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A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. | PSNet

psnet.ahrq.gov/issue/cross-sectional-analysis-investigating-organizational-factors-influence-near-miss-error

September 25, 2013 - Study A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. Citation Text: Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting Among …

Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review. | PSNet

psnet.ahrq.gov/issue/do-user-applied-safety-labels-medication-syringes-reduce-incidence-medication-errors-during

February 28, 2024 - Review Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review. Citation Text: Mikhail J, Grantham H, King L. Do User-Applied Safety Label…

Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. | PSNet

psnet.ahrq.gov/issue/elder-abuse-and-neglect-overlooked-patient-safety-issue-focus-group-study-nursing-home

March 20, 2019 - Study Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. Citation Text: Myhre J, Saga S, Malmedal W, et al. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of n…

Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. | PSNet

psnet.ahrq.gov/issue/clinical-outcomes-home-based-medication-reconciliation-program-after-discharge-skilled

March 21, 2017 - Study Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. Citation Text: Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursin…

Improving the discharge process by embedding a discharge facilitator in a resident team. | PSNet

psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team

January 23, 2019 - Study Improving the discharge process by embedding a discharge facilitator in a resident team. Citation Text: Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…

Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration

August 17, 2018 - Study Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. Citation Text: Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…

Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. | PSNet

psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association

December 15, 2011 - Study Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. Citation Text: Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with…

An epistemology of patient safety research: a framework for study design and interpretation. | PSNet

psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation

February 23, 2011 - Study Classic An epistemology of patient safety research: a framework for study design and interpretation. Citation Text: Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…

Associations between healthcare environment design and adverse events in intensive care unit. | PSNet

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August 17, 2022 - Study Associations between healthcare environment design and adverse events in intensive care unit. Citation Text: Sundberg F, Fridh I, Lindahl B, et al. Associations between healthcare environment design and adverse events in intensive care unit. Nurs Crit Care. 2020;26(2):86-93. doi:1…

Prescription errors related to the use of computerized provider order-entry system for pediatric patients. | PSNet

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November 07, 2018 - Study Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Citation Text: Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inf…

What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. | PSNet

psnet.ahrq.gov/issue/what-patients-complaints-and-praise-tell-health-practitioner-implications-health-care-quality

February 21, 2024 - Study What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. Citation Text: Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for healt…

Uncomfortable prescribing decisions in hospitals: the impact of teamwork. | PSNet

psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospitals-impact-teamwork

October 22, 2014 - Study Uncomfortable prescribing decisions in hospitals: the impact of teamwork. Citation Text: Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150. Copy Citation Format: …

The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. | PSNet

psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading

May 18, 2022 - Study The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. Citation Text: van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical…

Surgical patient safety outcomes in critical access hospitals: how do they compare? | PSNet

psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare

June 05, 2019 - Study Surgical patient safety outcomes in critical access hospitals: how do they compare? Citation Text: Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. C…

Weekend mortality for emergency admissions. A large, multicentre study. | PSNet

psnet.ahrq.gov/issue/weekend-mortality-emergency-admissions-large-multicentre-study

October 20, 2021 - Study Classic Weekend mortality for emergency admissions. A large, multicentre study. Citation Text: Aylin PP, Yunus A, Bottle A, et al. Weekend mortality for emergency admissions. A large, multicentre study. Qual Saf Health Care. 2010;19(3):213-7. doi:10.1136…

Accuracy of harm scores entered into an event reporting system. | PSNet

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October 19, 2022 - Study Accuracy of harm scores entered into an event reporting system. Citation Text: Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. Copy Citation For…

Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-hospital-pharmacists-engagement-medication-safety-activities

April 15, 2016 - Study Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. Citation Text: Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in …

Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. | PSNet

psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans

February 10, 2021 - Study Classic Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Citation Text: Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:…

Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. | PSNet

psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error

March 11, 2020 - Study Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. Citation Text: Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…

Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet

psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical

August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

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