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How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. | PSNet

psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations

November 26, 2008 - Study How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. Citation Text: Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. | PSNet

psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room

August 26, 2020 - Study "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. Citation Text: Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating r…

Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. | PSNet

psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures

February 02, 2011 - Study Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. Citation Text: Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487. Copy Cita…

Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. | PSNet

psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line

February 18, 2011 - Study Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. Citation Text: Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line provi…

Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. | PSNet

psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts

February 25, 2015 - Study Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…

Rate of undesirable events at beginning of academic year: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/rate-undesirable-events-beginning-academic-year-retrospective-cohort-study

June 08, 2010 - Study Classic Rate of undesirable events at beginning of academic year: retrospective cohort study. Citation Text: Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. do…

Medication safety event reporting: factors that contribute to safety events during times of organizational stress. | PSNet

psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times

June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. | PSNet

psnet.ahrq.gov/issue/analysis-readmissions-mobile-integrated-health-transitional-care-program-using-root-cause

June 08, 2022 - Study Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. Citation Text: Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root …

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital

November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. | PSNet

psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication

August 11, 2021 - Study Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. Citation Text: Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…

The vulnerabilities of computerized physician order entry systems: a qualitative study. | PSNet

psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study

July 02, 2019 - Study The vulnerabilities of computerized physician order entry systems: a qualitative study. Citation Text: Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. d…

Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. | PSNet

psnet.ahrq.gov/issue/associations-between-new-disruptive-behaviors-scale-and-teamwork-patient-safety-work-life

June 02, 2021 - Study Emerging Classic Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. Citation Text: Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and …

Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. | PSNet

psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality

February 14, 2017 - Study Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. Citation Text: Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Im…

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. | PSNet

psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery

June 21, 2023 - EMERGING INNOVATIONS A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. Citation Text: Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery oly…

Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/pharmacist-participation-physician-rounds-and-adverse-drug-events-intensive-care-unit

February 10, 2011 - Study Classic Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Citation Text: Leape L, Cullen DJ, Clapp M, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. J…

The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. | PSNet

psnet.ahrq.gov/issue/role-informal-dimensions-safety-high-volume-organisational-routines-ethnographic-study-test

August 01, 2018 - Study The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. Citation Text: Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational rout…

How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. | PSNet

psnet.ahrq.gov/issue/how-nurses-and-physicians-judge-their-own-quality-care-deteriorating-patients-medical-wards

November 20, 2015 - Study How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. Citation Text: Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality of care for…

A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. | PSNet

psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe

August 17, 2016 - Review A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. Citation Text: Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…

Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant. | PSNet

psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information

December 15, 2021 - Study Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant. Citation Text: Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistant…

A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet

psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety

September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…

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