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Exploration of factors associated with reported medication administration errors in North Carolina public school districts. | PSNet

psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina

September 20, 2012 - Study Exploration of factors associated with reported medication administration errors in North Carolina public school districts. Citation Text: Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina …

Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements. | PSNet

psnet.ahrq.gov/issue/care-quality-and-safety-long-term-aged-care-settings-systematic-review-and-narrative-analysis

August 17, 2022 - Review Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements. Citation Text: Wang X, Rihari‐Thomas J, Bail K, et al. Care quality and safety in long‐term aged care settings: a systematic review and narrative analys…

Identification of patient safety threats in a post-intensive care clinic. | PSNet

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November 21, 2021 - Study Identification of patient safety threats in a post-intensive care clinic. Citation Text: Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118. Copy Cit…

The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. | PSNet

psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus

October 27, 2021 - Review The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. Citation Text: Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…

Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. | PSNet

psnet.ahrq.gov/issue/implementing-electronic-health-record-default-settings-reduce-opioid-overprescribing-pilot

April 24, 2018 - Study Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. Citation Text: Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-…

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery

February 17, 2021 - Commentary Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Citation Text: Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…

An electronic trigger to detect telemedicine-related diagnostic errors. | PSNet

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June 21, 2023 - Study An electronic trigger to detect telemedicine-related diagnostic errors. Citation Text: Murphy DR, Kadiyala H, Wei L, et al. An electronic trigger to detect telemedicine-related diagnostic errors. J Telemed Telecare. 2024;Epub Apr 1. doi:10.1177/1357633x241236570. Copy Citation …

Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet

psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event

August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities. | PSNet

psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety

July 12, 2017 - Study Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities. Citation Text: Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…

Hospital reputation and perceptions of patient safety. | PSNet

psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety

October 11, 2017 - Study Hospital reputation and perceptions of patient safety. Citation Text: Mira JJ, Lorenzo S, Navarro I. Hospital reputation and perceptions of patient safety. Med Princ Pract. 2014;23(1):92-4. doi:10.1159/000353152. Copy Citation Format: DOI Google Scholar PubMed BibTe…

Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet

psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach

November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

Interventions in health organisations to reduce the impact of adverse events in second and third victims. | PSNet

psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims

October 11, 2017 - Study Interventions in health organisations to reduce the impact of adverse events in second and third victims. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv …

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. | PSNet

psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors

September 22, 2021 - Study The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Citation Text: D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …

A longitudinal study on the impact of simulation on positive deviance through speaking up. | PSNet

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August 24, 2022 - Study A longitudinal study on the impact of simulation on positive deviance through speaking up. Citation Text: M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up. Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006. Copy …

Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. | PSNet

psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality

November 26, 2014 - Review Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. Citation Text: Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…

Factors determining safety culture in hospitals: a scoping review. | PSNet

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March 09, 2022 - Review Factors determining safety culture in hospitals: a scoping review. Citation Text: Carvalho REFL de, Bates DW, Syrowatka A, et al. Factors determining safety culture in hospitals: a scoping review. BMJ Open Qual. 2023;12(4):e002310. doi:10.1136/bmjoq-2023-002310. Copy Citation …

Enhancing safe medication use in home care: insights from informal caregivers. | PSNet

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December 02, 2020 - Study Enhancing safe medication use in home care: insights from informal caregivers. Citation Text: Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.202…

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet

psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider

June 29, 2022 - Review Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. Citation Text: Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on …

What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. | PSNet

psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective

March 18, 2013 - Study What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. Citation Text: Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retr…

Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical

August 09, 2023 - Study Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. Citation Text: Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care …

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