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Leapfrog safety grades in California hospitals: a data analysis. | PSNet

psnet.ahrq.gov/issue/leapfrog-safety-grades-california-hospitals-data-analysis

November 16, 2022 - Study Leapfrog safety grades in California hospitals: a data analysis. Citation Text: Razick D, Amani N, Ali L, et al. Leapfrog safety grades in California hospitals: a data analysis. Am J Med Qual. 2024;39(5):251-255. doi:10.1097/jmq.0000000000000200. Copy Citation Format: …

When do supervising physicians decide to entrust residents with unsupervised tasks? | PSNet

psnet.ahrq.gov/issue/when-do-supervising-physicians-decide-entrust-residents-unsupervised-tasks

October 03, 2012 - Study When do supervising physicians decide to entrust residents with unsupervised tasks? Citation Text: Sterkenburg A, Barach P, Kalkman CJ, et al. When do supervising physicians decide to entrust residents with unsupervised tasks? Acad Med. 2010;85(9):1408-1417. doi:10.1097/ACM.0b013…

A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. | PSNet

psnet.ahrq.gov/issue/randomised-controlled-trial-assessing-efficacy-electronic-discharge-communication-tool

August 24, 2016 - Study A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. Citation Text: Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of an electronic dis…

Quality improvement for patient safety: project-level versus program-level learning. | PSNet

psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning

April 01, 2010 - Study Quality improvement for patient safety: project-level versus program-level learning. Citation Text: Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…

Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. | PSNet

psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human

November 02, 2018 - Study Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. Citation Text: Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…

Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care. | PSNet

psnet.ahrq.gov/issue/blame-patient-blame-doctor-or-blame-system-meta-synthesis-qualitative-studies-patient-safety

March 04, 2020 - Review Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care. Citation Text: Daker-White G, Hays R, McSharry J, et al. Blame the Patient, Blame the Doctor or Blame the System? A Meta-Synthesis of Qualitative Stu…

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic-review

July 07, 2021 - Review Classic Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. Citation Text: Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic re…

Accuracy of practitioner estimates of probability of diagnosis before and after testing. | PSNet

psnet.ahrq.gov/issue/accuracy-practitioner-estimates-probability-diagnosis-and-after-testing

May 05, 2021 - Study Accuracy of practitioner estimates of probability of diagnosis before and after testing. Citation Text: Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.10…

Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet

psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors

January 26, 2022 - Study Prevalence of medication transfer errors in nephrology patients and potential risk factors. Citation Text: Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016…

Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. | PSNet

psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention

January 12, 2022 - Review Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. Citation Text: Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…

The impact of nursing practice environments on patient safety culture in primary health care: a scoping review. | PSNet

psnet.ahrq.gov/issue/impact-nursing-practice-environments-patient-safety-culture-primary-health-care-scoping

March 09, 2022 - Review The impact of nursing practice environments on patient safety culture in primary health care: a scoping review. Citation Text: Pereira SC de A, Ribeiro OMPL, Fassarella CS, et al. The impact of nursing practice environments on patient safety culture in primary health care: a scopi…

A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. | PSNet

psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between

February 14, 2024 - Study A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. Citation Text: Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…

Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. | PSNet

psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus

January 25, 2017 - Commentary Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. Citation Text: Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…

Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. | PSNet

psnet.ahrq.gov/issue/fix-and-forget-or-fix-and-report-qualitative-study-tensions-front-line-incident-reporting

May 18, 2016 - Study Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. Citation Text: Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. BMJ Qual Saf. 2015;24(5):303-10.…

A narrative review of strategies to increase patient safety event reporting by residents. | PSNet

psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents

December 02, 2020 - Review A narrative review of strategies to increase patient safety event reporting by residents. Citation Text: Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…

Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet

psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial

August 09, 2023 - Study Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. Citation Text: Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home rati…

Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. | PSNet

psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory

May 27, 2011 - Study Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. Citation Text: Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…

Systematic review of medication safety assessment methods. | PSNet

psnet.ahrq.gov/issue/systematic-review-medication-safety-assessment-methods

January 03, 2017 - Review Systematic review of medication safety assessment methods. Citation Text: Meyer-Massetti C, Cheng CM, Schwappach DLB, et al. Systematic review of medication safety assessment methods. Am J Health Syst Pharm. 2011;68(3):227-40. doi:10.2146/ajhp100019. Copy Citation Format: …

Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-audits-may-be-misleading-improving-implementation-and-adherence

November 24, 2021 - Study Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. Citation Text: Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving th…

Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. | PSNet

psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality-based-clinical

July 27, 2022 - Study Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Citation Text: Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2…

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