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  1. Missed nursing care in emergency departments: a scoping review. | PSNet

    psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
    November 03, 2021 - Review Missed nursing care in emergency departments: a scoping review. Citation Text: Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296. Copy Citation Format: …

  2. How event reporting by US hospitals has changed from 2005 to 2009. | PSNet

    psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
    April 21, 2010 - Study How event reporting by US hospitals has changed from 2005 to 2009. Citation Text: Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. Copy Citation Format: D…

  3. Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
    February 23, 2011 - Review Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. Citation Text: Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …

  4. Computerized provider order entry adoption: implications for clinical workflow. | PSNet

    psnet.ahrq.gov/issue/computerized-provider-order-entry-adoption-implications-clinical-workflow
    May 27, 2011 - Study Computerized provider order entry adoption: implications for clinical workflow. Citation Text: Campbell EM, Guappone KP, Sittig DF, et al. Computerized provider order entry adoption: implications for clinical workflow. J Gen Intern Med. 2009;24(1):21-6. doi:10.1007/s11606-008-085…

  5. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2011
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011. American Journal of H…

  6. Exploring relationships between hospital patient safety culture and adverse events. | PSNet

    psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-adverse-events
    August 27, 2012 - Study Exploring relationships between hospital patient safety culture and adverse events. Citation Text: Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1…

  7. How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. | PSNet

    psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
    February 09, 2012 - Study Classic How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. Citation Text: Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…

  8. How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. | PSNet

    psnet.ahrq.gov/issue/how-does-context-affect-interventions-improve-patient-safety-assessment-evidence-studies-five
    September 20, 2011 - Review How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. Citation Text: Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient s…

  9. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. | PSNet

    psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy
    December 02, 2015 - Study Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Citation Text: Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth. 2013;110(3):463-7…

  10. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. | PSNet

    psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
    August 17, 2022 - Study Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. Citation Text: Ivanovic V, Broadhead K, Beck R, et al. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medic…

  11. A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
    May 26, 2021 - Study A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. Citation Text: Hofer IS, Cheng D, Grogan T. A retrospective analysis demonstrates that a failure …

  12. Communication failure in the operating room. | PSNet

    psnet.ahrq.gov/issue/communication-failure-operating-room
    February 25, 2009 - Study Communication failure in the operating room. Citation Text: Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  13. Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. | PSNet

    psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
    March 01, 2011 - Study Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. Citation Text: de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…

  14. The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/state-health-burnout-healthy-behaviors-workplace-wellness-support-and-concerns-medication
    July 14, 2021 - Study The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic. Citation Text: Melnyk BM, Hsieh AP, Tan A, et al. The state of health, burnout, healthy behaviors, workplace wellness support,…

  15. Do physicians clean their hands? Insights from a covert observational study. | PSNet

    psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
    July 02, 2019 - Study Do physicians clean their hands? Insights from a covert observational study. Citation Text: Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632. Copy Citati…

  16. The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. | PSNet

    psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety
    October 06, 2021 - Study The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. Citation Text: Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 20…

  17. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. | PSNet

    psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
    January 06, 2012 - Study Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Citation Text: Elbardissi AW, Wiegmann DA, Dearani JA, et al. Application of the human factors analysis and classification system methodology to the cardi…

  18. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. | PSNet

    psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within-multisite-nhs-trust
    September 07, 2022 - Study A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. Citation Text: Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e109…

  19. Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. | PSNet

    psnet.ahrq.gov/issue/reductions-sepsis-mortality-and-costs-after-design-and-implementation-nurse-based-early
    March 09, 2016 - Study Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. Citation Text: Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and implementation of a nurse-based early rec…

  20. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. | PSNet

    psnet.ahrq.gov/issue/outcomes-quality-improvement-project-educating-nurses-medication-administration-and-errors
    April 24, 2018 - Study Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. Citation Text: Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursin…
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