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Safety climate associated with adverse events in nursing homes: a national VA study. | PSNet

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September 08, 2021 - Study Safety climate associated with adverse events in nursing homes: a national VA study. Citation Text: Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.20…

Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. | PSNet

psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills

November 11, 2009 - Review Emerging Classic Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. Citation Text: Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Profes…

Quality and safety implications of emergency department information systems. | PSNet

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November 30, 2012 - Commentary Quality and safety implications of emergency department information systems. Citation Text: Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.201…

Adverse event reporting priorities: an integrative review. | PSNet

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March 10, 2021 - Review Adverse event reporting priorities: an integrative review. Citation Text: Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. Copy Citation Format: …

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

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May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet

psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two

February 16, 2022 - Study Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…

What are we missing? The quality of intraoperative handover before and after introduction of a checklist. | PSNet

psnet.ahrq.gov/issue/what-are-we-missing-quality-intraoperative-handover-and-after-introduction-checklist

January 12, 2022 - Study What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Citation Text: Lane S, Gross M, Arzola C, et al. What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Can J Anaesth. 2022;6…

Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level. | PSNet

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May 19, 2021 - Review Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level. Citation Text: Duhn L, Godfrey C, Medves J. Scoping review of patients’ attitudes about their role and behaviours to ensure safe care at the direct care level. Healt…

Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. | PSNet

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March 22, 2023 - Study Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. Citation Text: Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…

Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. | PSNet

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October 05, 2022 - Commentary Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Citation Text: Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient …

Positive approaches to safety: learning from what we do well. | PSNet

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September 15, 2021 - Commentary Positive approaches to safety: learning from what we do well. Citation Text: Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509. Copy Citation Format: DOI Google Sch…

Patient perspectives on the usefulness of an artificial intelligence-assisted symptom checker: cross-sectional survey study. | PSNet

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November 25, 2020 - Study Emerging Classic Patient perspectives on the usefulness of an artificial intelligence-assisted symptom checker: cross-sectional survey study. Citation Text: Meyer AND, Giardina TD, Spitzmueller C, et al. Patient Perspectives on the Usefulness of an Artific…

Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. | PSNet

psnet.ahrq.gov/issue/safe-clinical-practice-patients-hospitalised-mental-health-wards-during-suicidal-crisis

August 17, 2022 - Study Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. Citation Text: Berg SH, Rørtveit K, Walby FA, et al. Safe clinical practice for patients hospitalised in mental health wards during a suicidal…

"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet

psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift

January 22, 2016 - Study "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. Citation Text: Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…

Reducing near miss medication events using an evidence-based approach. | PSNet

psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach

July 07, 2021 - Study Reducing near miss medication events using an evidence-based approach. Citation Text: Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. Copy Citation Format: DOI…

A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. | PSNet

psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care

May 11, 2019 - Commentary A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. Citation Text: Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…

Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. | PSNet

psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level

February 03, 2011 - Study Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. Citation Text: Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…

Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. | PSNet

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February 10, 2021 - Review Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. Citation Text: Vanstone M, Canfield C, Evans C, et al. Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. Heal…

Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report

November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare …

Patient safety issues from information overload in electronic medical records. | PSNet

psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records

May 04, 2022 - Review Patient safety issues from information overload in electronic medical records. Citation Text: Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002. C…

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