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Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. | PSNet

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July 14, 2010 - Commentary Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. Citation Text: Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…

Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

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October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. | PSNet

psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety

December 06, 2013 - Commentary Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. Citation Text: Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. | PSNet

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July 19, 2023 - Study A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Citation Text: Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…

A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. | PSNet

psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically

March 15, 2016 - Study A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Citation Text: Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…

Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. | PSNet

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November 05, 2013 - Study Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. Citation Text: Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…

Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. | PSNet

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September 24, 2018 - Review Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. Citation Text: Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and health…

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. | PSNet

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August 05, 2020 - Study Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. Citation Text: Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-…

Sleep deprivation and error in nurses who work the night shift. | PSNet

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October 19, 2022 - Study Sleep deprivation and error in nurses who work the night shift. Citation Text: Johnson AL, Jung L, Song Y, et al. Sleep deprivation and error in nurses who work the night shift. J Nurs Adm. 2014;44(1):17-22. doi:10.1097/NNA.0000000000000016. Copy Citation Format: DOI…

Associations between perceived crisis mode work climate and poor information exchange within hospitals. | PSNet

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October 19, 2022 - Study Associations between perceived crisis mode work climate and poor information exchange within hospitals. Citation Text: Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor information exchange within hospitals. J Hosp Med. 2015;10(3):1…

(How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. | PSNet

psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication

August 30, 2017 - Study (How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. Citation Text: Drach-Zahavy A, Somech A, Admi H, et al. (How) do we learn from errors? A prospective study of the link between the ward's lea…

Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. | PSNet

psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence

October 19, 2022 - Commentary Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. Citation Text: Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cen…

Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet

psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports

March 16, 2022 - Commentary Qualitative content analysis: a framework for the substantive review of hospital incident reports. Citation Text: Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…

The Preventable Harm Index: an effective motivator to facilitate the drive to zero. | PSNet

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January 15, 2014 - Commentary The Preventable Harm Index: an effective motivator to facilitate the drive to zero. Citation Text: Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.201…

Anticoagulation-associated adverse drug events. | PSNet

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July 26, 2023 - Study Anticoagulation-associated adverse drug events. Citation Text: Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

Professionalism: a necessary ingredient in a culture of safety. | PSNet

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November 01, 2011 - Study Professionalism: a necessary ingredient in a culture of safety. Citation Text: Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-55. Copy Citation Format: Google Scholar …

Economic evaluation of the impact of medication errors reported by US clinical pharmacists. | PSNet

psnet.ahrq.gov/issue/economic-evaluation-impact-medication-errors-reported-us-clinical-pharmacists

February 02, 2011 - Study Economic evaluation of the impact of medication errors reported by US clinical pharmacists. Citation Text: Samp JC, Touchette DR, Marinac JS, et al. Economic evaluation of the impact of medication errors reported by U.S. clinical pharmacists. Pharmacotherapy. 2014;34(4):350-7. doi:…

Engaging the front line: tapping into hospital-wide quality and safety initiatives. | PSNet

psnet.ahrq.gov/issue/engaging-front-line-tapping-hospital-wide-quality-and-safety-initiatives

March 20, 2019 - Commentary Engaging the front line: tapping into hospital-wide quality and safety initiatives. Citation Text: Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:1…

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline

May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments | PSNet

psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments

June 12, 2024 - Study Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments Citation Text: Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc…

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