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A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. | PSNet

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November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…

Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet

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April 28, 2021 - Study Adverse events in long-term care residents transitioning from hospital back to nursing home. Citation Text: Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. | PSNet

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February 17, 2021 - Study Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Citation Text: Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135…

Evaluation of communication and safety behaviors during hospital-wide code response simulation. | PSNet

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February 23, 2022 - Study Evaluation of communication and safety behaviors during hospital-wide code response simulation. Citation Text: Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…

A multisite study of interprofessional teamwork and collaboration on general medical services. | PSNet

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November 15, 2023 - Study A multisite study of interprofessional teamwork and collaboration on general medical services. Citation Text: O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…

Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. | PSNet

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March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. | PSNet

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October 26, 2022 - Review Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. Citation Text: Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixe…

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. | PSNet

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July 27, 2022 - Review Emerging Classic Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. Citation Text: Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic …

Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. | PSNet

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September 01, 2021 - Study Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. Citation Text: Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a psychologically safe environment…

A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. | PSNet

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October 19, 2012 - Study A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. Citation Text: Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…

Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. | PSNet

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August 28, 2024 - Study Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…

Adverse events related to accidental unintentional ingestions from cough and cold medications in children. | PSNet

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May 06, 2020 - Study Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Citation Text: Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …

Medication errors from over-the-counter cough and cold medications in children. | PSNet

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August 26, 2020 - Study Medication errors from over-the-counter cough and cold medications in children. Citation Text: Wang GS, Reynolds KM, Banner W, et al. Medication errors from over-the-counter cough and cold medications in children. Acad Ped. 2020;20(3):327-332. doi:10.1016/j.acap.2019.09.006. Copy…

Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. | PSNet

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August 26, 2020 - Review Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. Citation Text: Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. | PSNet

psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level

October 21, 2020 - Study Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. Citation Text: Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med …

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? | PSNet

psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make-serious-prescribing

June 30, 2011 - Study Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? Citation Text: Coleman JJ, Hemming K, Nightingale PG, et al. Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? J…

Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. | PSNet

psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative

December 29, 2014 - Study Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. Citation Text: Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hosp…

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. | PSNet

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February 02, 2022 - Review The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. Citation Text: Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and …

Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet

psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database

October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Citation Text: Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-4…

Physician specialty differences in unprofessional behaviors observed and reported by coworkers. | PSNet

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June 27, 2018 - Study Physician specialty differences in unprofessional behaviors observed and reported by coworkers. Citation Text: Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e241…

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