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The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. | PSNet

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October 21, 2020 - Study The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. Citation Text: Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e00125…

Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. | PSNet

psnet.ahrq.gov/issue/moving-knowledge-action-improving-safety-and-quality-care-patients-limited-english

October 19, 2022 - Study Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. Citation Text: Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.…

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. | PSNet

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November 18, 2020 - Study I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. Citation Text: Prabhu V, Mikhly M, Chung R, et al. I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting …

It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. | PSNet

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December 02, 2020 - Study It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. Citation Text: Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…

Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. | PSNet

psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing

September 23, 2020 - Study Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. Citation Text: Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. | PSNet

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December 03, 2014 - Study The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. Citation Text: Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical …

The role of morbidity and mortality rounds in medical education: a scoping review. | PSNet

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July 03, 2016 - Review The role of morbidity and mortality rounds in medical education: a scoping review. Citation Text: Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234. …

Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. | PSNet

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November 19, 2009 - Study Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. Citation Text: Huis A, Schoonhoven L, Grol R, et al. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guid…

Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center

February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

Common general surgical never events: analysis of NHS England never event data. | PSNet

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April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. | PSNet

psnet.ahrq.gov/issue/organizational-conditions-engagement-quality-and-safety-improvement-longitudinal-qualitative

November 25, 2020 - Study Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. Citation Text: Phipps D, Jones CEL, Parker D, et al. Organizational conditions for engagement in quality and safety improvement: a longitudinal qual…

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. | PSNet

psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve

October 03, 2011 - Study Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Citation Text: Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …

The potential of artificial intelligence to improve patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/potential-artificial-intelligence-improve-patient-safety-scoping-review

March 09, 2022 - Review Classic The potential of artificial intelligence to improve patient safety: a scoping review. Citation Text: Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a scoping review. NPJ Digit Med. 2021…

Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet

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December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. Citation Text: Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. Copy Citation …

Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance | PSNet

psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient

July 29, 2020 - Review Emerging Classic Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance Citation Text: Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team trainin…

Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. | PSNet

psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel

May 05, 2010 - Study Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. Citation Text: Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a no…

Measuring patient safety in real time: an essential method for effectively improving the safety of care. | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving-safety-care

February 15, 2011 - Commentary Measuring patient safety in real time: an essential method for effectively improving the safety of care. Citation Text: Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care. Ann Intern Med. …

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/systems-approach-health-service-design-delivery-and-improvement-systematic-review-and-meta

February 02, 2022 - Review Emerging Classic Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis. Citation Text: Komashie A, Ward JR, Bashford T, et al. Systems approach to health service design, delivery and improvement: a syst…

Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. | PSNet

psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve

May 21, 2009 - Study Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. Citation Text: Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box technology …

Best practices: an electronic drug alert program to improve safety in an accountable care environment. | PSNet

psnet.ahrq.gov/issue/best-practices-electronic-drug-alert-program-improve-safety-accountable-care-environment

May 29, 2019 - Study Best practices: an electronic drug alert program to improve safety in an accountable care environment. Citation Text: Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pha…

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