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Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet

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October 30, 2024 - Naloxone is a great example, where we've seen tremendous improvements across most states.

Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. | PSNet

psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient

June 15, 2016 - Study Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. Citation Text: Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…

Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. | PSNet

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September 07, 2022 - Commentary Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. Citation Text: Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Di…

Improving the quality of insulin prescribing for people with diabetes being discharged from hospital | PSNet

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November 16, 2022 - Journal Article Improving the quality of insulin prescribing for people with diabetes being discharged from hospital Citation Text: Bain A, Silcock J, Kavanagh S, et al. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital. BMJ Open Qual. 2…

Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. | PSNet

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February 14, 2024 - Commentary Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. Citation Text: Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts. J Am Med Inform Assoc. 201…

Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. | PSNet

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August 10, 2022 - Study Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. Citation Text: Weenink J-W, Wallenburg I, Leistikow I, et al. Publication of inspection frameworks: a qualitative study exploring the i…

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. | PSNet

psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting

March 09, 2022 - Study An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. Citation Text: Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…

Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

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August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. | PSNet

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December 18, 2013 - Study Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Citation Text: Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…

A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet

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October 26, 2022 - Study A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. Citation Text: Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. | PSNet

psnet.ahrq.gov/issue/final-report-prioritization-patient-safety-practices-new-rapid-review-or-rapid-response

December 21, 2022 - Book/Report Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. Citation Text: Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer …

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. | PSNet

psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality

August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…

Reported medication events in a paediatric emergency research network: sharing to improve patient safety. | PSNet

psnet.ahrq.gov/issue/reported-medication-events-paediatric-emergency-research-network-sharing-improve-patient

April 03, 2013 - Study Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Citation Text: Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Emerg Med J. 20…

The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet

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May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…

A case for safety leadership team training of hospital managers. | PSNet

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August 31, 2011 - Study A case for safety leadership team training of hospital managers. Citation Text: Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d. Copy Citation F…

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. | PSNet

psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety

October 02, 2019 - Commentary Emerging Classic Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. Citation Text: Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate-and-graduate-medical

October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet

psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider

June 29, 2022 - Review Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. Citation Text: Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on …

Toward improving patient safety through voluntary peer-to-peer assessment. | PSNet

psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment

August 25, 2015 - Commentary Toward improving patient safety through voluntary peer-to-peer assessment. Citation Text: Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …

Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet

psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement

August 01, 2012 - Commentary Omissions of care in nursing homes: a uniform definition for research and quality improvement. Citation Text: Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…

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