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Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators

January 23, 2017 - Study Understanding and responding when things go wrong: key principles for primary care educators. Citation Text: McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…

Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. | PSNet

psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects

August 19, 2020 - Study Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. Citation Text: Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of…

Electronic health record–related safety concerns: a cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey

August 03, 2016 - Study Electronic health record–related safety concerns: a cross-sectional survey. Citation Text: Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. Copy Citation…

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…

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. | PSNet

psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association

August 07, 2013 - Study Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. Citation Text: Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient…

A team-based approach to reducing cardiac monitor alarms. | PSNet

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October 19, 2022 - Study A team-based approach to reducing cardiac monitor alarms. Citation Text: Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. Copy Citation Format: DOI Google …

The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. | PSNet

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March 20, 2024 - Study The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. Citation Text: Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporti…

Multifaceted intervention to improve patient safety incident reporting in intensive care units. | PSNet

psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units

January 18, 2023 - Study Multifaceted intervention to improve patient safety incident reporting in intensive care units. Citation Text: Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428.…

Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. | PSNet

psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark

June 06, 2012 - Study Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. Citation Text: Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…

Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet

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May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. | PSNet

psnet.ahrq.gov/issue/performance-vascular-exposure-and-fasciotomy-among-surgical-residents-and-after-training

November 20, 2019 - Study Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. Citation Text: Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among Surgical Residents Before and After Training Comp…

Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. | PSNet

psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days

October 16, 2019 - Study Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Citation Text: Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Hea…

Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet

psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient

December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Citation Text: Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 202…

Potential consequences of patient complications for surgeon well-being: a systematic review. | PSNet

psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review

May 23, 2018 - Review Potential consequences of patient complications for surgeon well-being: a systematic review. Citation Text: Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamas…

Exploring approaches to patient safety: the case of spinal manipulation therapy. | PSNet

psnet.ahrq.gov/issue/exploring-approaches-patient-safety-case-spinal-manipulation-therapy

September 11, 2024 - Study Exploring approaches to patient safety: the case of spinal manipulation therapy. Citation Text: Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2. Cop…

Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed

October 30, 2024 - Study Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. Citation Text: Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive

November 29, 2023 - Study Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial. Citation Text: Khamali RE, Mouaci A, Valera S, et al. Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Workin…

Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. | PSNet

psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology

October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…

What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/what-known-about-adverse-events-older-medical-hospital-inpatients-systematic-review

January 12, 2012 - Review What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Citation Text: Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J He…

Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-patterns-among-medical-providers-united-states-2003-17-retrospective

May 11, 2016 - Study Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. Citation Text: Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observati…

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