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Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. | PSNet

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October 30, 2024 - Study Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. Citation Text: Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identi…

Surgery is in itself a risk factor for the patient. | PSNet

psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient

November 18, 2020 - Study Surgery is in itself a risk factor for the patient. Citation Text: Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761. Copy …

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. | PSNet

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October 19, 2022 - Study Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals. Citation Text: Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …

Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. | PSNet

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May 19, 2018 - Study Classic Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. Citation Text: Guttmann A, Schull MJ, Vermeulen MJ, et al. Associatio…

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors

July 14, 2021 - Study The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. Citation Text: Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:…

Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. | PSNet

psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction

September 01, 2016 - Study Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. Citation Text: Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction…

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. | PSNet

psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative

August 25, 2021 - Review Emerging Classic Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. Citation Text: O’Neill SM, Clyne B, Bell M, et al. Why do h…

Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet

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April 17, 2024 - Study Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. Citation Text: Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). | PSNet

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February 04, 2015 - Study Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). Citation Text: Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…

To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. | PSNet

psnet.ahrq.gov/issue/what-extent-world-health-organizations-medication-safety-challenge-being-addressed-english

November 02, 2022 - Study To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. Citation Text: Garfield S, Teo V, Chan L, et al. To what extent is the World Health Organization's Medication Safety Challenge being…

The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual

May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. | PSNet

psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods

December 07, 2022 - Study Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. Citation Text: Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational…

Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. | PSNet

psnet.ahrq.gov/issue/translating-concerns-action-detailed-qualitative-evaluation-interdisciplinary-intervention

November 01, 2017 - Study Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. Citation Text: Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary interventio…

Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. | PSNet

psnet.ahrq.gov/issue/introduction-novel-patient-safety-advisory-evaluation-perceived-information-modified-qpp

April 05, 2023 - Study Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. Citation Text: Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of perceived informatio…

"It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. | PSNet

psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study

March 24, 2019 - Study "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. …

The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. | PSNet

psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy

May 12, 2021 - Commentary The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Citation Text: Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…

The WHO surgical safety checklist: survey of patients' views. | PSNet

psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views

January 19, 2016 - Study The WHO surgical safety checklist: survey of patients' views. Citation Text: Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. Copy Citation Format: DOI Google Schol…

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. | PSNet

psnet.ahrq.gov/issue/maintaining-and-sustaining-cusp-stop-bsi-model-hawaii

March 21, 2012 - Study Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. Citation Text: Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4. …

Patient outcomes after the introduction of statewide ICU nurse staffing regulations. | PSNet

psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations

June 19, 2019 - Study Patient outcomes after the introduction of statewide ICU nurse staffing regulations. Citation Text: Law AC, Stevens JP, Hohmann S, et al. Patient Outcomes After the Introduction of Statewide ICU Nurse Staffing Regulations. Crit Care Med. 2018;46(10):1563-1569. doi:10.1097/CCM.00000…

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine

September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…

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