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Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. | PSNet

psnet.ahrq.gov/issue/medication-administration-errors-assisted-living-scope-characteristics-and-importance-staff

July 29, 2015 - Study Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. Citation Text: Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff traini…

Systems analysis of adverse drug events. | PSNet

psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events

February 10, 2011 - Study Classic Systems analysis of adverse drug events. Citation Text: Leape L, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. Copy Citation Format: Google Scholar PubMed B…

Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious

August 09, 2017 - Study Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…

Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. | PSNet

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September 23, 2020 - Study Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. Citation Text: Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414.…

Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. | PSNet

psnet.ahrq.gov/issue/near-miss-and-maternal-sepsis-mortality-qualitative-study-survivors-and-support-persons

October 11, 2023 - Study Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Citation Text: Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;29…

Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout. | PSNet

psnet.ahrq.gov/issue/exposure-leadership-walkrounds-neonatal-intensive-care-units-associated-better-patient-safety

December 12, 2014 - Study Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout. Citation Text: Sexton B, Sharek PJ, Thomas EJ, et al. Exposure to Leadership WalkRounds in neonatal intensive care units is associated w…

Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. | PSNet

psnet.ahrq.gov/issue/influence-comprehensive-unit-based-safety-program-icus-evidence-keystone-icu-project

January 22, 2016 - Study Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. Citation Text: Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-3…

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. | PSNet

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October 27, 2021 - Study Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. Citation Text: Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …

Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. | PSNet

psnet.ahrq.gov/issue/design-and-evaluation-simulation-scenarios-program-introducing-patient-safety-teamwork-safety

February 08, 2017 - Study Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. Citation Text: Cooper JB, Singer SJ, Hayes J, et al. Design and evaluation of simulation scenarios for a program…

Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. | PSNet

psnet.ahrq.gov/issue/assessing-content-validity-and-user-perspectives-team-check-tool-expert-survey-and-user-focus

January 02, 2017 - Study Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. Citation Text: Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. B…

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial

February 14, 2017 - Study Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Citation Text: Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…

WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. | PSNet

psnet.ahrq.gov/issue/who-research-agenda-role-institutional-safety-climate-hand-hygiene-improvement-delphi

February 01, 2011 - Study WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. Citation Text: Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement…

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. | PSNet

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August 25, 2021 - Study Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. Citation Text: Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …

Effect of digital tools to promote hospital quality and safety on adverse events after discharge. | PSNet

psnet.ahrq.gov/issue/effect-digital-tools-promote-hospital-quality-and-safety-adverse-events-after-discharge

October 16, 2024 - Study Effect of digital tools to promote hospital quality and safety on adverse events after discharge. Citation Text: Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;…

Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet

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June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…

Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review

August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

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

psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review

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: …

Trends in primary care clinician perceptions of a new electronic health record. | PSNet

psnet.ahrq.gov/issue/trends-primary-care-clinician-perceptions-new-electronic-health-record

March 13, 2019 - Study Trends in primary care clinician perceptions of a new electronic health record. Citation Text: El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic health record. J Gen Intern Med. 2009;24(4):464-8. doi:10.1007/s11606-009-0906-z.…

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet

psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study

May 05, 2021 - Study Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Citation Text: Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…

Accuracy of computer-generated, Spanish-language medicine labels. | PSNet

psnet.ahrq.gov/issue/accuracy-computer-generated-spanish-language-medicine-labels

March 01, 2023 - Study Accuracy of computer-generated, Spanish-language medicine labels. Citation Text: Sharif I, Tse J. Accuracy of computer-generated, spanish-language medicine labels. Pediatrics. 2010;125(5):960-5. doi:10.1542/peds.2009-2530. Copy Citation Format: DOI Google Scholar Pu…

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