Citation Text: Albolino S, Dagliana G, Tanzini M, et al. Human factors and ergonomics at time of crises: the Italian experience coping with COVID-19. Int J Qual Health Care. 2021;33(1)…

Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. | PSNet

psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida

January 24, 2024 - Book/Report Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Citation Text: Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Washington, DC: Department of Veterans Affairs, Office of Inspect…

Reported medication errors after introducing an electronic medication management system. | PSNet

psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system

November 18, 2016 - Study Reported medication errors after introducing an electronic medication management system. Citation Text: Redley B, Botti M. Reported medication errors after introducing an electronic medication management system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.…

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. | PSNet

psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation

January 07, 2015 - Study Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. Citation Text: Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…

Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. | PSNet

psnet.ahrq.gov/issue/crossover-patient-satisfaction-surveys-adverse-events-and-patient-complaints-continuous

July 27, 2022 - Study Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. Citation Text: Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events and patient complaints…

Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure

July 20, 2022 - Study Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. Citation Text: Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…

Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. | PSNet

psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors

March 17, 2021 - Study Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. Citation Text: Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important m…

Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. | PSNet

psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient

November 29, 2023 - Book/Report Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. Citation Text: Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. Washing…

The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm

October 12, 2022 - Book/Report The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Citation Text: The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…

Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-reduce-medication-dispensing-administration-and-monitoring-errors-pediatric

June 23, 2021 - Review Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review. Citation Text: Koeck JA, Young NJ, Kontny U, et al. Interventions to reduce medication dispensing, administration, and monitorin…

Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. | PSNet

psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety

December 19, 2012 - Study Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Citation Text: Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …

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