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Measuring communication in the surgical ICU: better communication equals better care. | PSNet

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April 03, 2005 - Study Measuring communication in the surgical ICU: better communication equals better care. Citation Text: Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…

A step toward high reliability: implementation of a daily safety brief in a children's hospital. | PSNet

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August 23, 2023 - Study A step toward high reliability: implementation of a daily safety brief in a children's hospital. Citation Text: Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…

Potentially inappropriate medication use in hospitalized elders. | PSNet

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February 17, 2011 - Study Potentially inappropriate medication use in hospitalized elders. Citation Text: Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290. Copy Citation Format: DOI Google …

Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet

psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety

August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

Effect of critical access hospital conversion on patient safety. | PSNet

psnet.ahrq.gov/issue/effect-critical-access-hospital-conversion-patient-safety

October 19, 2022 - Study Effect of critical access hospital conversion on patient safety. Citation Text: Li P, Schneider JE, Ward MM. Effect of critical access hospital conversion on patient safety. Health Serv Res. 2007;42(6 Pt 1):2089-108; discussion 2294-323. Copy Citation Format: Google…

Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

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November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. | PSNet

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March 16, 2016 - Study Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…

Clinical relevance of and risk factors associated with medication administration time errors. | PSNet

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May 08, 2017 - Study Clinical relevance of and risk factors associated with medication administration time errors. Citation Text: Teunissen R, Bos J, Pot H, et al. Clinical relevance of and risk factors associated with medication administration time errors. Am J Health Syst Pharm. 2013;70(12):1052-6. …

Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. | PSNet

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July 01, 2017 - Study Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. Citation Text: Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. do…

Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. | PSNet

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June 19, 2024 - Commentary Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. Citation Text: Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…

Improving Weekend Out Of Hours Surgical Handover (WOOSH). | PSNet

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May 27, 2011 - Commentary Improving Weekend Out Of Hours Surgical Handover (WOOSH). Citation Text: Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. Copy Citation Format: DOI G…

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. | PSNet

psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes

July 31, 2008 - Study Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Citation Text: Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…

Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet

psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants

August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. Citation Text: Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…

The effect of blue-enriched lighting on medical error rate in a university hospital ICU. | PSNet

psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu

March 10, 2021 - Study The effect of blue-enriched lighting on medical error rate in a university hospital ICU. Citation Text: Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…

Communication in health care: impact of language and accent on health care safety, quality, and patient experience. | PSNet

psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient

April 21, 2021 - Commentary Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Citation Text: Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…

Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. | PSNet

psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-recommendations-interventions-cross

September 09, 2020 - Study Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. Citation Text: Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospit…

A multiple-drawer medication layout problem in automated dispensing cabinets. | PSNet

psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets

December 21, 2017 - Study A multiple-drawer medication layout problem in automated dispensing cabinets. Citation Text: Pazour JA, Meller RD. A multiple-drawer medication layout problem in automated dispensing cabinets. Health Care Manag Sci. 2012;15(4). doi:10.1007/s10729-012-9197-8. Copy Citation Fo…

National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use. | PSNet

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August 05, 2015 - Commentary National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use. Citation Text: Ducoffe AR, York A, Hu DJ, et al. National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use. Pain Med. 2016;17(…

The nature and causes of unintended events reported at ten emergency departments. | PSNet

psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments

February 20, 2013 - Study The nature and causes of unintended events reported at ten emergency departments. Citation Text: Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. …

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. | PSNet

psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour

March 17, 2010 - Commentary Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Citation Text: Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …

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