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Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. | PSNet

psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality

May 04, 2022 - Study Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. Citation Text: Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improve…

Patient safety culture in care homes for older people: a scoping review. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review

January 08, 2020 - Review Patient safety culture in care homes for older people: a scoping review. Citation Text: Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2. Copy Citation …

Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative

April 07, 2019 - Study Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. Citation Text: Crunden EA, Worsley PR, Coleman SB, et al. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative…

Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. | PSNet

psnet.ahrq.gov/issue/leadership-behavior-associations-domains-safety-culture-engagement-and-healthcare-worker-well

February 24, 2021 - Study Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Citation Text: Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Jt Co…

A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. | PSNet

psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans

April 24, 2018 - Study A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. Citation Text: Phillips KK, Mecca MC, Baim‐Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Vete…

What is the medication iatrogenic risk in elderly outpatients for chronic pain? | PSNet

psnet.ahrq.gov/issue/what-medication-iatrogenic-risk-elderly-outpatients-chronic-pain

February 12, 2020 - Study What is the medication iatrogenic risk in elderly outpatients for chronic pain? Citation Text: Jambon J, Choukroun C, Roux-Marson C, et al. What is the medication iatrogenic risk in elderly outpatients for chronic pain? Clin Neuropharmacol. 2022;45(3):65-71. doi:10.1097/wnf.0000000…

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. | PSNet

psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association

August 07, 2013 - Study Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. Citation Text: Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient…

State policies for prescription drug monitoring programs and adverse opioid-related hospital events. | PSNet

psnet.ahrq.gov/issue/state-policies-prescription-drug-monitoring-programs-and-adverse-opioid-related-hospital

August 11, 2021 - Study State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Citation Text: Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Med Care. 2020;58(7):610-616. d…

Adverse drug events resulting from patient errors in older adults. | PSNet

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March 11, 2011 - Study Adverse drug events resulting from patient errors in older adults. Citation Text: Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x. Copy Citati…

The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review

March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…

Academic half day improves resident perception of education without compromising patient safety. | PSNet

psnet.ahrq.gov/issue/academic-half-day-improves-resident-perception-education-without-compromising-patient-safety

April 10, 2024 - Study Academic half day improves resident perception of education without compromising patient safety. Citation Text: Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016.…

Surgical checklists: a systematic review of impacts and implementation. | PSNet

psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation

January 06, 2018 - Review Surgical checklists: a systematic review of impacts and implementation. Citation Text: Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797. Copy Citation F…

Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. | PSNet

psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation

May 29, 2019 - Study Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. Citation Text: Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws Aft…

Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. | PSNet

psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians

February 07, 2024 - Study Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. Citation Text: Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. | PSNet

psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room

August 26, 2020 - Study "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. Citation Text: Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating r…

Operating room to intensive care unit handoffs and the risks of patient harm. | PSNet

psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm

October 05, 2022 - Study Operating room to intensive care unit handoffs and the risks of patient harm. Citation Text: McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061. Copy …

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet

psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm

January 15, 2020 - Study Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. Citation Text: Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands. | PSNet

psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients

June 08, 2022 - Study Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands. Citation Text: Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in deceas…

A comprehensive obstetric patient safety program reduces liability claims and payments. | PSNet

psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments

June 22, 2017 - Study A comprehensive obstetric patient safety program reduces liability claims and payments. Citation Text: Pettker CM, Thung SF, Lipkind HS, et al. A comprehensive obstetric patient safety program reduces liability claims and payments. Am J Obstet Gynecol. 2014;211(4):319-25. doi:10.10…

"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. | PSNet

psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal

February 15, 2023 - Study "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. Citation Text: Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of …

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