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Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. | PSNet

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May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses

December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

Impact of oncology drug shortages on chemotherapy treatment. | PSNet

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November 01, 2012 - Study Impact of oncology drug shortages on chemotherapy treatment. Citation Text: Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390. Copy Citation Format: DOI Google Scholar PubM…

The relationship between job stress and patient safety culture among nurses: a systematic review. | PSNet

psnet.ahrq.gov/issue/relationship-between-job-stress-and-patient-safety-culture-among-nurses-systematic-review

March 29, 2023 - Review The relationship between job stress and patient safety culture among nurses: a systematic review. Citation Text: Zabin LM, Zaitoun RSA, Sweity EM, et al. The relationship between job stress and patient safety culture among nurses: a systematic review. BMC Nurs. 2023;22(1):39. doi:…

Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet

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August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting system. Citation Text: Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…

Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. | PSNet

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June 04, 2014 - Study Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Citation Text: Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…

Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. | PSNet

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August 02, 2015 - Commentary Emerging Classic Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. Citation Text: Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…

Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. | PSNet

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April 24, 2019 - Study Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. Citation Text: Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…

React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. | PSNet

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March 29, 2023 - Study React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. Citation Text: Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):…

"What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. | PSNet

psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process

November 03, 2021 - Review "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. Citation Text: Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patien…

Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. | PSNet

psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers

September 04, 2016 - Study Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. Citation Text: Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…

Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. | PSNet

psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication

June 24, 2020 - Review Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. Citation Text: Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions desig…

Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet

psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event

November 23, 2014 - Study Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. Citation Text: Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…

Estimating deaths due to medical error: the ongoing controversy and why it matters. | PSNet

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December 30, 2014 - Commentary Estimating deaths due to medical error: the ongoing controversy and why it matters. Citation Text: Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144. …

Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. | PSNet

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August 04, 2021 - Review Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Citation Text: Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…

Prevalence and Economic Burden of Medication Errors in the NHS England. | PSNet

psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england

September 11, 2018 - Book/Report Prevalence and Economic Burden of Medication Errors in the NHS England. Citation Text: Prevalence and Economic Burden of Medication Errors in the NHS England. Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Intervention…

Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. | PSNet

psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult

July 29, 2020 - Review Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. Citation Text: McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. | PSNet

psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment

November 11, 2020 - Study Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. Citation Text: Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcar…

Safety culture in the operating room: variability among perioperative healthcare workers. | PSNet

psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers

November 17, 2021 - Study Safety culture in the operating room: variability among perioperative healthcare workers. Citation Text: Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/…

Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society. | PSNet

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March 30, 2022 - Study Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society. Citation Text: Nuckols TK, Asch SM, Patel V, et al. Implementing Computerized Provider Order Entry in Acute Care Hospitals in the United States…

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