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Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet

psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals

March 02, 2022 - Study Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. Citation Text: Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. | PSNet

psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care

June 01, 2022 - Study Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. Citation Text: Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…

Diagnostic errors by medical students: results of a prospective qualitative study. | PSNet

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May 18, 2022 - Study Diagnostic errors by medical students: results of a prospective qualitative study. Citation Text: Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7.…

Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. | PSNet

psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism

October 28, 2020 - Study Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. Citation Text: Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in…

Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. | PSNet

psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial

October 18, 2023 - Study Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. Citation Text: Eindhoven DC, Bo…

Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. | PSNet

psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following

November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…

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…

Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey | PSNet

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May 19, 2021 - Study Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey Citation Text: Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support …

Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet

psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide

November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. | PSNet

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June 16, 2021 - Study Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. Citation Text: Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. | PSNet

psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models

April 09, 2013 - Study Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. Citation Text: Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…

The hidden cost of regulation: the administrative cost of reporting serious reportable events. | PSNet

psnet.ahrq.gov/issue/hidden-cost-regulation-administrative-cost-reporting-serious-reportable-events

December 02, 2020 - Study The hidden cost of regulation: the administrative cost of reporting serious reportable events. Citation Text: Blanchfield BB, Acharya B, Mort E. The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. Jt Comm J Qual Patient Saf. 2018;44(4):212…

Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet

psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error

December 02, 2020 - Study Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. Citation Text: Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …

Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. | PSNet

psnet.ahrq.gov/issue/impact-full-personal-protective-equipment-alertness-healthcare-workers-prospective-study

August 24, 2022 - Study Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. Citation Text: Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1…

The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal

September 23, 2020 - Study The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. Citation Text: Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-success-family-activated-medical-emergency-team-quality-improvement

December 02, 2014 - Study Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. Citation Text: Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ …

A systems approach to analyzing and preventing hospital adverse events. | PSNet

psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events

March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…

Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. | PSNet

psnet.ahrq.gov/issue/handling-polypharmacy-qualitative-study-using-focus-group-interviews-older-patients-their

August 03, 2022 - Study Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. Citation Text: Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus group interviews with olde…

Potentially preventable 30-day hospital readmissions at a children's hospital. | PSNet

psnet.ahrq.gov/issue/potentially-preventable-30-day-hospital-readmissions-childrens-hospital

July 11, 2017 - Study Potentially preventable 30-day hospital readmissions at a children's hospital. Citation Text: Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. Copy Citation …

Bad things can happen: are medical students aware of patient centered care and safety? | PSNet

psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety

July 06, 2022 - Study Bad things can happen: are medical students aware of patient centered care and safety? Citation Text: Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/…

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