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Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. | PSNet

psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19

October 21, 2020 - Commentary Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. Citation Text: Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …

Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/prospective-evaluation-medication-related-clinical-decision-support-over-rides-intensive-care

April 07, 2019 - Study Emerging Classic Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. Citation Text: Wong A, Amato MG, Seger DL, et al. Prospective evaluation of medication-related clinical decision support over-rid…

"It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. | PSNet

psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study

March 24, 2019 - Study "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. …

The missing evidence: a systematic review of patients' experiences of adverse events in health care. | PSNet

psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care

September 06, 2017 - Review Classic The missing evidence: a systematic review of patients' experiences of adverse events in health care. Citation Text: Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in heal…

Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. | PSNet

psnet.ahrq.gov/issue/clinical-decision-support-alert-malfunctions-analysis-and-empirically-derived-taxonomy

December 04, 2016 - Study Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. Citation Text: Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jam…

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. | PSNet

psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation

April 12, 2023 - Study Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. Citation Text: Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…

A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. | PSNet

psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers

September 20, 2023 - Study A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. Citation Text: Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet

psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations

March 25, 2020 - Study Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. Citation Text: Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…

Unsafe care in residential settings for older adults. A content analysis of accreditation reports. | PSNet

psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports

August 16, 2023 - Study Unsafe care in residential settings for older adults. A content analysis of accreditation reports. Citation Text: Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(…

Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet

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February 17, 2021 - Review Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Citation Text: Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scopin…

Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. | PSNet

psnet.ahrq.gov/issue/connecting-patients-and-clinicians-anticipated-effects-open-notes-patient-safety-and-quality

March 20, 2017 - Commentary Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Citation Text: Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of…

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety

January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

Lessons learned in implementing a chronic opioid therapy management system. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system

July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. Citation Text: Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …

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…

Could breaks reduce general practitioner burnout and improve safety? A daily diary study. | PSNet

psnet.ahrq.gov/issue/could-breaks-reduce-general-practitioner-burnout-and-improve-safety-daily-diary-study

August 24, 2016 - Study Could breaks reduce general practitioner burnout and improve safety? A daily diary study. Citation Text: Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.p…

Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. | PSNet

psnet.ahrq.gov/issue/learning-complaints-healthcare-realist-review-academic-literature-policy-evidence-and-front

January 12, 2022 - Review Emerging Classic Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. Citation Text: van Dael J, Reader TW, Gillespie A, et al. Learning from complaints in healthcare: a realist review o…

Patient safety culture: effects on errors, incident reporting, and patient safety grade. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade

August 26, 2020 - Study Patient safety culture: effects on errors, incident reporting, and patient safety grade. Citation Text: Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/…

The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. | PSNet

psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk

October 18, 2023 - Study The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. Citation Text: Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computeri…

Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet

psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific

April 08, 2018 - Study Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. Citation Text: Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…

A strategic solution to preventing the harm associated with ambulance handover delays. | PSNet

psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays

July 22, 2020 - Study A strategic solution to preventing the harm associated with ambulance handover delays. Citation Text: Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. Copy C…

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