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Medication event huddles: a tool for reducing adverse drug events. | PSNet

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December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

Factors contributing to Registered Nurse medication administration error: a narrative review. | PSNet

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May 27, 2011 - Review Factors contributing to Registered Nurse medication administration error: a narrative review. Citation Text: Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…

Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey. | PSNet

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February 14, 2024 - Study Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey. Citation Text: de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…

Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet

psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans

June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Citation Text: Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. | PSNet

psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme

April 24, 2018 - Study Emerging Classic Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. Citation Text: Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…

The impact of medication reconciliation and review in patients using oral chemotherapy. | PSNet

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November 17, 2021 - Study The impact of medication reconciliation and review in patients using oral chemotherapy. Citation Text: Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.117…

Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. | PSNet

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April 22, 2020 - Study Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. Citation Text: Rodrigo Rincón I, Irigoyen Aristorena I, Tirapu León B, et al. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. BMC Health Ser…

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet

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March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

Clinical data sharing improves quality measurement and patient safety. | PSNet

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April 21, 2021 - Study Clinical data sharing improves quality measurement and patient safety. Citation Text: D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039. Copy Citat…

Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. | PSNet

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July 24, 2024 - Review Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. Citation Text: Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these b…

The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. | PSNet

psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct

August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…

Evaluation of medication errors at the transition of care from an ICU to non-ICU location. | PSNet

psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location

September 23, 2020 - Study Emerging Classic Evaluation of medication errors at the transition of care from an ICU to non-ICU location. Citation Text: Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…

Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units. | PSNet

psnet.ahrq.gov/issue/evaluation-evidence-based-nurse-driven-checklist-prevent-hospital-acquired-catheter

June 03, 2013 - Study Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units. Citation Text: Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to prevent hos…

Fatigue among clinicians and the safety of patients. | PSNet

psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients

November 15, 2018 - Study Classic Fatigue among clinicians and the safety of patients. Citation Text: Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med. 2002;347(16):1249-1255. Copy Citation Format: Google Schola…

Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. | PSNet

psnet.ahrq.gov/issue/use-computerized-physician-order-entry-clinical-decision-support-prevent-dose-errors

June 05, 2024 - Review Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. Citation Text: Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision suppo…

Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. | PSNet

psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related

September 09, 2020 - Study Classic Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. Citation Text: Patrick SW, Fry CE, Jones TF, et al. Implementation of prescription drug monitoring programs associated with reductions…

Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. | PSNet

psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster

July 06, 2011 - Study Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. Citation Text: Tong EY, Roman C, Mitra B, et al. Partnered pharmacist charting on admission in the Gen…

AHRQ patient safety project reduces bloodstream infections by 40 percent. | PSNet

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January 22, 2020 - Newspaper/Magazine Article AHRQ patient safety project reduces bloodstream infections by 40 percent. Citation Text: AHRQ patient safety project reduces bloodstream infections by 40 percent. Schmidt B. Patient Saf Qual Hcare. September 12, 2012. Copy Citation Save …

Explaining Matching Michigan: an ethnographic study of a patient safety program. | PSNet

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August 20, 2018 - Study Explaining Matching Michigan: an ethnographic study of a patient safety program. Citation Text: Dixon-Woods M, Leslie M, Tarrant C, et al. Explaining Matching Michigan: an ethnographic study of a patient safety program. Implement Sci. 2013;8:70. doi:10.1186/1748-5908-8-70. Copy …

The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. | PSNet

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November 03, 2008 - Study The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. Citation Text: Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team activation patient characteristics a…

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