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Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit. | PSNet

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September 13, 2023 - Study Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit. Citation Text: Ong A, Dysert K, Herbert C, et al. Trends in central line-associated bloodstream infections in a trauma-surgical intensive care unit. Arch Surg. 2011;146(3):302-7. doi:…

Paying the piper: investing in infrastructure for patient safety. | PSNet

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July 01, 2017 - Commentary Classic Paying the piper: investing in infrastructure for patient safety. Citation Text: Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. Co…

Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. | PSNet

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June 02, 2021 - Study Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. Citation Text: Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…

Does applying technology throughout the medication use process improve patient safety with antineoplastics? | PSNet

psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety

October 30, 2024 - Review Does applying technology throughout the medication use process improve patient safety with antineoplastics? Citation Text: Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pha…

A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. | PSNet

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February 26, 2020 - Commentary A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. Citation Text: Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educa…

The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project | PSNet

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December 30, 2014 - Journal Article The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project Citation Text: Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and pe…

Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. | PSNet

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November 16, 2022 - Commentary Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. Citation Text: Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Sa…

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet

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November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. | PSNet

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October 30, 2024 - Study Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. Citation Text: Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 b…

Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? | PSNet

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February 06, 2014 - Study Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…

Relationship of staff information sharing and advice networks to patient safety outcomes. | PSNet

psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes

June 22, 2011 - Study Relationship of staff information sharing and advice networks to patient safety outcomes. Citation Text: Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…

Impact of a relocation to a new critical care building on pediatric safety events. | PSNet

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May 27, 2020 - Study Impact of a relocation to a new critical care building on pediatric safety events. Citation Text: Furthmiller A, Sahay R, Zhang B, et al. Impact of a relocation to a new critical care building on pediatric safety events. J Hosp Med. 2024;19(5):589-595. doi:10.1002/jhm.13324. Copy…

Frequency and clinical importance of pages sent to the wrong physician. | PSNet

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October 31, 2011 - Study Frequency and clinical importance of pages sent to the wrong physician. Citation Text: Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117. Copy Citation…

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. | PSNet

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July 30, 2014 - Study Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. Citation Text: Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J A…

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician

October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…

How active resisters and organizational constipators affect health care–acquired infection prevention efforts. | PSNet

psnet.ahrq.gov/issue/how-active-resisters-and-organizational-constipators-affect-health-care-acquired-infection

September 15, 2010 - Study How active resisters and organizational constipators affect health care–acquired infection prevention efforts. Citation Text: Saint S, Kowalski CP, Banaszak-Holl J, et al. How active resisters and organizational constipators affect health care-acquired infection prevention effort…

Medicines management support to older people: understanding the context of systems failure. | PSNet

psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure

October 04, 2023 - Study Medicines management support to older people: understanding the context of systems failure. Citation Text: Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-00…

Department of anesthesiology skilled peer support program outcomes: second victim perceptions. | PSNet

psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions

April 12, 2011 - Study Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Citation Text: Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…

'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective. | PSNet

psnet.ahrq.gov/issue/if-no-one-stops-me-ill-make-mistake-again-changing-prescribing-behaviours-through-feedback

July 01, 2017 - Study 'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective. Citation Text: Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing behaviours through …

"We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. | PSNet

psnet.ahrq.gov/issue/were-all-truly-pulling-exact-same-direction-qualitative-study-attending-and-resident

December 09, 2020 - Study "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. Citation Text: Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qu…

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