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Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. | PSNet

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November 23, 2014 - Study Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. Citation Text: Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trig…

Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. | PSNet

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July 10, 2024 - Study Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. Citation Text: DiDiodato G. Has improved hand hygiene compliance reduced the risk of h…

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. | PSNet

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October 19, 2022 - Study Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. Citation Text: Bonis PA, Pickens GT, Rind DM, et al. Association of a clini…

Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. | PSNet

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June 20, 2011 - Study Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. Citation Text: Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events …

Closing the loop: a process evaluation of inpatient care team communication. | PSNet

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March 09, 2019 - Study Closing the loop: a process evaluation of inpatient care team communication. Citation Text: Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580. Copy Cita…

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. | PSNet

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January 19, 2022 - Study Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. Citation Text: Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ…

Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. | PSNet

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October 26, 2010 - Study Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Citation Text: Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health …

Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. | PSNet

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December 09, 2009 - Study Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. Citation Text: Schoonover H, Corbett CF, Weeks DL, et al. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readm…

Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. | PSNet

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October 31, 2012 - Study Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Citation Text: Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f…

Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. | PSNet

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August 20, 2018 - Study Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. Citation Text: Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…

The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. | PSNet

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January 09, 2018 - Commentary The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. Citation Text: Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities f…

Prevalence and nature of adverse medical device events in hospitalized children. | PSNet

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October 05, 2011 - Study Prevalence and nature of adverse medical device events in hospitalized children. Citation Text: Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. Copy …

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. | PSNet

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May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Citation Text: Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…

Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. | PSNet

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January 03, 2017 - Study Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional …

Improving physician's hand over among oncology staff using standardized communication tool. | PSNet

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November 11, 2020 - Commentary Improving physician's hand over among oncology staff using standardized communication tool. Citation Text: Alolayan A, Alkaiyat M, Ali Y, et al. Improving physician's hand over among oncology staff using standardized communication tool. BMJ Qual Improv Rep. 2017;6(1). doi:10.1…

Alterations in Spanish language interpretation during pediatric critical care family meetings. | PSNet

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April 24, 2018 - Study Alterations in Spanish language interpretation during pediatric critical care family meetings. Citation Text: Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. do…

Assuring safe patient care in a level III NICU in anticipation of hospital closure. | PSNet

psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure

April 22, 2016 - Study Assuring safe patient care in a level III NICU in anticipation of hospital closure. Citation Text: Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7. Copy Citation…

Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet

psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids

April 21, 2021 - Commentary Crisis checklists in emergency medicine: another step forward for cognitive aids. Citation Text: Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203. Copy Cit…

Improving patient safety in handover from intensive care unit to general ward: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review

June 12, 2008 - Review Improving patient safety in handover from intensive care unit to general ward: a systematic review. Citation Text: Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1…

Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet

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May 15, 2019 - Study Adoption of National Quality Forum safe practices by magnet hospitals. Citation Text: Jayawardhana J, Welton JM, Lindrooth R. Adoption of National Quality Forum Safe Practices by Magnet® Hospitals. JONA: The Journal of Nursing Administration. 2011;41(9). doi:10.1097/nna.0b013e318…

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