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Operational rounds: a practical administrative process to improve safety and clinical services in radiology. | PSNet

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May 12, 2010 - Commentary Operational rounds: a practical administrative process to improve safety and clinical services in radiology. Citation Text: Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical s…

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. | PSNet

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September 23, 2020 - Study Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. Citation Text: Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electr…

A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. | PSNet

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January 16, 2019 - Study A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. Citation Text: Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;…

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. | PSNet

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March 13, 2012 - Study Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. Citation Text: Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accur…

Evaluation of the culture of safety and quality in pediatric primary care practices. | PSNet

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January 26, 2022 - Study Evaluation of the culture of safety and quality in pediatric primary care practices. Citation Text: Oyegoke S, Gigli KH. Evaluation of the culture of safety and quality in pediatric primary care practices. J Patient Saf. 2022;18(4):e753-e759. doi:10.1097/pts.0000000000000942. Cop…

Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better? | PSNet

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July 19, 2023 - Study Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better? Citation Text: Crocker M, Cato-Addison WB, Pushpananthan S, et al. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do bette…

An assessment of basic patient safety skills in residents entering the first year of clinical training. | PSNet

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February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…

Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. | PSNet

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June 20, 2012 - Study Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. Citation Text: Lenander C, Bondesson Å, Midlöv P, et al. Healthcare…

Medical errors and quality of care: from control to commitment. | PSNet

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July 15, 2020 - Commentary Medical errors and quality of care: from control to commitment. Citation Text: Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. Copy Citation Format…

Emergency intubation of children outside of the operating room. | PSNet

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May 27, 2011 - Study Emergency intubation of children outside of the operating room. Citation Text: Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. Copy Citation Format: DOI G…

Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. | PSNet

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September 15, 2010 - Study Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. Citation Text: Ahmed A, Ahmad M, Stewart M, et al. Effect of distractions on operative performance and ability to multitask--a case for deliberate practice. Laryngoscope. 2015;1…

Making patients safer: nurses' responses to patient safety alerts. | PSNet

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April 13, 2011 - Study Making patients safer: nurses' responses to patient safety alerts. Citation Text: Lankshear A, Lowson K, Harden J, et al. Making patients safer: nurses’ responses to patient safety alerts. J Adv Nurs. 2008;63(6). doi:10.1111/j.1365-2648.2008.04741.x. Copy Citation Format: …

The mental health trigger tool: development and testing of a specialized trigger tool for mental health settings. | PSNet

psnet.ahrq.gov/issue/mental-health-trigger-tool-development-and-testing-specialized-trigger-tool-mental-health

September 27, 2017 - Study The mental health trigger tool: development and testing of a specialized trigger tool for mental health settings. Citation Text: Sajith SG, Fung D, Chua HC. The Mental Health Trigger Tool: Development and Testing of a Specialized Trigger Tool for Mental Health Settings. J Patient S…

Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. | PSNet

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June 24, 2009 - Commentary Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. Citation Text: Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…

Risk of medication safety incidents with antibiotic use measured by defined daily doses. | PSNet

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July 06, 2022 - Study Risk of medication safety incidents with antibiotic use measured by defined daily doses. Citation Text: Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096…

The problems of detecting medication errors in hospitals. | PSNet

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February 01, 2012 - Study Classic The problems of detecting medication errors in hospitals. Citation Text: Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360. Copy Citation …

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. | PSNet

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March 06, 2013 - Study Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Citation Text: Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …

Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review | PSNet

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August 28, 2024 - Review Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review Citation Text: Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare pr…

Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet

psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system

July 14, 2018 - Study Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. Citation Text: Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a…

A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. | PSNet

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October 14, 2020 - Study A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. Citation Text: Hartvigson PE, Gensheimer MF, Spady PK, et al. A Radiation Oncology–Specific Automated Trigger Indicator Tool for High-Risk, Near-Miss Safety Events. Pract Radiat On…

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