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Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet

June 08, 2022 - Study Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. Citation Text: Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the Un…

Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. | PSNet

psnet.ahrq.gov/issue/hospital-surveys-centers-medicare-and-medicaid-services-analysis-more-34000-deficiencies

May 26, 2021 - Study Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. Citation Text: Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. J Patient Saf. 2021;17(4)…

Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. | PSNet

psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012

June 30, 2021 - Study Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. Citation Text: Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7…

The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet

psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster

May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…

Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient

April 10, 2024 - Review Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. Citation Text: Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams i…

Feeling safe in the context of digitalization in healthcare: a scoping review. | PSNet

psnet.ahrq.gov/issue/feeling-safe-context-digitalization-healthcare-scoping-review

May 04, 2022 - Review Feeling safe in the context of digitalization in healthcare: a scoping review. Citation Text: Minartz P, Aumann CM, Vondeberg C, et al. Feeling safe in the context of digitalization in healthcare: a scoping review. Syst Rev. 2024;13(1):62. doi:10.1186/s13643-024-02465-9. Copy Ci…

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event

May 19, 2021 - Study Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…

Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment

August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate-and-graduate-medical

October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. | PSNet

psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level

February 03, 2011 - Study Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. Citation Text: Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…

Workplace engagement and workers' compensation claims as predictors for patient safety culture. | PSNet

psnet.ahrq.gov/issue/workplace-engagement-and-workers-compensation-claims-predictors-patient-safety-culture

March 08, 2023 - Study Workplace engagement and workers' compensation claims as predictors for patient safety culture. Citation Text: Thorp J, Baqai W, Witters D, et al. Workplace engagement and workers' compensation claims as predictors for patient safety culture. J Patient Saf. 2012;8(4):194-201. doi…

The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm

October 12, 2022 - Book/Report The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Citation Text: The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…

Adverse events in women giving birth in a labor ward: a retrospective record review study. | PSNet

psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study

April 14, 2021 - Study Adverse events in women giving birth in a labor ward: a retrospective record review study. Citation Text: Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…

When policy meets physiology: the challenge of reducing resident work hours. | PSNet

psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours

January 10, 2017 - Study When policy meets physiology: the challenge of reducing resident work hours. Citation Text: Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127. Copy Citation Format…

Family support role in hospital rapid response teams: a scoping review. | PSNet

psnet.ahrq.gov/issue/family-support-role-hospital-rapid-response-teams-scoping-review

September 16, 2020 - Review Family support role in hospital rapid response teams: a scoping review. Citation Text: Howlett O, Gleeson R, Jackson L, et al. Family support role in hospital rapid response teams: a scoping review. JBI Evid Synth. 2022;20(8):2001-2024. doi:10.11124/jbies-21-00189. Copy Citation…

Empowering patients and reducing inequities: is there potential in sharing clinical notes? | PSNet

psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes

June 05, 2019 - Commentary Empowering patients and reducing inequities: is there potential in sharing clinical notes? Citation Text: Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…

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 …

Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice. | PSNet

psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice

July 19, 2023 - Study Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice. Citation Text: Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. d…

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

psnet.ahrq.gov/issue/electronic-trigger-detect-telemedicine-related-diagnostic-errors

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 …

Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet

psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative

December 16, 2015 - Study Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. Citation Text: Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…

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