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Incivility in healthcare: the impact of poor communication. | PSNet

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October 19, 2022 - Review Incivility in healthcare: the impact of poor communication. Citation Text: Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. Copy Citation Format: DOI Google Sch…

Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. | PSNet

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October 13, 2018 - Study Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Citation Text: Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet

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March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. | PSNet

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March 09, 2022 - Study Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Citation Text: Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …

Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet

psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital

April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…

Innovation in patient safety: a new task design in reducing patient falls. | PSNet

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January 04, 2010 - Study Innovation in patient safety: a new task design in reducing patient falls. Citation Text: Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5. Copy Citation …

Organizational learning in the morbidity and mortality conference. | PSNet

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June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setting: a systematic review. | PSNet

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June 05, 2019 - Review The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setting: a systematic review. Citation Text: Flynn C, Watson C, Patton D, et al. The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setti…

Managing competing organizational priorities in clinical handover across organizational boundaries. | PSNet

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February 07, 2024 - Study Managing competing organizational priorities in clinical handover across organizational boundaries. Citation Text: Sujan MA, Chessum P, Rudd M, et al. Managing competing organizational priorities in clinical handover across organizational boundaries. J Health Serv Res Policy. 2015;…

An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology. | PSNet

psnet.ahrq.gov/issue/implementation-science-approach-promote-optimal-implementation-adoption-use-and-spread

July 13, 2010 - Study An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology. Citation Text: Dykes PC, Lowenthal G, Faris A, et al. An Implementation Science Approach to Promote Optimal Implementation, Adoption,…

Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed methods review. | PSNet

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April 23, 2014 - Review Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed methods review. Citation Text: Braiki R, Douville F, Gagnon M‐P. Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed methods …

Partners in our care: patient safety from a patient perspective. | PSNet

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December 04, 2016 - Study Partners in our care: patient safety from a patient perspective. Citation Text: Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. Copy Citation Format: …

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. | PSNet

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August 18, 2021 - Study A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. Citation Text: Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…

Optimizing the use of dose error reduction software on intravenous infusion pumps. | PSNet

psnet.ahrq.gov/issue/optimizing-use-dose-error-reduction-software-intravenous-infusion-pumps

August 02, 2015 - Study Optimizing the use of dose error reduction software on intravenous infusion pumps. Citation Text: Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385. C…

30-day potentially avoidable readmissions due to adverse drug events. | PSNet

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June 14, 2017 - Study 30-day potentially avoidable readmissions due to adverse drug events. Citation Text: Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346. Copy Citati…

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

psnet.ahrq.gov/issue/medication-dose-calculation-errors-and-other-numeracy-mishaps-hospitals-analysis-nature-and

May 11, 2022 - Study Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. Citation Text: Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review

January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. | PSNet

psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff

September 14, 2011 - Study Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. Citation Text: Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…

ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. | PSNet

psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-compounding-devices-preparation-parenteral-nutrition

October 19, 2022 - Organizational Policy/Guidelines ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. Citation Text: Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Prepar…

Toward improving patient safety through voluntary peer-to-peer assessment. | PSNet

psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment

August 25, 2015 - Commentary Toward improving patient safety through voluntary peer-to-peer assessment. Citation Text: Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …

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