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Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. | PSNet

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December 15, 2021 - Study Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. Citation Text: Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e…

What does safety commitment mean to leaders? A multi-method investigation. | PSNet

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September 11, 2024 - Study What does safety commitment mean to leaders? A multi-method investigation. Citation Text: Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011. Copy Citation F…

A call to bridge across silos during care transitions. | PSNet

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November 20, 2024 - Commentary A call to bridge across silos during care transitions. Citation Text: Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. Copy Citation Format: …

Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. | PSNet

psnet.ahrq.gov/issue/reducing-cardiopulmonary-arrest-rates-three-year-regional-rapid-response-system-collaborative

March 04, 2011 - Study Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. Citation Text: Rosen MJ, Hoberman AJ, Ruiz RE, et al. Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. Jt Comm J Qual Patient Saf…

Extent of diagnostic agreement among medical referrals. | PSNet

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October 31, 2011 - Study Extent of diagnostic agreement among medical referrals. Citation Text: Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. Copy Citation Format: DOI Google Scholar …

Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. | PSNet

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April 22, 2013 - Study Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Citation Text: Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. …

Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. | PSNet

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September 23, 2020 - Study Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. Citation Text: Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Dischar…

Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

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November 18, 2016 - Study Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: McGinty EE, Thompson DA, Pronovost P, et al. Patient, provider, and system factors contributing to patien…

Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet

psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety

September 26, 2012 - Commentary Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. Citation Text: Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 20…

Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. | PSNet

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September 04, 2019 - Commentary Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. Citation Text: Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…

Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. | PSNet

psnet.ahrq.gov/issue/development-and-reliability-explicit-professional-oral-communication-observation-tool

April 23, 2014 - Study Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. Citation Text: Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communi…

Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. | PSNet

psnet.ahrq.gov/issue/estimation-breast-cancer-overdiagnosis-us-breast-screening-cohort

March 30, 2022 - Study Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. Citation Text: Ryser MD, Lange J, Inoue LYT, et al. Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. Ann Intern Med. 2022;175(4):471-478. doi:10.7326/m21-3577. Copy Citation …

Human errors in emergency medical services: a qualitative analysis of contributing factors. | PSNet

psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors

July 07, 2021 - Study Human errors in emergency medical services: a qualitative analysis of contributing factors. Citation Text: Poranen A, Kouvonen A, Nordquist H. Human errors in emergency medical services: a qualitative analysis of contributing factors. Scand J Trauma Resusc Emerg Med. 2024;32(1):78.…

Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting. | PSNet

psnet.ahrq.gov/issue/assessing-potential-adoption-and-usefulness-concurrent-action-oriented-electronic-adverse

October 01, 2014 - Study Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting. Citation Text: Mull HJ, Rosen AK, Shimada SL, et al. Assessing the potential adoption and usefulness of concurrent, action-ori…

Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. | PSNet

psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications

March 14, 2022 - Study Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. Citation Text: O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complicat…

Measuring errors and adverse events in health care. | PSNet

psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care

December 30, 2014 - Study Classic Measuring errors and adverse events in health care. Citation Text: Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x. Copy Citation Format: …

Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital

August 07, 2024 - Study Emerging Classic Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. Citation Text: Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outco…

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit

September 24, 2017 - Study Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. Citation Text: Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…

Effect of using the same vs different order for second readings of screening mammograms on rates of breast cancer detection: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-using-same-vs-different-order-second-readings-screening-mammograms-rates-breast-cancer

August 29, 2018 - Study Effect of using the same vs different order for second readings of screening mammograms on rates of breast cancer detection: a randomized clinical trial. Citation Text: Taylor-Phillips S, Wallis MG, Jenkinson D, et al. Effect of Using the Same vs Different Order for Second Readings…

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. | PSNet

psnet.ahrq.gov/issue/development-concept-return-investment-large-scale-quality-improvement-programmes-healthcare

October 27, 2021 - Review The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. Citation Text: Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-invest…

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