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Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet

psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline

June 16, 2011 - Study Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Citation Text: Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …

Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet

psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety

November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …

Contingency planning for electronic health record–based care continuity: a survey of recommended practices. | PSNet

psnet.ahrq.gov/issue/contingency-planning-electronic-health-record-based-care-continuity-survey-recommended

November 11, 2020 - Study Contingency planning for electronic health record–based care continuity: a survey of recommended practices. Citation Text: Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2…

Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet

psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process

May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Citation Text: Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care…

How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. | PSNet

psnet.ahrq.gov/issue/how-do-stakeholders-experience-adoption-electronic-prescribing-systems-hospitals-systematic

December 16, 2020 - Review How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. Citation Text: Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing syst…

Creating high reliability in health care organizations. | PSNet

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September 20, 2011 - Commentary Creating high reliability in health care organizations. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617. Copy Citation Format: Google Scholar PubMe…

Medication safety in neonatal care: a review of medication errors among neonates. | PSNet

psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates

August 15, 2016 - Review Medication safety in neonatal care: a review of medication errors among neonates. Citation Text: Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. Copy Ci…

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. | PSNet

psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall

December 08, 2021 - Commentary Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. Citation Text: Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …

A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. | PSNet

psnet.ahrq.gov/issue/qualitative-positive-deviance-study-explore-exceptionally-safe-care-medical-wards-older

March 02, 2016 - Study A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. Citation Text: Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Qual Saf. …

Medical team training: applying crew resource management in the Veterans Health Administration. | PSNet

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April 30, 2014 - Study Classic Medical team training: applying crew resource management in the Veterans Health Administration. Citation Text: Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…

Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. | PSNet

psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review

November 16, 2022 - Review Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Citation Text: Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/a…

Shining a Light: Safer Health Care Through Transparency. | PSNet

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November 23, 2016 - Book/Report Shining a Light: Safer Health Care Through Transparency. Citation Text: Shining a Light: Safer Health Care Through Transparency. Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015. Copy Citation Save Save to your librar…

Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet

psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution

June 27, 2011 - Study Classic Perceptions of safety culture vary across the intensive care units of a single institution. Citation Text: Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Car…

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. | PSNet

psnet.ahrq.gov/issue/implementation-i-pass-handoff-program-diverse-clinical-environments-multicenter-prospective

April 24, 2018 - Study Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. Citation Text: Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I‐PASS handoff program in diverse clinical environments: a mu…

Effects of interorganisational information technology networks on patient safety: a realist synthesis. | PSNet

psnet.ahrq.gov/issue/effects-interorganisational-information-technology-networks-patient-safety-realist-synthesis

December 02, 2020 - Review Effects of interorganisational information technology networks on patient safety: a realist synthesis. Citation Text: Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):…

Gaps in ambulatory patient safety for immunosuppressive specialty medications. | PSNet

psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications

November 19, 2018 - Study Gaps in ambulatory patient safety for immunosuppressive specialty medications. Citation Text: Patterson S, Schmajuk G, Evans M, et al. Gaps in Ambulatory Patient Safety for Immunosuppressive Specialty Medications. Jt Comm J Qual Patient Saf. 2019;45(5):348-357. doi:10.1016/j.jcjq.2…

Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. | PSNet

psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results

July 02, 2019 - Study Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. Citation Text: Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…

Safety and risk management interventions in hospitals: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature

April 01, 2010 - Review Safety and risk management interventions in hospitals: a systematic review of the literature. Citation Text: Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):…

A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet

psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals

September 25, 2019 - Study A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Citation Text: Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.0…

Performance variability in perioperative sentinel events: report on a nationwide data set. | PSNet

psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set

November 04, 2020 - Study Performance variability in perioperative sentinel events: report on a nationwide data set. Citation Text: Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.109…

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