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Implementation of safeguards to improve patient safety in chemotherapy. | PSNet

psnet.ahrq.gov/issue/implementation-safeguards-improve-patient-safety-chemotherapy

September 19, 2012 - Study Implementation of safeguards to improve patient safety in chemotherapy. Citation Text: Huertas-Fernández MJ, Martínez-Bautista Mª J, Rodríguez-Mateos ME, et al. Implementation of safeguards to improve patient safety in chemotherapy. Clin Transl Oncol. 2017;19(9):1099-1106. doi:10.1…

Medication order errors at hospital admission among children with medical complexity | PSNet

psnet.ahrq.gov/issue/medication-order-errors-hospital-admission-among-children-medical-complexity

July 20, 2022 - Study Medication order errors at hospital admission among children with medical complexity Citation Text: Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.00000…

Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. | PSNet

psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read

November 10, 2021 - Study Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. Citation Text: Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read…

Systematic review of clinical debriefing tools: attributes and evidence for use. | PSNet

psnet.ahrq.gov/issue/systematic-review-clinical-debriefing-tools-attributes-and-evidence-use

March 20, 2024 - Review Systematic review of clinical debriefing tools: attributes and evidence for use. Citation Text: Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-01…

Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. | PSNet

psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study-rapid-response

November 03, 2015 - Study Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. Citation Text: Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 202…

Medication administration errors in nursing homes using an automated medication dispensing system. | PSNet

psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system

January 23, 2019 - Study Medication administration errors in nursing homes using an automated medication dispensing system. Citation Text: van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…

The business case for quality: case studies and an analysis. | PSNet

psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis

February 23, 2019 - Study Classic The business case for quality: case studies and an analysis. Citation Text: Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. Copy Citation Format: …

An exploratory analysis of the association between hospital quality measures and financial performance. | PSNet

psnet.ahrq.gov/issue/exploratory-analysis-association-between-hospital-quality-measures-and-financial-performance

September 11, 2024 - Study An exploratory analysis of the association between hospital quality measures and financial performance. Citation Text: Beauvais B, Dolezel D, Ramamonjiarivelo Z. An exploratory analysis of the association between hospital quality measures and financial performance. Healthcare (Base…

Do house officers learn from their mistakes? | PSNet

psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes

April 19, 2011 - Study Classic Do house officers learn from their mistakes? Citation Text: Wu AW, Folkman S, McPhee SJ, et al. Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. | PSNet

psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical

October 30, 2024 - Study Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. Citation Text: François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical …

Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. | PSNet

psnet.ahrq.gov/issue/did-hospital-readmissions-reduction-program-reduce-readmissions-assessment-prior-evidence-and

August 25, 2021 - Study Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Citation Text: Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval …

Content analysis of nurses' reflections on medication errors in a regional hospital. | PSNet

psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital

December 23, 2020 - Study Content analysis of nurses' reflections on medication errors in a regional hospital. Citation Text: Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…

Improving resident morning sign-out by use of daily events reports. | PSNet

psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports

March 04, 2020 - Study Improving resident morning sign-out by use of daily events reports. Citation Text: Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. Copy Citation Format: …

Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. | PSNet

psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and

December 14, 2016 - Study Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. Citation Text: Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Gl…

A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. | PSNet

psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review

June 18, 2008 - Study A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality rev…

Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. | PSNet

psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority

June 01, 2016 - Commentary Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Citation Text: Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a prio…

Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands. | PSNet

psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing

March 05, 2010 - Study Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands. Citation Text: Buljac-Samardzic M, van Wijngaarden JD, van Doorn CMD-. Safety culture in long-term care: a cross-sectional analysi…

Human error and the problem of causality in analysis of accidents. | PSNet

psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents

August 25, 2021 - Commentary Classic Human error and the problem of causality in analysis of accidents. Citation Text: Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462. Copy Citation …

Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. | PSNet

psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology

June 28, 2023 - Commentary Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. Citation Text: Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and P…

The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. | PSNet

psnet.ahrq.gov/issue/influence-standardisation-and-task-load-team-coordination-patterns-during-anaesthesia

November 05, 2008 - Study The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Citation Text: Zala-Mezö E, Wacker J, Künzle B, et al. The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Qual Saf …

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