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Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. | PSNet

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May 01, 2015 - Study Classic Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. Citation Text: Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of les…

Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study

July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…

Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. | PSNet

psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop

September 01, 2016 - Study Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. Citation Text: Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses…

Medical injuries among hospitalized children. | PSNet

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February 15, 2017 - Study Medical injuries among hospitalized children. Citation Text: Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. | PSNet

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August 20, 2018 - Study Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. Citation Text: Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support…

Accuracy of pressure ulcer events in US nursing home ratings. | PSNet

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February 05, 2020 - Study Accuracy of pressure ulcer events in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763. Copy Citation Format: DOI Google…

Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. | PSNet

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March 09, 2022 - Study Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. Citation Text: Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am …

Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. | PSNet

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January 26, 2022 - Study Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. Citation Text: Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management safety…

Detecting unapproved abbreviations in the electronic medical record. | PSNet

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August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. | PSNet

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August 20, 2018 - Study Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. Citation Text: Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team

February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …

Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. | PSNet

psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england

August 18, 2021 - Study Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. Citation Text: Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national patient safety pol…

Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. | PSNet

psnet.ahrq.gov/issue/harnessing-implementation-science-improve-care-quality-and-patient-safety-systematic-review

October 20, 2014 - Review Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. Citation Text: Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted …

Resident and family engagement in medication management in aged care facilities: a systematic review. | PSNet

psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review

August 11, 2021 - Review Resident and family engagement in medication management in aged care facilities: a systematic review. Citation Text: Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug S…

Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. | PSNet

psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats

November 30, 2011 - Study Classic Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Citation Text: Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurren…

Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. | PSNet

psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report

December 18, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. Citation Text: Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet

psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety

January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…

Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. | PSNet

psnet.ahrq.gov/issue/impact-intensivist-led-multidisciplinary-extended-rapid-response-team-hospital-wide

June 14, 2017 - Study Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. Citation Text: Al-Qahtani S, Al-Dorzi HM, Tamim HM, et al. Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-w…

Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet

psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed

January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. Citation Text: Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug

December 14, 2022 - Study Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration s…

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