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Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. | PSNet

psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work

February 04, 2009 - Study Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Citation Text: Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…

Do patient safety indicators explain increased weekend mortality? | PSNet

psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality

June 01, 2011 - Study Do patient safety indicators explain increased weekend mortality? Citation Text: Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. Copy Citation Format: …

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. | PSNet

psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training-retrospective-qualitative

September 01, 2021 - Study Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. Citation Text: Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg…

Increased mortality and costs associated with adverse events in intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients

January 16, 2008 - Study Increased mortality and costs associated with adverse events in intensive care unit patients. Citation Text: Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…

Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. | PSNet

psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping

October 29, 2017 - Review Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. Citation Text: Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…

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…

The association between patient-reported incidents in hospitals and estimated rates of patient harm. | PSNet

psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm

August 13, 2013 - Study The association between patient-reported incidents in hospitals and estimated rates of patient harm. Citation Text: Bjertnaes O, Deilkås ET, Skudal KE, et al. The association between patient-reported incidents in hospitals and estimated rates of patient harm. Int J Qual Health Care…

Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. | PSNet

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June 22, 2022 - Commentary Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. Citation Text: DeJong C, Katz MH, Covinsky KE. Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. JAMA Intern Med. 2020;181(2):274. doi:10.1001/jamainternmed.2020.401…

Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. | PSNet

psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care

August 04, 2010 - Study Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. Citation Text: Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence mi…

Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. | PSNet

psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study-based-diffusion

December 14, 2022 - Study Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. Citation Text: Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of …

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…

Factors contributing to Registered Nurse medication administration error: a narrative review. | PSNet

psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review

May 27, 2011 - Review Factors contributing to Registered Nurse medication administration error: a narrative review. Citation Text: Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet

psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic

October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Citation Text: Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…

Detecting unapproved abbreviations in the electronic medical record. | PSNet

psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record

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 …

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. | PSNet

psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic

March 24, 2019 - Study Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Citation Text: Wang H-F, Jin J-F,…

Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. | PSNet

psnet.ahrq.gov/issue/clinicians-satisfaction-cpoe-ease-use-and-effect-clinicians-workflow-efficiency-and

August 10, 2022 - Study Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. Citation Text: Khajouei R, Wierenga PC, Hasman A, et al. Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medicatio…

Association between operative autonomy of surgical residents and patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes

September 09, 2020 - Study Association between operative autonomy of surgical residents and patient outcomes. Citation Text: Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.64…

Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. | PSNet

psnet.ahrq.gov/issue/identifying-barriers-and-enablers-robust-independent-second-check-medication-adult-intensive

March 09, 2016 - Study Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Citation Text: Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;…

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet

psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty

March 14, 2022 - EMERGING INNOVATIONS Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Citation Text: Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23…

Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. | PSNet

psnet.ahrq.gov/issue/hospitalwide-adverse-drug-events-and-after-limiting-weekly-work-hours-medical-residents-80

May 04, 2010 - Study Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Citation Text: Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Sys…

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