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Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). | PSNet

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May 18, 2022 - Study Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). Citation Text: Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573.…

A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." | PSNet

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January 19, 2016 - Study Classic A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." Citation Text: Russ SJ, Sevdalis N, Moor…

Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. | PSNet

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March 05, 2014 - Study Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. Citation Text: Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "techno…

The impact of computerized provider order entry on medication errors in a multispecialty group practice. | PSNet

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August 31, 2011 - Study The impact of computerized provider order entry on medication errors in a multispecialty group practice. Citation Text: Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet

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March 25, 2020 - Study Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. Citation Text: Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…

COVID-19: patient safety and quality improvement skills to deploy during the surge. | PSNet

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March 23, 2022 - Commentary COVID-19: patient safety and quality improvement skills to deploy during the surge. Citation Text: Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.…

Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet

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December 15, 2011 - Study Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? Citation Text: Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling…

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. | PSNet

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November 24, 2021 - Study What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Citation Text: Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety org…

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. | PSNet

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April 08, 2008 - Study To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Citation Text: Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…

Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial. | PSNet

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July 15, 2020 - Study Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial. Citation Text: Landrigan CP, Rahman SA, Sullivan JP, et al. Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results fr…

Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. | PSNet

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December 16, 2020 - Study Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. Citation Text: Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…

Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. | PSNet

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August 10, 2022 - Commentary Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. Citation Text: Abel G, Lyratzopoulos G. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodologic…

Lessons learned in implementing a chronic opioid therapy management system. | PSNet

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July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. Citation Text: Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet

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March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

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January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. | PSNet

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March 16, 2022 - Study What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. Citation Text: Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. | PSNet

psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept

February 16, 2022 - Study Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. Citation Text: Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…

A comparison of hospital adverse events identified by three widely used detection methods. | PSNet

psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods

January 04, 2012 - Study A comparison of hospital adverse events identified by three widely used detection methods. Citation Text: Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care. 2009;21(4):…

Nurse-physician communication during labor and birth: implications for patient safety. | PSNet

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January 03, 2017 - Study Nurse-physician communication during labor and birth: implications for patient safety. Citation Text: Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56. Copy Cit…

Clinical triggers: an alternative to a rapid response team. | PSNet

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December 21, 2014 - Study Clinical triggers: an alternative to a rapid response team. Citation Text: Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. Copy Citation Format: Google Scholar PubMed Bib…

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