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Improving patient handovers from hospital to primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review

March 06, 2013 - Review Improving patient handovers from hospital to primary care: a systematic review. Citation Text: Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-…

Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey

December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. | PSNet

psnet.ahrq.gov/issue/evidence-based-interventions-reduce-adverse-events-hospitals-systematic-review-systematic

December 04, 2015 - Review Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. Citation Text: Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. BMJ …

Teaching quality improvement and patient safety to trainees: a systematic review. | PSNet

psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review

June 09, 2015 - Review Classic Teaching quality improvement and patient safety to trainees: a systematic review. Citation Text: Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…

Interventions and measurements of highly reliable/resilient organization implementations: a literature review. | PSNet

psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations

July 21, 2021 - Review Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Citation Text: Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…

Emergency departments are higher-risk locations for wrong blood in tube errors. | PSNet

psnet.ahrq.gov/issue/emergency-departments-are-higher-risk-locations-wrong-blood-tube-errors

November 17, 2021 - Study Emergency departments are higher-risk locations for wrong blood in tube errors. Citation Text: Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher‐risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. …

Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. | PSNet

psnet.ahrq.gov/issue/pediatric-trainees-speaking-about-unprofessional-behavior-and-traditional-patient-safety

December 21, 2017 - Study Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Citation Text: Kesselheim JC, Shelburne JT, Bell SK, et al. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Acad Pediatr. 2021…

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care

August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

Talking with patients about other clinicians' errors. | PSNet

psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors

October 27, 2021 - Study Classic Talking with patients about other clinicians' errors. Citation Text: Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119. Copy Citation …

Effect of noise on auditory processing in the operating room. | PSNet

psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room

November 16, 2022 - Study Effect of noise on auditory processing in the operating room. Citation Text: Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. Copy Citation Format: …

Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. | PSNet

psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture

December 05, 2018 - Study Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. Citation Text: Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiot…

Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. | PSNet

psnet.ahrq.gov/issue/implementation-custom-alert-prevent-medication-timing-errors-associated-computerized

April 25, 2016 - Study Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Citation Text: Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing errors associated with computerized presc…

What we can do about maternal mortality—and how to do it quickly. | PSNet

psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly

September 01, 2016 - Commentary Emerging Classic What we can do about maternal mortality—and how to do it quickly. Citation Text: Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit

November 16, 2022 - Study Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. Citation Text: Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol…

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. | PSNet

psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846

March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication

July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/unsafe-design-infusion-task-reallocation-and-safety-perceptions-us-hospitals

December 21, 2017 - Study Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Citation Text: Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/…

COVID-19: peer support and crisis communication strategies to promote institutional resilience. | PSNet

psnet.ahrq.gov/issue/covid-19-peer-support-and-crisis-communication-strategies-promote-institutional-resilience

February 03, 2021 - Commentary Classic COVID-19: peer support and crisis communication strategies to promote institutional resilience. Citation Text: Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Int…

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. | PSNet

psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection-2017

June 27, 2018 - Review Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. Citation Text: Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JA…

Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. | PSNet

psnet.ahrq.gov/issue/beyond-burnout-physician-wellness-hierarchy-designed-prioritize-interventions-systems-level

July 19, 2023 - Review Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. Citation Text: Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 20…

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