-
psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
February 10, 2012 - This before-and-after study examined the impact of a patient safety project which included simulation
-
psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
April 18, 2018 - This systematic review included 19 studies that supported the positive impact of pharmacy-led medication
-
psnet.ahrq.gov/node/867754/psn-pdf
March 12, 2025 - The scoping review, which included 16
studies (primarily focused on emergency and intensive care settings
-
psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
March 11, 2011 - Investigators used a number of different strategies to capture device-related events, which included
-
psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
August 01, 2012 - The article details the terms and concepts included in (and excluded from) the proposed definition, provides
-
psnet.ahrq.gov/issue/patient-safety-marginalised-groups-narrative-scoping-review
August 26, 2015 - A variety of patient safety issues were identified, and half of the included studies looked at either
-
psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
July 21, 2011 - Situational and cultural triggers for incivility included excessive workload, communication issues, patient
-
psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review
June 12, 2008 - Handoff strategies differed widely among the included studies.
-
psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network
June 07, 2017 - Common issues included medication safety, handoffs, human factors , and systems vulnerabilities, all
-
psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
December 15, 2011 - These included overall safety perception, teamwork within units, communication, actions promoting safety
-
psnet.ahrq.gov/issue/information-exchange-among-physicians-caring-same-patient-community
March 28, 2011 - Factors associated with information being available included care by a family physician and whether that
-
psnet.ahrq.gov/issue/assessing-and-improving-safety-culture-throughout-academic-medical-centre-prospective-cohort
January 02, 2017 - The initiatives implemented included a comprehensive unit-based safety program ( CUSP ), specific teamwork
-
psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety
January 29, 2014 - Challenges included independence and fit within the wider system, the selection and scope of investigations
-
psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
August 28, 2017 - The most frequently identified problems included ineffective communication, inadequate training, and
-
psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
April 24, 2018 - weight, age, and diagnosis, and there were also significant variations among the three institutions included
-
psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
October 31, 2017 - affects length of stay and mortality, although they caution that few of the primary studies analyzed included
-
psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
December 21, 2016 - Common logistical errors included elevated hemoglobin, inadequate bedside tests, inadequate patient identification
-
psnet.ahrq.gov/issue/artificial-intelligence-anesthetic-care-survey-physician-anesthesiologists
March 15, 2016 - Concerns included lack of transparency in AI algorithms, potential decreased earnings, and malpractice
-
psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-discontinued-medications
October 03, 2012 - Since these medications included high-risk therapies such as antidiabetic and antiplatelet agents,
-
psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and
February 10, 2015 - Barriers to reporting included a belief that it wasn’t their responsibility, nothing would happen from