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Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. | PSNet

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November 04, 2020 - Study Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. Citation Text: Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down …

Management of test results in family medicine offices. | PSNet

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July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. | PSNet

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November 04, 2020 - Study Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. Citation Text: Li Y, Cen X, Cai X, et al. Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing Home Compare" Performance Indicators. Med Care. 2019…

From HRO to HERO: making health equity a core system capability. | PSNet

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September 30, 2020 - Commentary From HRO to HERO: making health equity a core system capability. Citation Text: Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. Copy Citation Format: …

Transforming the morbidity and mortality conference to promote safety and quality in a PICU. | PSNet

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April 28, 2021 - Study Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Citation Text: Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1…

Patient–pharmacist communication during a post-discharge pharmacist home visit. | PSNet

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May 28, 2015 - Study Patient–pharmacist communication during a post-discharge pharmacist home visit. Citation Text: Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0…

Does physician's training induce overconfidence that hampers disclosing errors? | PSNet

psnet.ahrq.gov/issue/does-physicians-training-induce-overconfidence-hampers-disclosing-errors

October 21, 2009 - Study Does physician's training induce overconfidence that hampers disclosing errors? Citation Text: Brezis M, Orkin-Bedolach Y, Fink D, et al. Does Physician's Training Induce Overconfidence That Hampers Disclosing Errors? J Patient Saf. 2019;15(4):296-298. doi:10.1097/PTS.0000000000000…

A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-safety-events-among-adolescents-hospitalized-after

July 22, 2020 - Study A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. Citation Text: Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt…

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet

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February 06, 2019 - EMERGING INNOVATIONS Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). Citation Text: Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…

Human-simulation-based learning to prevent medication error: a systematic review. | PSNet

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February 01, 2012 - Review Human-simulation-based learning to prevent medication error: a systematic review. Citation Text: Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883. …

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance. | PSNet

psnet.ahrq.gov/issue/how-do-black-serving-hospitals-perform-patient-safety-indicators-implications-national-public

February 18, 2011 - Study How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance. Citation Text: Ly DP, López L, Isaac T, et al. How do black-serving hospitals perform on patient safety indicators? Implications for national …

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review

October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). | PSNet

psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart

October 30, 2024 - Study Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). Citation Text: Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…

Perspective: a culture of respect—part 1 and part 2. | PSNet

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October 04, 2006 - Commentary Perspective: a culture of respect—part 1 and part 2. Citation Text: Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858. Copy Citation Save Save to your library Print Down…

Designing safety interventions for specific contexts: results from a literature review. | PSNet

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June 22, 2022 - Review Designing safety interventions for specific contexts: results from a literature review. Citation Text: Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.20…

Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. | PSNet

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March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Citation Text: Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…

Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. | PSNet

psnet.ahrq.gov/issue/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs

May 04, 2012 - Study Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. Citation Text: Ranchon F, Salles G, Späth H-M, et al. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. BMC Cancer. 2011;11:478. doi:10.1186/1…

Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care

October 13, 2021 - Study Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Citation Text: Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…

Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet

psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database

February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Citation Text: Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.…

Measuring mobile patient safety information system success: an empirical study. | PSNet

psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study

September 27, 2017 - Study Measuring mobile patient safety information system success: an empirical study. Citation Text: Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. Copy Cit…

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