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Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. | PSNet

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January 16, 2013 - Study Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. Citation Text: Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient o…

"What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. | PSNet

psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process

November 03, 2021 - Review "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. Citation Text: Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patien…

Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. | PSNet

psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers

September 04, 2016 - Study Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. Citation Text: Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…

Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet

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July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …

Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. | PSNet

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August 05, 2020 - Study Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. Citation Text: Schildmeijer KGI, Unbeck M, Ekstedt M, et al. Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. BMJ…

Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety. | PSNet

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June 02, 2015 - Study Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety. Citation Text: Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associa…

Scaling safety: the South Carolina Surgical Safety Checklist experience. | PSNet

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February 07, 2018 - Study Scaling safety: the South Carolina Surgical Safety Checklist experience. Citation Text: Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717. …

Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet

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November 29, 2023 - Study Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. Citation Text: Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. d…

How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. | PSNet

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November 26, 2008 - Study How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. Citation Text: Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…

Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. | PSNet

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July 19, 2019 - Study Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. Citation Text: Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…

Safety culture in the operating room: variability among perioperative healthcare workers. | PSNet

psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers

November 17, 2021 - Study Safety culture in the operating room: variability among perioperative healthcare workers. Citation Text: Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/…

Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. | PSNet

psnet.ahrq.gov/issue/cost-and-workforce-implications-subjecting-all-physicians-aviation-industry-work-hour

January 02, 2017 - Study Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. Citation Text: Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. Am J Surg. 2009;…

Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. | PSNet

psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections

November 25, 2020 - Study Classic Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. Citation Text: Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association wit…

Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. | PSNet

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October 19, 2022 - Study Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. Citation Text: Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…

Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. | PSNet

psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals

March 28, 2011 - Study Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. Citation Text: Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. | PSNet

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June 08, 2022 - Study Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. Citation Text: Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root …

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. | PSNet

psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication

August 11, 2021 - Study Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. Citation Text: Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. | PSNet

psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality

May 27, 2010 - Study Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…

Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. | PSNet

psnet.ahrq.gov/issue/outpatient-cpoe-orders-discontinued-due-erroneous-entry-prospective-survey-prescribers

October 13, 2018 - Study Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors. Citation Text: Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' expla…

PCA safety data review after clinical decision support and smart pump technology implementation. | PSNet

psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology

October 08, 2016 - Study PCA safety data review after clinical decision support and smart pump technology implementation. Citation Text: Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9…

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