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Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. | PSNet

psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach

January 12, 2022 - Review Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. Citation Text: O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach…

Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration

August 17, 2018 - Study Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. Citation Text: Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…

Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. | PSNet

psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board

March 27, 2019 - Study Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. Citation Text: Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient…

Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet

psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious

May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. | PSNet

psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic

March 24, 2019 - Study Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Citation Text: Wang H-F, Jin J-F,…

Learning from patient safety incidents: The Green Cross method. | PSNet

psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method

June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet

psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety

December 16, 2015 - Commentary When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. Citation Text: Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee s…

Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet

psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes

April 29, 2020 - Study Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). Citation Text: Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…

Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital | PSNet

psnet.ahrq.gov/issue/impact-smart-pump-electronic-health-record-interoperability-patient-safety-and-finances

September 23, 2020 - Study Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital Citation Text: Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospit…

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. | PSNet

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March 14, 2022 - Study Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Citation Text: Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J …

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. | PSNet

psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality

July 14, 2009 - Study Classic Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. Citation Text: Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…

Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. | PSNet

psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis

July 03, 2016 - Study Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. Citation Text: Williams H, Donaldson SL, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative care: Le…

A new safety event reporting system improves physician reporting in the surgical intensive care unit. | PSNet

psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit

August 02, 2011 - Study A new safety event reporting system improves physician reporting in the surgical intensive care unit. Citation Text: Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006…

Implementing medication reconciliation in outpatient pediatrics. | PSNet

psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics

September 23, 2020 - Study Implementing medication reconciliation in outpatient pediatrics. Citation Text: Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. Copy Citation Format: …

Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet

psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill

July 29, 2020 - Commentary Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. Citation Text: Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…

Lessons learned from a national hospital antibiotic stewardship implementation project. | PSNet

psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project

July 20, 2022 - Study Lessons learned from a national hospital antibiotic stewardship implementation project. Citation Text: Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…

The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. | PSNet

psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy

May 12, 2021 - Commentary The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Citation Text: Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…

Six major steps to make investigations of suicide valuable for learning and prevention. | PSNet

psnet.ahrq.gov/issue/six-major-steps-make-investigations-suicide-valuable-learning-and-prevention

December 07, 2022 - Review Six major steps to make investigations of suicide valuable for learning and prevention. Citation Text: Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1…

Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. | PSNet

psnet.ahrq.gov/issue/implementation-trigger-review-method-scottish-general-practices-patient-safety-outcomes-and

November 07, 2011 - Study Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. Citation Text: de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices: patient safety outco…

Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/association-hospital-participation-quality-reporting-program-surgical-outcomes-and

January 13, 2016 - Study Classic Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. Citation Text: Osborne NH, Nicholas LH, Ryan AM, et al. Association of hospital participation in a quality repo…

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