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Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. | PSNet

psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review

March 18, 2020 - Review Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. Citation Text: Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? | PSNet

psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related

November 10, 2010 - Study Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? Citation Text: Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation i…

Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. | PSNet

psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work

February 04, 2009 - Study Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Citation Text: Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…

Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet

psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities

April 17, 2024 - Study Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. Citation Text: Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…

Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. | PSNet

psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program

October 19, 2022 - Study Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program. Citation Text: Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-Acquired Condition Reduction Program. Am J Med Qual. 2017;32…

Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit

June 30, 2021 - Study Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Citation Text: Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. | PSNet

psnet.ahrq.gov/issue/acute-clinical-deterioration-and-consumer-escalation-understanding-and-perceptions-hospital

May 11, 2022 - Study Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. Citation Text: Thiele L, Flabouris A, Thompson C. Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. PLoS ONE. 2022;17(…

Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic

January 31, 2024 - Study Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. Citation Text: Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. | PSNet

psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed-method-evaluation

April 13, 2022 - Study Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. Citation Text: Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12…

Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence. | PSNet

psnet.ahrq.gov/issue/patient-and-family-involvement-serious-incident-investigations-perspectives-key-stakeholders

March 02, 2022 - Review Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence. Citation Text: Ramsey L, McHugh SK, Simms-Ellis R, et al. Patient and family involvement in serious incident investigations from the p…

Children and the opioid epidemic: age-stratified exposures and harms. | PSNet

psnet.ahrq.gov/issue/children-and-opioid-epidemic-age-stratified-exposures-and-harms

February 13, 2019 - Study Children and the opioid epidemic: age-stratified exposures and harms. Citation Text: Brown KW, Carlisle K, Raman SR, et al. Children and the opioid epidemic: age-stratified exposures and harms. Health Aff (Milwood). 2020;39(10):1737-1742. doi:10.1377/hlthaff.2020.00724. Copy Cita…

Fall prevention with the Smart Socks System reduces hospital fall rates. | PSNet

psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates

September 09, 2020 - Study Fall prevention with the Smart Socks System reduces hospital fall rates. Citation Text: Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653. Copy Citatio…

Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. | PSNet

psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and

January 15, 2014 - Study Classic Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Citation Text: Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…

From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. | PSNet

psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy

April 21, 2021 - Study From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. Citation Text: Cuba L, Dürr P, Dörje F, et al. From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. Clin Ph…

Association of a web-based handoff tool with rates of medical errors. | PSNet

psnet.ahrq.gov/issue/association-web-based-handoff-tool-rates-medical-errors

April 12, 2023 - Study Association of a web-based handoff tool with rates of medical errors. Citation Text: Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258. Copy Citation …

Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. | PSNet

psnet.ahrq.gov/issue/post-discharge-adverse-events-among-african-american-and-caucasian-patients-urban-community

January 18, 2023 - Study Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. Citation Text: Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. J Racial…

Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet

psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety

October 23, 2013 - Study Classic Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? Citation Text: Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…

Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. | PSNet

psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication

December 21, 2017 - Study Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. Citation Text: Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform A…

From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. | PSNet

psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive

January 29, 2015 - Study From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. Citation Text: Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Q…

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. | PSNet

psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k

April 13, 2022 - Study Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. Citation Text: Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …

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