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Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. | PSNet

psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions

November 30, 2022 - Commentary Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. Citation Text: Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safe…

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency

August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. | PSNet

psnet.ahrq.gov/issue/patients-negative-experiences-health-care-settings-brought-light-formal-complaints

July 21, 2021 - Review Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. Citation Text: Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…

Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. | PSNet

psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic

October 19, 2022 - Study Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. Citation Text: Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si…

Assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using

October 09, 2013 - Study Assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool. Citation Text: Schildmeijer K, Nilsson L, Årestedt K, et al. Assessment of adverse events in medical care: lack of consistency between experienced teams usin…

Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. | PSNet

psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication

March 09, 2022 - Study Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. Citation Text: Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Tech…

Pediatric medication safety considerations for pharmacists in an adult hospital setting. | PSNet

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January 29, 2020 - Commentary Pediatric medication safety considerations for pharmacists in an adult hospital setting. Citation Text: Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/aj…

How differences between manager and clinician perceptions of safety culture impact hospital processes of care. | PSNet

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December 21, 2018 - Study How differences between manager and clinician perceptions of safety culture impact hospital processes of care. Citation Text: Richter J, Mazurenko O, Kazley AS, et al. How Differences Between Manager and Clinician Perceptions of Safety Culture Impact Hospital Processes of Care. J P…

Suicide attempts and completions on medical-surgical and intensive care units. | PSNet

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June 21, 2017 - Study Suicide attempts and completions on medical-surgical and intensive care units. Citation Text: Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. Copy Citation Format…

Organizational learning in the morbidity and mortality conference. | PSNet

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June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. | PSNet

psnet.ahrq.gov/issue/stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-multisite

March 13, 2019 - Study Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. Citation Text: DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary st…

Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. | PSNet

psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting

March 09, 2022 - Study Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. Citation Text: Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeo…

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent

April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing

August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. Citation Text: Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…

Using inpatient hospital discharge data to monitor patient safety events. | PSNet

psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events

March 02, 2011 - Study Using inpatient hospital discharge data to monitor patient safety events. Citation Text: Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107. Copy Citation …

Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet

psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective

February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. Citation Text: Zwart DLM, Heddema WS, Vermeulen MI, et al. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospecti…

Role of pharmacist counseling in preventing adverse drug events after hospitalization. | PSNet

psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization

November 16, 2022 - Study Classic Role of pharmacist counseling in preventing adverse drug events after hospitalization. Citation Text: Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug events after hospitalization. Arch Intern M…

System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet

psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis

August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis. Citation Text: Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. …

Toward a safer health care system: the critical need to improve measurement. | PSNet

psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement

November 03, 2015 - Commentary Classic Toward a safer health care system: the critical need to improve measurement. Citation Text: Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…

Parents' perspectives on navigating the work of speaking up in the NICU. | PSNet

psnet.ahrq.gov/issue/parents-perspectives-navigating-work-speaking-nicu

December 04, 2016 - Study Parents' perspectives on navigating the work of speaking up in the NICU. Citation Text: Lyndon A, Wisner K, Holschuh C, et al. Parents' Perspectives on Navigating the Work of Speaking Up in the NICU. J Obstet Gynecol Neonatal Nurs. 2017;46(5):716-726. doi:10.1016/j.jogn.2017.06.009…

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