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Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. | PSNet

psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management

January 26, 2022 - Study Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. Citation Text: Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management safety…

Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. | PSNet

psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health

February 02, 2011 - Study Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. Citation Text: Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the …

Detecting unapproved abbreviations in the electronic medical record. | PSNet

psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record

August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …

Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. | PSNet

psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification

January 18, 2023 - Study Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. Citation Text: Seaman K, Meulenbroeks I, Nguyen A, et al. Innovative approaches to analysing aged care falls incident data: international c…

Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. | PSNet

psnet.ahrq.gov/issue/understanding-teamwork-rapidly-deployed-interprofessional-teams-intensive-and-acute-care

September 07, 2022 - Review Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. Citation Text: Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: …

Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. | PSNet

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May 11, 2022 - Study Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. Citation Text: Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. BMJ …

Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet

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July 21, 2017 - Review Emerging Classic Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. Citation Text: McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact …

Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. | PSNet

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January 31, 2018 - Review Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. Citation Text: Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature Wit…

Disclosing adverse events in clinical practice: the delicate act of being open. | PSNet

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April 14, 2021 - Review Disclosing adverse events in clinical practice: the delicate act of being open. Citation Text: Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…

Does error and adverse event reporting by physicians and nurses differ? | PSNet

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February 24, 2011 - Study Does error and adverse event reporting by physicians and nurses differ? Citation Text: Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. Copy Citation Format: G…

Temporal trends in rates of patient harm resulting from medical care. | PSNet

psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care

April 04, 2011 - Study Classic Temporal trends in rates of patient harm resulting from medical care. Citation Text: Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. | PSNet

psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints

September 07, 2011 - Study Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. Citation Text: Bismark M, Spittal MJ, Gurrin LC, et al. Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Aust…

Surgical skill and complication rates after bariatric surgery. | PSNet

psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery

August 02, 2015 - Study Classic Surgical skill and complication rates after bariatric surgery. Citation Text: Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…

Explaining Michigan: developing an ex post theory of a quality improvement program. | PSNet

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April 04, 2011 - Study Classic Explaining Michigan: developing an ex post theory of a quality improvement program. Citation Text: Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…

Resident and family engagement in medication management in aged care facilities: a systematic review. | PSNet

psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review

August 11, 2021 - Review Resident and family engagement in medication management in aged care facilities: a systematic review. Citation Text: Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug S…

Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

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February 15, 2017 - Book/Report Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Washington, DC: US Department of Health and Human Services, Of…

Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. | PSNet

psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family-qualitative-study

March 24, 2021 - Study Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. Citation Text: McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their famil…

Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. | PSNet

psnet.ahrq.gov/issue/strength-safety-measures-introduced-medical-practices-prevent-recurrence-patient-safety

May 01, 2024 - Study Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. Citation Text: Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to prevent a recurrence of pati…

Assessment of patient retention of inpatient care information post-hospitalization. | PSNet

psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization

June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…

A blinded, prospective study of error detection during physician chart rounds in radiation oncology. | PSNet

psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology

November 16, 2022 - Study A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Citation Text: Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;…

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