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"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. | PSNet

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November 17, 2016 - Study "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Citation Text: Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnos…

Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet

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January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. | PSNet

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November 17, 2014 - Review Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Citation Text: Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…

Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. | PSNet

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December 09, 2020 - Commentary Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Citation Text: Olans RD, Olans RN, Marfatia R, et al. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Jt Comm J Qual Patient …

Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. | PSNet

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July 10, 2024 - Review Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. Citation Text: Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…

Patient participation in patient safety—an exploration of promoting factors. | PSNet

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October 15, 2016 - Study Emerging Classic Patient participation in patient safety—an exploration of promoting factors. Citation Text: Sahlström M, Partanen P, Azimirad M, et al. Patient participation in patient safety-An exploration of promoting factors. J Nurs Manag. 2019;27(1):8…

Healthcare in a land called PeoplePower: nothing about me without me. | PSNet

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March 18, 2019 - Commentary Classic Healthcare in a land called PeoplePower: nothing about me without me. Citation Text: Delbanco T, Berwick D, Boufford JI, et al. Healthcare in a land called PeoplePower: nothing about me without me. Health Expect. 2001;4(3):144-50. Copy Cit…

Adverse-event-reporting practices by US hospitals: results of a national survey. | PSNet

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December 30, 2014 - Study Adverse-event-reporting practices by US hospitals: results of a national survey. Citation Text: Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.20…

Creating high reliability in health care organizations. | PSNet

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September 20, 2011 - Commentary Creating high reliability in health care organizations. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617. Copy Citation Format: Google Scholar PubMe…

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. | PSNet

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March 09, 2022 - Study An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. Citation Text: Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…

Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. | PSNet

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July 22, 2020 - Commentary Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. Citation Text: Röösli E, Rice B, Hernandez-Boussard T. Bias at Warp Speed: How AI may Contribute to the Disparities Gap in the Time of COVID-19. J Am Med Inform Assoc. 2021;28(1):190-192.…

Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. | PSNet

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January 12, 2022 - Study Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. Citation Text: Rowily AA, Jalal Z, Paudyal V. Contributory factors…

Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. | PSNet

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July 25, 2018 - Review Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. Citation Text: Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;4…

A systematic review of patient-report safety climate measures in health care. | PSNet

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September 15, 2021 - Review A systematic review of patient-report safety climate measures in health care. Citation Text: Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705. Cop…

What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. | PSNet

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June 29, 2011 - Study Classic What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. Citation Text: Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-rep…

Stakeholder safety communication: patient and family reports on safety risks in hospitals. | PSNet

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July 28, 2021 - Study Stakeholder safety communication: patient and family reports on safety risks in hospitals. Citation Text: Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036. Copy …

Computerised prescribing for safer medication ordering: still a work in progress. | PSNet

psnet.ahrq.gov/issue/computerised-prescribing-safer-medication-ordering-still-work-progress

October 13, 2018 - Commentary Computerised prescribing for safer medication ordering: still a work in progress. Citation Text: Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004…

Refocusing the lens: patient safety in ambulatory chronic disease care. | PSNet

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December 19, 2018 - Commentary Classic Refocusing the lens: patient safety in ambulatory chronic disease care. Citation Text: Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377…

Experience with family activation of rapid response teams. | PSNet

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December 17, 2008 - Commentary Experience with family activation of rapid response teams. Citation Text: Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223. Copy Citation Format: Google Scholar PubMed BibTeX En…

Ambulatory prescribing errors among community-based providers in two states. | PSNet

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July 10, 2008 - Study Ambulatory prescribing errors among community-based providers in two states. Citation Text: Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…

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