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Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. | PSNet

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July 08, 2015 - Study Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. Citation Text: Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…

Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet

psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis

August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …

Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. | PSNet

psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients

March 09, 2022 - Study Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. Citation Text: Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…

Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet

psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events

February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety events? Citation Text: Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…

Learning from patient safety incidents: The Green Cross method. | PSNet

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June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet

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September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…

Clinical benefits of electronic health record use: national findings. | PSNet

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November 16, 2022 - Study Clinical benefits of electronic health record use: national findings. Citation Text: King J, Patel V, Jamoom EW, et al. Clinical benefits of electronic health record use: national findings. Health Serv Res. 2014;49(1 Pt 2):392-404. doi:10.1111/1475-6773.12135. Copy Citation F…

Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals. | PSNet

psnet.ahrq.gov/issue/full-implementation-computerized-physician-order-entry-and-medication-related-quality

September 07, 2011 - Study Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals. Citation Text: Yu FB, Menachemi N, Berner ES, et al. Full implementation of computerized physician order entry and medication-related quality outcomes: a …

Use of temporary names for newborns and associated risks. | PSNet

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December 21, 2017 - Study Use of temporary names for newborns and associated risks. Citation Text: Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007. Copy Citation Format: DOI Googl…

Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet

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May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. | PSNet

psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey

December 02, 2014 - Study Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. Citation Text: Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…

Medication errors involving patient-controlled analgesia. | PSNet

psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia

May 24, 2015 - Study Medication errors involving patient-controlled analgesia. Citation Text: Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. Copy Citation Format: DOI G…

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…

Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

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July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

Computerized surveillance of adverse drug events in hospital patients. | PSNet

psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-patients

March 27, 2005 - Study Classic Computerized surveillance of adverse drug events in hospital patients. Citation Text: Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51. Copy Citation …

Simulation exercises as a patient safety strategy: a systematic review. | PSNet

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March 13, 2013 - Review Simulation exercises as a patient safety strategy: a systematic review. Citation Text: Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…

Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional

June 29, 2022 - Study Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Citation Text: Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …

Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. | PSNet

psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors

January 20, 2021 - Study Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Citation Text: Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…

Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-chemotherapy-prescription-clinical-decision-support-systems-chemotherapy-process

October 10, 2018 - Review Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: a systematic review. Citation Text: Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process:…

Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties. | PSNet

psnet.ahrq.gov/issue/suboptimal-compliance-surgical-safety-checklists-colorado-prospective-observational-study

May 23, 2018 - Study Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties. Citation Text: Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in Colorado: A pro…

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