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Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety

November 20, 2015 - Study Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. Citation Text: Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…

Decreasing handoff-related care failures in children's hospitals. | PSNet

psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals

April 24, 2018 - Study Decreasing handoff-related care failures in children's hospitals. Citation Text: Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. Copy Citation Format: …

Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation. | PSNet

psnet.ahrq.gov/issue/disclosure-apology-and-offer-programs-stakeholders-views-barriers-and-strategies-broad

December 19, 2018 - Study Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation. Citation Text: Bell SK, Smulowitz PB, Woodward AC, et al. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implem…

Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission

April 25, 2018 - Review Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. Citation Text: Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …

Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. | PSNet

psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass

September 23, 2020 - Study Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Citation Text: Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…

Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. | PSNet

psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration

April 24, 2018 - Organizational Policy/Guidelines Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. Citation Text: Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to…

Learning in radiation oncology: 12-month experience with a new incident learning system. | PSNet

psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system

February 16, 2022 - Study Learning in radiation oncology: 12-month experience with a new incident learning system. Citation Text: Crouch K, Adamson L, Beldham‐Collins R, et al. Learning in radiation oncology: 12‐month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10…

A controlled trial of a rapid response system in an academic medical center. | PSNet

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June 23, 2010 - Study A controlled trial of a rapid response system in an academic medical center. Citation Text: Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365. Copy Citation F…

Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. | PSNet

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October 19, 2012 - Study Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Citation Text: Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta…

Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. | PSNet

psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review

December 03, 2014 - Study Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. Citation Text: Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ …

A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. | PSNet

psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients

June 26, 2019 - Review Emerging Classic A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. Citation Text: Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the …

Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. | PSNet

psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive

April 17, 2019 - Study Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. Citation Text: McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…

ICU nurses' acceptance of electronic health records. | PSNet

psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records

December 31, 2014 - Study ICU nurses' acceptance of electronic health records. Citation Text: Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018. Copy Citation Format: DOI Google…

Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. | PSNet

psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals

April 24, 2018 - Study Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. Citation Text: Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors commo…

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital

November 26, 2014 - Study Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. Citation Text: Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Disch…

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit

November 16, 2022 - Study Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. Citation Text: Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol…

Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet

psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review

September 07, 2016 - Review Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. Citation Text: Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 20…

Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study

April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. | PSNet

psnet.ahrq.gov/issue/development-tool-within-electronic-medical-record-facilitate-medication-reconciliation-after

June 09, 2011 - Study Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. Citation Text: Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to facilitate medication reconciliation …

The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, | PSNet

psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes

February 01, 2023 - Study The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, Citation Text: Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…

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