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Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet

psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective

March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…

A contemporary medicolegal analysis of outpatient medication management in chronic pain. | PSNet

psnet.ahrq.gov/issue/contemporary-medicolegal-analysis-outpatient-medication-management-chronic-pain

September 28, 2017 - Study A contemporary medicolegal analysis of outpatient medication management in chronic pain. Citation Text: Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1…

Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. | PSNet

psnet.ahrq.gov/issue/clinical-outcomes-home-based-medication-reconciliation-program-after-discharge-skilled

March 21, 2017 - Study Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. Citation Text: Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursin…

Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care

March 18, 2016 - Study Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. Citation Text: Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…

Decision making in trauma settings: simulation to improve diagnostic skills. | PSNet

psnet.ahrq.gov/issue/decision-making-trauma-settings-simulation-improve-diagnostic-skills

December 20, 2017 - Study Decision making in trauma settings: simulation to improve diagnostic skills. Citation Text: Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073. C…

Critical care simulation education program during the COVID-19 pandemic. | PSNet

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June 22, 2022 - Commentary Critical care simulation education program during the COVID-19 pandemic. Citation Text: Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19 pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928. Copy …

Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. | PSNet

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November 20, 2013 - Study Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. Citation Text: Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-20…

Comparing VA and Non-VA quality of care: a systematic review. | PSNet

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May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

Preventable adverse drug events among inpatients: a systematic review. | PSNet

psnet.ahrq.gov/issue/preventable-adverse-drug-events-among-inpatients-systematic-review

February 22, 2019 - Review Emerging Classic Preventable adverse drug events among inpatients: a systematic review. Citation Text: Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:1…

Measuring psychological safety and local learning to enable high reliability organisational change. | PSNet

psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational

May 05, 2021 - Study Measuring psychological safety and local learning to enable high reliability organisational change. Citation Text: Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high reliability organisational change. BMJ Open Qual. 2022;11(4):e0017…

Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. | PSNet

psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review-their-goals-and

October 19, 2022 - Review Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. Citation Text: Auschra C, Asaad E, Sydow J, et al. Interventions into reliability-seeking health care organizations: a systematic review of their goals and m…

Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. | PSNet

psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats

November 30, 2011 - Study Classic Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Citation Text: Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurren…

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet

psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety

January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…

Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. | PSNet

psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective

September 26, 2012 - Study Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. Citation Text: Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…

Medical teamwork and the evolution of safety science: a critical review. | PSNet

psnet.ahrq.gov/issue/medical-teamwork-and-evolution-safety-science-critical-review

January 26, 2022 - Review Medical teamwork and the evolution of safety science: a critical review. Citation Text: Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8. Copy Citation …

Effects of interdisciplinary team care interventions on general medical wards: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review

April 24, 2018 - Review Classic Effects of interdisciplinary team care interventions on general medical wards: a systematic review. Citation Text: Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic …

Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. | PSNet

psnet.ahrq.gov/issue/understanding-teamwork-rapidly-deployed-interprofessional-teams-intensive-and-acute-care

September 07, 2022 - Review Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. Citation Text: Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: …

Smart pumps improve medication safety but increase alert burden in neonatal care | PSNet

psnet.ahrq.gov/issue/smart-pumps-improve-medication-safety-increase-alert-burden-neonatal-care

September 09, 2020 - Study Smart pumps improve medication safety but increase alert burden in neonatal care Citation Text: Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-…

Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based

July 21, 2017 - Review Emerging Classic Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. Citation Text: McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact …

Explaining Michigan: developing an ex post theory of a quality improvement program. | PSNet

psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program

April 04, 2011 - Study Classic Explaining Michigan: developing an ex post theory of a quality improvement program. Citation Text: Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…

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