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Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. | PSNet

psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement

October 13, 2018 - Study Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Citation Text: Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…

Factors related to serious safety events in a children's hospital patient safety collaborative. | PSNet

psnet.ahrq.gov/issue/factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative

February 16, 2022 - Study Factors related to serious safety events in a children's hospital patient safety collaborative. Citation Text: Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi…

Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. | PSNet

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November 04, 2020 - Study Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. Citation Text: Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around impleme…

A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage. | PSNet

psnet.ahrq.gov/issue/systematic-review-primary-care-safety-climate-survey-instruments-their-origins-psychometric

June 14, 2017 - Review A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage. Citation Text: Curran C, Lydon S, Kelly M, et al. A Systematic Review of Primary Care Safety Climate Survey Instruments: Their Origins, Psychometric P…

A systematic review of measurement tools for the proactive assessment of patient safety in general practice. | PSNet

psnet.ahrq.gov/issue/systematic-review-measurement-tools-proactive-assessment-patient-safety-general-practice

June 13, 2018 - Review A systematic review of measurement tools for the proactive assessment of patient safety in general practice. Citation Text: Lydon S, Cupples ME, Murphy AW, et al. A Systematic Review of Measurement Tools for the Proactive Assessment of Patient Safety in General Practice. J Patient…

Wisdom through adversity: learning and growing in the wake of an error. | PSNet

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October 08, 2016 - Study Wisdom through adversity: learning and growing in the wake of an error. Citation Text: Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. Copy Citation …

Association of surgical resident wellness with medical errors and patient outcomes. | PSNet

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November 20, 2019 - Study Association of surgical resident wellness with medical errors and patient outcomes. Citation Text: Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.00000000000039…

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. | PSNet

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May 18, 2022 - Commentary Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. Citation Text: Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during…

Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. | PSNet

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January 11, 2023 - Review Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. Citation Text: Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…

Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. | PSNet

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April 21, 2015 - Review Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. Citation Text: Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…

The cost of opioid–related adverse drug events. | PSNet

psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events

August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

Hospital-wide code rates and mortality before and after implementation of a rapid response team. | PSNet

psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team

October 17, 2011 - Study Classic Hospital-wide code rates and mortality before and after implementation of a rapid response team. Citation Text: Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…

Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. | PSNet

psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes

March 13, 2024 - Study Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. Citation Text: Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant revi…

Patient engagement with surgical site infection prevention: an expert panel perspective. | PSNet

psnet.ahrq.gov/issue/patient-engagement-surgical-site-infection-prevention-expert-panel-perspective

June 03, 2020 - Review Patient engagement with surgical site infection prevention: an expert panel perspective. Citation Text: Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an expert panel perspective. Antimicrob Resist Infect Control. 2017;6:45.…

Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet

psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection

January 22, 2014 - Review Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. Citation Text: Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-ass…

Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. | PSNet

psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians

February 03, 2011 - Study Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. Citation Text: Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and recertification of pediatricia…

Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. | PSNet

psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review

December 03, 2014 - Study Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. Citation Text: Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ …

The association of hospital quality ratings with adverse events. | PSNet

psnet.ahrq.gov/issue/association-hospital-quality-ratings-adverse-events

April 30, 2014 - Study The association of hospital quality ratings with adverse events. Citation Text: Weissman JS, López L, Schneider EC, et al. The association of hospital quality ratings with adverse events. Int J Qual Health Care. 2014;26(2):129-35. doi:10.1093/intqhc/mzt092. Copy Citation Form…

Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet

psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety

May 02, 2012 - Study Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Citation Text: Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08…

The impact of internal service quality on preventable adverse events in hospitals. | PSNet

psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals

September 24, 2016 - Study The impact of internal service quality on preventable adverse events in hospitals. Citation Text: Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…

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