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Incident reporting system does not detect adverse drug events: a problem for quality improvement. | PSNet

psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement

February 10, 2011 - Study Classic Incident reporting system does not detect adverse drug events: a problem for quality improvement. Citation Text: Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvem…

Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet

psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions

July 17, 2024 - Study Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. Citation Text: Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transiti…

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

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November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. | PSNet

psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences

June 22, 2022 - Study 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. Citation Text: Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient…

Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society. | PSNet

psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-acute-care-hospitals-united-states-could

March 30, 2022 - Study Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society. Citation Text: Nuckols TK, Asch SM, Patel V, et al. Implementing Computerized Provider Order Entry in Acute Care Hospitals in the United States…

Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods systematic review. | PSNet

psnet.ahrq.gov/issue/factors-influencing-perception-feeling-safe-pre-hospital-emergency-care-mixed-methods

February 14, 2024 - Review Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods systematic review. Citation Text: Péculo‐Carrasco J‐A, Luque‐Hernández MJ, Rodríguez‐Ruiz H‐J, et al. Factors influencing the perception of feeling safe in pre‐hospital emergency car…

The influence of organizational factors on patient safety: examining successful handoffs in health care. | PSNet

psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care

November 20, 2015 - Study The influence of organizational factors on patient safety: examining successful handoffs in health care. Citation Text: Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage …

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet

psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through

April 04, 2011 - Study Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Citation Text: Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…

Interventions employed to improve intrahospital handover: a systematic review. | PSNet

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January 20, 2015 - Review Interventions employed to improve intrahospital handover: a systematic review. Citation Text: Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309. Copy…

A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. | PSNet

psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe

August 17, 2016 - Review A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. Citation Text: Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. | PSNet

psnet.ahrq.gov/issue/identifying-and-reducing-medication-errors-psychiatry-creating-culture-safety-through-use

September 27, 2017 - Study Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. Citation Text: Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of sa…

Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. | PSNet

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January 23, 2019 - Study Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Citation Text: Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093…

Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital

June 22, 2017 - Study Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. Citation Text: Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergen…

Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized

June 03, 2020 - Study Classic Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Citation Text: Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…

Increased mortality and costs associated with adverse events in intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients

January 16, 2008 - Study Increased mortality and costs associated with adverse events in intensive care unit patients. Citation Text: Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…

Accuracy of harm scores entered into an event reporting system. | PSNet

psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system

October 19, 2022 - Study Accuracy of harm scores entered into an event reporting system. Citation Text: Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. Copy Citation For…

Scottish Patient Safety Programme. | PSNet

psnet.ahrq.gov/issue/scottish-patient-safety-alliance

July 29, 2015 - Multi-use Website Scottish Patient Safety Programme. Citation Text: Scottish Patient Safety Programme. Health Improvement Scotland Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Co…

Patient Safety Authority Annual Reports. | PSNet

psnet.ahrq.gov/issue/patient-safety-authority-annual-reports

December 09, 2020 - Book/Report Patient Safety Authority Annual Reports. Citation Text: Patient Safety Authority Annual Reports. Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024. Copy Citation Save Save to your library Print Downlo…

Medication Reconciliation for Hospitalists. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-hospitalists

February 18, 2011 - Toolkit Medication Reconciliation for Hospitalists. Citation Text: Medication Reconciliation for Hospitalists. Society of Hospital Medicine. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedi…

Why King-Harbor must die. | PSNet

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July 29, 2009 - Newspaper/Magazine Article Why King-Harbor must die. Citation Text: Why King-Harbor must die. Wachter RM. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

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