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Patient safety culture: effects on errors, incident reporting, and patient safety grade. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade

August 26, 2020 - Study Patient safety culture: effects on errors, incident reporting, and patient safety grade. Citation Text: Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/…

Lessons learned in implementing a chronic opioid therapy management system. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system

July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. Citation Text: Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …

Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. | PSNet

psnet.ahrq.gov/issue/connecting-patients-and-clinicians-anticipated-effects-open-notes-patient-safety-and-quality

March 20, 2017 - Commentary Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Citation Text: Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of…

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety

January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error

December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. | PSNet

psnet.ahrq.gov/issue/characterization-interventions-reduce-frequency-critical-medication-doses-missed-or-delayed

November 16, 2016 - Study Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. Citation Text: Cole E, Duncan R, Grucz T, et al. Characterization of interventions to reduce the frequency of critical m…

A strategic solution to preventing the harm associated with ambulance handover delays. | PSNet

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July 22, 2020 - Study A strategic solution to preventing the harm associated with ambulance handover delays. Citation Text: Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. Copy C…

Sitters as a patient safety strategy to reduce hospital falls: a systematic review. | PSNet

psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review

March 08, 2023 - Review Sitters as a patient safety strategy to reduce hospital falls: a systematic review. Citation Text: Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. Copy Citation For…

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:…

Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. | PSNet

psnet.ahrq.gov/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility

March 18, 2020 - Study Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. Citation Text: Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processe…

Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. | PSNet

psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident

January 17, 2024 - Study Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Citation Text: Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident …

Defining and measuring diagnostic uncertainty in medicine: a systematic review. | PSNet

psnet.ahrq.gov/issue/defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review

June 21, 2018 - Review Classic Defining and measuring diagnostic uncertainty in medicine: a systematic review. Citation Text: Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review. J Gen Intern Med. 2018;33(1):103-11…

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. | PSNet

psnet.ahrq.gov/issue/bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent

January 21, 2019 - Commentary Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. Citation Text: Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. | PSNet

psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce

September 14, 2022 - Commentary Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. Citation Text: Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet

psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer

December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews. | PSNet

psnet.ahrq.gov/issue/exploring-theory-barriers-and-enablers-patient-and-public-involvement-across-health-social

February 17, 2021 - Review Classic Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews. Citation Text: Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers an…

A systems approach to morbidity and mortality conference. | PSNet

psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference

July 22, 2020 - Study Classic A systems approach to morbidity and mortality conference. Citation Text: Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010. Co…

A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error. | PSNet

psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk

May 20, 2020 - Study Emerging Classic A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error. Citation Text: Corny J, Rajkumar A, Martin O, et al. A machine learning–based clinical decision support system to ide…

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. | PSNet

psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention

December 02, 2020 - Study Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. Citation Text: Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…

Documenting the indication for antimicrobial prescribing: a scoping review. | PSNet

psnet.ahrq.gov/issue/documenting-indication-antimicrobial-prescribing-scoping-review

August 03, 2022 - Review Documenting the indication for antimicrobial prescribing: a scoping review. Citation Text: Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582. Copy Citation …

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